Roni-Lynn Rosenbaum
Windber,PA
Summary
Experienced Customer Service Representative successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 5 years of experience and willingness to take on any challenge.
Overview
5
5
years of professional experience
Work History
Claims Customer Service Representative
The Jacobson Group
01.2023 - 08.2023
- Enhanced customer satisfaction by efficiently resolving claims and addressing policyholder concerns.
- Streamlined claims processing for quicker resolutions, utilizing thorough investigation techniques and attention to detail.
- Optimized workload management through effective use of CRM tools, ensuring seamless tracking of case progress and efficient resource allocation.
- Calculated adjustments, premiums and refunds.
- Facilitated provider certification and credentialing processes.
Healthcare Advisor
Life Line Screening
02.2022 - 08.2022
- Improved patient satisfaction by providing personalized healthcare advice and addressing individual concerns.
- Enhanced client retention by developing tailored health plans and monitoring progress regularly.
- Conducted thorough assessments of patients medical histories, current medications, and lifestyle habits for accurate advice.
- Educated clients on preventative health measures, resulting in a decline in chronic illness diagnoses among the patient population.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Insurance Customer Service Representative
Health Net Federal Services LLC
03.2019 - 08.2021
- Enhanced customer satisfaction by addressing and resolving provider-related and insurance-related inquiries and concerns.
- Processed policy updates and changes accurately, ensuring client needs were met in a timely manner.
- Provided exceptional support during annual open enrollment periods, guiding customers through provider and plan selection processes effectively.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Collected premiums and issued accurate receipts.
Head Hostess
Balance Restaurant
02.2018 - 04.2019
- Enhanced customer satisfaction by efficiently managing reservations and accommodating special requests.
- Streamlined the seating process for increased efficiency and reduced wait times for guests.
- Trained and mentored new staff members to ensure consistent service quality and adherence to restaurant policies.
- Collaborated with management to develop strategies for improving overall guest experience and increasing repeat business.
- Established a welcoming atmosphere by greeting guests promptly and professionally upon arrival.
Personal Care Aide
Quality Life Services
08.2018 - 12.2018
- Assisted clients with daily living activities for increased comfort and quality of life.
- Developed strong relationships with clients and families, resulting in trust and effective communication.
- Implemented individualized care plans, ensuring each client received the appropriate level of support.
- Collaborated with healthcare professionals to provide comprehensive care, addressing both physical and emotional needs.
Education
High School Diploma -
Greater Johnstown Senior High School
Johnstown, PA2018
Skills
- Authorization Management
- Call Management
- Effective Communication
- Time Management
- Claim Processing
- Insurance Knowledge
- Data Entry
- Microsoft Office
Timeline
Claims Customer Service Representative
The Jacobson Group
01.2023 - 08.2023
Healthcare Advisor
Life Line Screening
02.2022 - 08.2022
Insurance Customer Service Representative
Health Net Federal Services LLC
03.2019 - 08.2021
Personal Care Aide
Quality Life Services
08.2018 - 12.2018
Head Hostess
Balance Restaurant
02.2018 - 04.2019
High School Diploma -
Greater Johnstown Senior High School
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