Summary
Overview
Work History
Education
Skills
Timeline
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SEFRAH LEWIS

Jacksonville,FL

Summary

Knowledgeable and dedicated customer service professional with extensive experience in healthcare industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

8
8
years of professional experience

Work History

Inbound Contacts Representative I

Humana
11.2022 - Current
  • Enhanced patient satisfaction by efficiently processing prescription orders and addressing inquiries.
  • Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
  • Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
  • Increased efficiency of prescription refill processes, implementing automated systems that saved time for both patients and staff members alike.
  • Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
  • Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
  • Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
  • Enhanced patient satisfaction by efficiently scheduling prescriptions deliveries and managing delivery changes .

Customer Service Representative

Teleperformance/CVS
10.2022 - 09.2023
  • Enhanced patient satisfaction by efficiently processing prescription orders and addressing inquiries.
  • Reduced average call response time by effectively triaging customer concerns and promptly resolving issues.
  • Promoted a positive work environment through collaborative teamwork and clear communication among colleagues.
  • Increased efficiency of prescription refill processes, implementing automated systems that saved time for both patients and staff members alike.
  • Exceeded performance metrics regularly, demonstrating exceptional commitment to quality service delivery.

Member Experience Advocate

GTE Financial CU
11.2018 - 11.2021
  • Responsible for responding to member calls, processing member requests, and providing first touch call resolution for all member inquiries while actively cross-selling credit union products and services to further enhance the member experience
  • Manage a wide variety of transactions for members including deposits, withdrawals, loan payments, payroll adjustments, bank checks, credit card payments, cash advances, wire transfers and handled opening and closing accounts
  • Educating members of the account features, benefits, and uses of all bank services
  • Provided friendly, professional, courteous support to members and peers
  • Promotes a positive work environment by providing open, honest and constructive feedback with practical recommendations
  • Offered meaningful assistance and support to all areas of Member Care team.

Customer Care Representative

Reed Group
10.2016 - 02.2018
  • Enhanced employee satisfaction by effectively managing leave of absence requests and providing timely responses.
  • Streamlined the leave of absence process for increased efficiency, leading to reduced processing time.
  • Managed complex medical leaves, ensuring proper documentation and compliance with company policies and relevant laws.
  • Improved communication between employees and management during leaves of absence, fostering a supportive work environment.
  • Served as a point of contact for employees seeking information about their leave options, providing knowledgeable assistance in navigating complex situations.

Customer Service Representative

United Healthcare/Optum
09.2015 - 03.2016

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  • Enhanced customer satisfaction by providing accurate and timely information on health insurance policies and benefits.
  • Improved patient satisfaction by efficiently managing appointment scheduling and coordinating follow-up care.
  • Maintained patient confidentiality by adhering to HIPAA regulations
  • Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.

Education

Delaware Valley Job Corps
Callicoon, NY
03.2001

Skills

  • Self-starter that can work independently with the ability to multitask
  • Credit card processing
  • Multi-line phone talent
  • Healthcare Industry Knowledge
  • Conflict Resolution
  • Formulary Management
  • Time management
  • Critical thinking
  • Schedule Management
  • Data Entry
  • Health Insurance
  • Teamwork and Collaboration

Timeline

Inbound Contacts Representative I

Humana
11.2022 - Current

Customer Service Representative

Teleperformance/CVS
10.2022 - 09.2023

Member Experience Advocate

GTE Financial CU
11.2018 - 11.2021

Customer Care Representative

Reed Group
10.2016 - 02.2018

Customer Service Representative

United Healthcare/Optum
09.2015 - 03.2016

Delaware Valley Job Corps
SEFRAH LEWIS