Summary
Overview
Work History
Education
Skills
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Certification
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Generic

Sabrina Winton

Clovis

Summary

Skilled Universal Customer Service Representative with solid background in providing exceptional customer service across diverse industries. Strengths include problem-solving, effective communication and multitasking capabilities. Previous roles have demonstrated success in improving customer satisfaction rates and implementing customer service protocols for increased efficiency.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Universal Customer Service Representative

Chenega INC
Virginia Beach
10.2024 - Current
  • Handled escalated calls from other representatives regarding difficult customer situations in a professional manner.
  • Maintained records of communications with customers for future reference.
  • Coordinated with internal departments to resolve complex customer inquiries or complaints.
  • Provided excellent customer service by addressing queries quickly and efficiently.
  • Answered customer inquiries in a timely manner and provided accurate information.
  • Verified insurance authorizations with payers via telephone or web-based systems.
  • Documented changes in claim statuses using specialized software systems.
  • Answered questions regarding program requirements, policies and procedures.

Customer Service Representative

Ursus Technologies
San Francisco
01.2023 - 09.2023
  • Maintained client confidentiality according to HIPAA regulations at all times.
  • Updated patient files in accordance with company policy and procedure guidelines.
  • Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
  • Responded promptly to emails, voicemails, and faxes from customers seeking assistance or advice.
  • Verified patient demographic information in order to ensure accuracy of data entry.
  • Utilized active listening and communication skills to address customer inquiries and escalate issues to supervisor.
  • Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.

Ensemble

Ensemble Recovery
Charleston
02.2022 - 12.2022
  • I went over the billing questions and processed the payment.
  • Sent notifications via email.
  • Addressed complex billing issues.
  • Updated health insurance information.
  • Followed the chain of command.
  • Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
  • Updated and maintained databases with current information.
  • Identified needs of customers promptly and efficiently.

Appeals and Grievances Coordinator

Blue Shield of CA
El Dorado Hills
03.2020 - 09.2022
  • Reviewed documents submitted by customers in support of their claims before they are entered into the system.
  • Interpreted external regulations governing the handling of appeals and grievances.
  • Researched case files to ensure accuracy of information prior to making decisions on appeals or grievances.
  • Assessed customer complaints to determine eligibility for appeal or grievance filing.
  • Monitored progress made towards resolving appealed or grieved matters.
  • Prepared written responses to customers regarding the status of their appeal or grievance filings.

Healthcare Customer Service Representative

Blue Shield of CA
Rancho Cordova
09.2019 - 09.2022
  • Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
  • Responded promptly to emails, voicemails, and faxes from customers seeking assistance or advice.
  • Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
  • Scheduled appointments for patients using the electronic health records system.
  • Verified patient demographic information in order to ensure accuracy of data entry.
  • Ensured that proper follow up was completed after each interaction with a customer.
  • Assisted in checking patient's insurance eligibility prior to their appointment.

Education

GED -

Sacramento Job Corps
Sacramento, CA
06-1985

Skills

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  • Sabrina Winton Resume
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  • (thisgbar_); // Google Inc
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  • Sabrina Winton
  • Brezzie100@gmailcom
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  • Email management
  • Building rapport
  • Adaptability and flexibility
  • Follow-up skills
  • Tactful and diplomatic
  • Customer education
  • Information security
  • Call center operations

Accomplishments

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  • Sabrina Winton
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Certification

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Languages

  • Eesti
  • English (Canada)
  • English (United Kingdom)
  • English (United States)
  • Español

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Timeline

Universal Customer Service Representative

Chenega INC
10.2024 - Current

Customer Service Representative

Ursus Technologies
01.2023 - 09.2023

Ensemble

Ensemble Recovery
02.2022 - 12.2022

Appeals and Grievances Coordinator

Blue Shield of CA
03.2020 - 09.2022

Healthcare Customer Service Representative

Blue Shield of CA
09.2019 - 09.2022

GED -

Sacramento Job Corps
Sabrina Winton