Seasoned ethical customer service veteran with
more than twelve years of experience seeking an opportunity in a rapid growth
organization.
Highly skilled in call center management, training, recruiting, service solutions, and innovative marketing concepts.
Dedicated to providing exceptional customer service through active listening and problem solving.
Energetic with strong time management skills who thrives in a fast-paced, dynamic environment.
Successful at troubleshooting and handling customer support issues in a timely manner.
Overview
24
24
years of professional experience
Work History
Customer Care Professional (Healthcare)
Centene Corporations - NurseWise
Atlanta, GA
06.2014 - Current
Accurately documented, researched and resolved customer service issues.
Actively use tools and apply problem-solving skills to identify immediate member needs; including potential crisis calls and escalation of crisis calls according to standard operating procedures..
Effectively complete outreach encounters to members of multiple health plans to complete health assessments and review treatment plans.
Knowledge of 22 plus statewide Medicaid health plans.
Participates in the assessment, training/ coaching, and mentoring of newly hired employees.
Accurately documented, researched and resolved customer service issues.
Acted professionally and patiently when addressing negative customer feedback.
Addressed and resolved customer product complaints empathetically and professionally.
Defused volatile customer situations calmly and courteously.
Gathered and verified all required customer information for tracking purposes.
Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
Mastery of customer service management systems and databases.
Tech Support Specialist/Staging Software
Prestige Staffing Stratix System
Duluth, GA
10.2012 - 01.2014
Assisted customers of various Fortune 500 companies with troubleshooting and resolution of computers/phones/I pads/scanners..
Established work priorities, and evaluated costs and time requirements for business need and service level agreements.
Prioritized importance of components and provided recommendations for recovering losses and appropriate use of backup equipment and recovery of valuable data.
Resolved computer-related problems, such as inoperative hardware or software.
Medical Record
RemeX Staffing/Outcomes Health Information Solution
Alpharetta, GA
01.2012 - 10.2012
Coordinated the request and delivery of medical records as necessary for completion of the HEDIS project Managed multiple priorities and delivered effective results in a production driven environment.
Delivered highly professional customer service and increased customer satisfaction ratings documented through customer engagement surveys.
Instrumental in completion of project on time and within budget
Recognized for achieving best call quality and customer service excellence.
Customer Service Representative
Randstad Staffing /Delta Dental Insurance Company
Alpharetta, GA
11.2010 - 06.2011
Effectively managed a high influx of inbound calls within a dynamic call center environment.
Provided excellent service to customers with information regarding basic eligibility, benefits, and claims
Responded to customer inquiries and requests and resolved issues efficiently and professionally.
Utilized multiple call center support applications to efficiently assist customers and agents.
Pension Benefits Consultant/Financial Analyst
Adecco Staffing /MetLife Insurance
Alpharetta, GA
02.2007 - 07.2010
Mailed out correspondence as well as review incoming correspondence
Managed and maintained 1600 plus annuitant's accounts in databases related to overpayment, hold suspense accounts, and the escheatment of payments.
Prepares and analyzes quality reports for management staff review.
Process General Ledgers/Journal Entries.
Resolved open outstanding accounts for state audit.
Worked on special projects as assigned in a timely manner.
Financial Services Representative
E-Trade Financial
Alpharetta, GA
04.2006 - 01.2007
Administrator of client,
estate and guardian accounts.
Provided quotes.
Accepted payments
for Stock Accounts.
Responded to
inquiries as well as educate applicants of financial obligations.
Senior Claims Representative
AON Risk Management
Chicago, IL
01.2002 - 04.2006
Payable /Receivable Accounts payment.
Processed claims/Judicator.
Provided customer
service /support from database system.