Member Services Representative with background in providing exceptional support and resolving customer inquiries. Skilled in communication, problem-solving, and attention to detail.
Overview
6
6
years of professional experience
Work History
Member Service Representative
HealthPartners
Bloomington, Minnesota
10.2024 - Current
Resolved customer service inquiries regarding claim status, benefits, coverage information, and payment details.
Handled customer inquiries regarding insurance policy coverage details and authorization status updates.
Maintained detailed records of all communication with customers, providers, and internal departments.
Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
Assisted members with inquiries regarding health plans and services.
Adhered to strict guidelines pertaining to confidentiality while handling sensitive personal information.
Marketing Internship
Polk County Family Resource Centers
Crookston, US
06.2024 - 09.2024
Coordinated intake processes to assess family needs and connect them with resources.
Assisted in the preparation of financial reports for management review.
Managed personal workload effectively, meeting deadlines and exceeding expectations.
Compiled data from multiple sources into comprehensive spreadsheets for analysis.
Investigated products or markets to determine areas for opportunity.
Maintained a high level of accuracy when entering data into the system.
Operated POS systems and input information into company computer programs.
Team Member
Target
Blaine, US
09.2019 - 09.2024
Trained new staff on customer service protocols and systems.
Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
Adjusted bills and refunded money to resolve customers' service or billing complaints.
Provided excellent customer service to resolve customer complaints in a timely manner.
Developed strong relationships with customers by providing personalized assistance and support.