Results-driven individual with a strong background in customer service and data entry. Demonstrated success in improving operational efficiency and delivering exceptional client support. Eager to apply expertise in a collaborative team setting.
Overview
9
9
years of professional experience
Work History
Member Service Representative
Highmark Blue Cross Blue Shield of Western New York and Northeastern New York
Latham, NY
10.2022 - 10.2023
Handled inquiries from subscribers, members, and various departments promptly.
Interacted with customers in a clear, concise, and empathetic manner.
Responded to both incoming and outbound calls while maintaining professionalism.
Interpreted reference materials to provide accurate responses to inquiries.
Customer care advocate I-EPIC Program(Contract)
Magellan Health
Latham, NY
09.2022 - 01.2023
Determined purpose of calls through active listening and professional probing techniques.
Researched and communicated member eligibility, benefits, EAP services, claim status, and authorization details while ensuring confidentiality.
Resolved administrative concerns as primary contact, addressing claims and customer dissatisfaction directly.
Retention Representative
Fidelis Care
Latham, NY
06.2019 - 01.2022
Assisted members in completing and processing Government health program applications to enhance retention.
Researched and documented inquiries to resolve member eligibility issues effectively.
Guided existing members through the recertification process to strengthen relationships and support.
Certified Nursing Assistant
Ellis Medicine
Schenectady, NY
08.2018 - 12.2018
Accurately recorded objective resident data to maintain comprehensive records.
Ensured fulfillment of residents' nutritional needs through regular assessments.
Performed delegated resident care activities in compliance with established care protocols.
Customer Service Representative II-Dedicated Service Unit Federal Employee Program
Davis Vision
Latham, NY
05.2017 - 01.2018
Delivered exceptional customer service by addressing member and provider inquiries with respect and courtesy.
Performed all essential duties of CSR I role, including lab order entry and support for providers and members.
Utilized systems to respond effectively to customer requests while adhering to service standards.