Driven, detail-oriented professional with a proven ability to multitask and provide excellent customer service. Experienced in customer service, billing, claims, and technical support roles with consistent promotions to positions of increased responsibilities.
Overview
5
5
years of professional experience
Work History
Customer Service Representative
Fidelity Investments/Veritude
11.2017 - 02.2018
- Answered inbound calls for existing customers regarding their comprehensive benefits
- Responded to customer needs and inquiries while adhering to measurable departmental goals
- Provided detailed descriptions of plan-specific benefit coverage
- Educated customers on their benefit needs and alternatives available to help them make informed decisions
- Processed enrollments, terminations, and coverage updates
- Acted as a customer advocate to resolve service issues in a timely manner
- Transferred customers to the appropriate destination for their individual needs
- Demonstrated excellent customer service skills by showing empathy
- Utilized effective questioning and active listening skills
- Demonstrated confidence and knowledge regarding products and services available
- Effectively got customers to the correct solution in an efficient manner
Customer Service Representative
Evolent Healthcare
12.2016 - 08.2017
- Responded to member/provider/agent/broker inquiries via telephone regarding health insurance benefits, eligibility, and claims
- Analyzed problems and provided resolutions that resulted in claim payment
- Communicated monthly messages to providers on a specific needs’ basis
Licensed Agent
Optum/Connextions
10.2014 - 04.2016
- Enrollment specialist for Affordable Healthcare Act (ACA), provided plan coverage information to individuals to best fit their health needs
- Assisted with services and information to doctor visits, pharmacist, prescription drug plans, etc.
Support Services Representative
HealthMarkets, Inc
06.2013 - 02.2014
- Received inbound calls from members regarding health/life insurance and supplemental plans
- Assisted with billing issues, payment applications of checks, credit cards or debit cards via telephone
- Updated demographics
- Provided quotes to add to additional policies
- Conducted cancellation of policies, re-instated policies
- Received/sent faxes for claim analysts
Education
Business Management -
Cedar Valley College
Lancaster, TX
05.1998
Skills
MS Office 2007 (Word, Excel, Outlook, and PowerPoint)
Typing Speed: 65 WPM
Alarm Software (SBN, DSX, C-CURES, and Video Surveillance)