Service Oriented customer service with 10 years background in customer service. Excellent communication and time management skills. Handles task with accuracy and efficiency.
Overview
11
11
years of professional experience
Work History
Claims customer service representative III / Chat -Phone
Anthem inc
09.2018 - Current
Extensive experience in an insurance company and handling customer service issues
Ability to read and comprehend documents
Ability to operate computer and telephone systems
Superior customer service skills
Ability to read and reprocess claims when needed
Reviewing prior authorization and speaking to providers to help processing and reviewing claims and prior authorization
Responding to customer inquiries: Promptly addressing customer questions and concerns via live chat
Excellent written communication: Ability to clearly and concisely convey information through text
Problem-solving skills: Identifying the root cause of customer issues and finding solutions
Customer service orientation: Strong focus on providing excellent customer experiences
Technical proficiency: Familiarity with chat software and company systems
Time management: Efficiently managing multiple chat conversations simultaneously
Benefits : Going over benefits and coverage with customer
Supervisor
Sam's Club
08.2015 - 08.2018
Direct availability and allocation of materials, supplies, and finished products
Collaborate with other departments as necessary to meet customer requirements, to take advantage of sales opportunities or, in the case of shortages, to minimize negative impacts on a business
Develop an understanding of customers' needs and take actions to ensure that such needs are met
Develop and implement technical project management tools such as plans, schedules, and responsibility and compliance matrices
Customer service representative
Chase
06.2017 - 11.2017
Dedicated Customer Service Representative motivated to maintain customer satisfaction and contribute to company success
Proven ability to establish rapport with clients and exceed sales quota
Reliable and driven, with strong time management and prioritization abilities
Retail Salesperson
Off Broadway shoes warehouse
05.2014 - 07.2015
Greet customers and ascertain what each customer wants or needs
Open and close cash register, performing tasks such as counting money, separating charge slips, coupons, and vouchers, balancing cash drawers, and making deposits
Education
High School Diploma -
Morton Ranch High School
Katy, Tx
06.2015
Skills
Active listening
Management
Claims Processing
Energetic work attitude
Conflict resolution expert
Sharp Problem solver
Customer and Personal Service
Scheduling
Judgment and Decision Making
Chat Representative
Multitasking
Timeline
Claims customer service representative III / Chat -Phone
Customer Service Specialist Phone and Chat support at Carelon Global Solution PhilippinesCustomer Service Specialist Phone and Chat support at Carelon Global Solution Philippines
<ul><li>Skilled Customer Service Representative supporting the SBA contract at Upslope Advisors, with a proven track record of resolving complex escalated inquiries, routing requests accurately, and delivering policy-compliant solutions while consistently exceeding performance metrics.</li><li>Respond to escalated customer inquiries via phone or email related to SBA programs (e.g., Disaster Loans, PPP, EIDL).</li><li>Assess customer requests and route them to the appropriate department or specialist based on the nature of the inquiry.</li><li>Analyze customer concerns and provide accurate, case-specific solutions in a timely and professional manner.</li><li>Interpret and explain SBA procedures and regulatory guidelines clearly to customers with varying levels of understanding.</li><li>Document all customer interactions thoroughly and accurately in the SBA’s case management system.</li><li>Escalate unresolved or highly complex issues to Tier 3 support or the appropriate technical teams.</li><li>Meet or exceed performance metrics, including first-call resolution, response time, and customer satisfaction.</li><li>Stay current on SBA policies and federal program changes through required training and regular internal updates.</li></ul> at Upslope Advisors<ul><li>Skilled Customer Service Representative supporting the SBA contract at Upslope Advisors, with a proven track record of resolving complex escalated inquiries, routing requests accurately, and delivering policy-compliant solutions while consistently exceeding performance metrics.</li><li>Respond to escalated customer inquiries via phone or email related to SBA programs (e.g., Disaster Loans, PPP, EIDL).</li><li>Assess customer requests and route them to the appropriate department or specialist based on the nature of the inquiry.</li><li>Analyze customer concerns and provide accurate, case-specific solutions in a timely and professional manner.</li><li>Interpret and explain SBA procedures and regulatory guidelines clearly to customers with varying levels of understanding.</li><li>Document all customer interactions thoroughly and accurately in the SBA’s case management system.</li><li>Escalate unresolved or highly complex issues to Tier 3 support or the appropriate technical teams.</li><li>Meet or exceed performance metrics, including first-call resolution, response time, and customer satisfaction.</li><li>Stay current on SBA policies and federal program changes through required training and regular internal updates.</li></ul> at Upslope Advisors