Over eights year's successful experience in customer service support with recognized strengths in account maintenance, problem solving, and troubleshooting, and proactive planning/implementing new procedures and systems.
Overview
21
21
years of professional experience
Work History
Provider Phone Representative
UnitedHealth Group
Sugarland, TX
10.2013 - Current
Answered inbound calls from providers assisting with benefits and eligibility and claim status.
Constantly meet established productivity, schedule adherence, and quality standards.
Determined procedures that required pre authorization.
Utilization of Macess, Careone, CSP Facets, PSI, UFE.
Insurance Service Representative
Travelers Insurance
Houston, TX
12.2007 - 06.2013
Counseled agents on underwriting eligibility and policy coverage and options.
Provide phone requested quotes to agents for changes to existing lines or products.
Review phone requested cancellations and reinstatements and make appropriate decisions to resolve.
Resolve service related complaints and process complex agent calls, answered agent policy and billing inquiries and assist in the handling of irate callers, difficult billing.
Act as on-line billing systems and agency portal website expert to provide proactive agency support.
Reviewed over renewal increases and helped run mvr's and clue reports Cross trained in claim intake.
Customer Service & Problem Resolution Rep II
Convergys
Houston, TX
08.2005 - 12.2007
Interface with customer via inbound or outbound calls or the internet for the purpose of resolving problems with products and services.
Completed online registration, and assisted with text, instant and multimedia messaging support in addition to email support.
Effectively use company tools: Ensemble, I-connect, Q Pass, and other call center technology.
Adapted to change in software, products and company policies, and successfully implementing them.
Education
Medical Office Receptionist Certificate -
Lone Star College
2006
High School Diploma -
Eisenhower
2001
Skills
Proficient in Microsoft Office (Word, Excel, Access, Outlook, PowerPoint);
Windows, ten-key by touch, typing skills 45WPM, copy and fax machines