Sherry Pinkston

I help members with benefit information and claims information. i search through medical and pharmacy benefits for coverage, i also search medical and pharmacy claims for denied or approved. I call providers for claims information and procedure. I also search areas for providers for members. I also do claims adjustments when needed. I help members with premium payments helped members find their member portals and the bcbsm website. I also helped members navigate through the system to find information and how to use tools that are on the portal.

I worked on the FEMA line of business taking the covid 19 funeral assistance line taking the application and checking application inquiries,I would look up members applications for complete information and to see if their application got denied or accepted. I also would advise members if they needed to submit new documentation.

• Handled customer inquiries and suggestions courteously and professionally.
• Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
• Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
• I also worked on the best buy line of business as a csr 1. Taking payments, searching information on member orders and set up in store appointments for members. i would also help members with issues and concerns with their orders. I helped customers locate and set up their account on the best buy website. I helped them process orders and also made orders for customers. I took payments over the phone when they would call in to make purchases ans also helped them make payments on the website.
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