Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
8
8
years of professional experience
Work History
Customer Service Representative
Anthem/Elevance Health
09.2023 - 05.2024
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.
Participated in team meetings and training sessions to stay informed about product updates and changes.
Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Customer Service Associate
Anthem Inc/Elevance Health
10.2018 - 08.2022
Referred unresolved customer grievances to designated departments for further investigation
Gave accurate and appropriate information to answer questions, troubleshoot issues and resolve complaints
Navigated multiple computer systems and applications and utilized search tools to find information
Responded quickly to meet customer needs and resolve problems
Participated in ongoing training to enhance own job skills and knowledge
Adhered to quality and service standards to support operational goals
Transmitted claims for payment and further investigation
Paid small claims.
Enrollment Specialist
Maximus
05.2016 - 10.2018
Compiled, recorded and evaluated personal and financial data to verify completeness and accuracy and to determine eligibility status
Initiated procedures to grant, modify, deny and terminate assistance and referred applicants to other agencies for assistance
Interpreted and explained information such as eligibility requirements, application details, payment methods and applicants' legal rights
Adhered to quality and service standards to support operational goals
Assisted with new hire orientation and employee training.
Receptionist
Adecco
04.2016 - 02.2017
Checked visitors in and directed or escorted to appropriate departments and personnel
Displayed pleasant and professional voice and demeanor, positively representing organization
Used proper telephone etiquette, answered calls and caller questions and transferred to proper extensions
Kept reception and common areas clean and tidy, removing trash and straightening magazines and couches.
Education
Completed Coursework Towards Associate In Arts (A.A.) In Clinical Psychology -
Metropolitan State University of Denver
Denver, Colorado
08.2011
Skills
Typing
10 Key
Flexibility
Customer Data Confidentiality
Data Entry and Maintenance
Oracle EnterpriseOne
Proactive Self-Starter
Excellent Attention to Detail
Mainframe Systems
Issue and Complaint Resolution
Critical Thinking
Active Listening
Problem-solving abilities
Data Entry
Problem Resolution
Money handling abilities
Microsoft Excel
Payment Processing
Microsoft Outlook
Follow-up skills
Data Collection
References
References available upon request
Timeline
Customer Service Representative
Anthem/Elevance Health
09.2023 - 05.2024
Customer Service Associate
Anthem Inc/Elevance Health
10.2018 - 08.2022
Enrollment Specialist
Maximus
05.2016 - 10.2018
Receptionist
Adecco
04.2016 - 02.2017
Completed Coursework Towards Associate In Arts (A.A.) In Clinical Psychology -
Utilization Mgmt Rep II /Customer Service Representative at Anthem - Elevance HealthUtilization Mgmt Rep II /Customer Service Representative at Anthem - Elevance Health