Accommodating Customer Support Specialist with documented history of exceeding customer and patron expectations. Calm and composed in stressful situations with successful record of reducing customer dissatisfaction through acknowledgment, decisive communication, and focused solutions. Expert at finding win-win solutions.
Overview
13
13
years of professional experience
Work History
Customer Care Representative
VXI
Remote
01.2022 - 06.2025
Developed creative solutions to resolve complex problems quickly while minimizing cost impacts on the company.
Ensured compliance with data protection regulations when handling customer information.
Assisted customers in navigating through website features and functions to locate desired information or products.
Followed up on customer inquiries not immediately resolved by providing timely updates on the status of their requests.
Escalated unresolved issues requiring further investigation or specialized expertise.
Healthcare Customer Service Representative
Cigna
12.2019 - 01.2023
Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
Ensured that proper follow up was completed after each interaction with a customer.
Responded promptly to emails, voicemails, and faxes from customers seeking assistance or advice.
Compiled reports on patient visits for management review as needed.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Call Center Representative
Anthem Blue Cross Blue Shield
05.2015 - 12.2019
Stayed current on relevant product and service offerings as well as competitor pricing models.
Assisted customers with navigating the company's website to locate desired information or items for purchase.
Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.
Answered, screened and processed high volume of calls daily with call management system and web-based communications.
Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.
Customer Service Representative/Medical Claims Processor
CVS Minute Clinic
10.2012 - 11.2017
Developed strong relationships with customers by providing personalized assistance and support.
Answered customer inquiries via phone, email, and chat.
Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
Worked collaboratively with providers' offices to ensure timely reimbursement on submitted claims by providing missing documentation or correcting errors that caused delays in payment processing.
Responded promptly to customer inquiries regarding claim status or other issues.
Education
High School Diploma -
Clayton High School
05-1988
Skills
Customer service
Data protection
Medical claims processing
Website navigation
Problem resolution
Regulatory compliance
Report compilation
Insurance verification
Attention to detail
Call logging
Call center experience
Email communication
Punctuality and reliability
Call handling
Decision-making
Healthcare regulations
Data protection compliance
Electronic health records
Problem solving
Effective communication
Time management
Follow-up procedures
Report generation
Team collaboration
Insurance claims follow-up
Healthcare industry
Medical billing
Medical terminology
Patient eligibility verification
Claims processing
Policy adherence
Referral coordination
Patient payment processing
Multi-channel communication
Verbal and written communication
Post-discharge care coordination
Friendly and outgoing
Admitting coordination
Problem-solving
Information collection
References
References available upon request.
Timeline
Customer Care Representative
VXI
01.2022 - 06.2025
Healthcare Customer Service Representative
Cigna
12.2019 - 01.2023
Call Center Representative
Anthem Blue Cross Blue Shield
05.2015 - 12.2019
Customer Service Representative/Medical Claims Processor
Customer Service Representative /Customer Care Representative at GoDaddy.com LLCCustomer Service Representative /Customer Care Representative at GoDaddy.com LLC