Summary
Overview
Work History
Skills
Timeline
Generic

Stephanie Rene

Dallas,TX

Summary

Dedicated and customer-focused professional with 5 years of experience delivering exceptional service in fast-paced environments. Skilled in handling inquiries, resolving issues efficiently, and building strong customer relationships to enhance satisfaction and loyalty. Adept at multitasking, problem-solving, and utilizing CRM systems to streamline operations. A proactive team player with excellent communication skills and a commitment to providing top-tier support. Seeking to leverage my expertise to contribute to a dynamic customer service team.

Overview

6
6
years of professional experience

Work History

Claims Representative Associate

United Healthcare Group
06.2023 - 12.2024
  • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims
  • Analyze and identify trends and provide reports as necessary
  • Consistently meet established productivity, schedule adherence and quality standards.
  • Experience working under pressure in a high-volume environment while maintaining standards for productivity, quality, and service.

Customer Service Specialist

Active Connect
04.2021 - 06.2023
  • Customer Support: Serve as the first point of contact for employees' inquiries related to benefits, 401K plans, and payroll matters, health insurance, or supplemental insurance plans as needed through inbound calls.
  • Issue Resolution: Identify and troubleshoot employees' concerns and issues, providing efficient solutions or escalating complex matters to appropriate internal departments.
  • Documentation: Maintain detailed and organized records of all interactions, inquiries, and resolutions in the company's customer relationship management (CRM) system.
  • Education and Guidance: Offer guidance and explanations to employees on benefit enrollment processes, retirement planning, investment options, and any updates to payroll policies.
  • Policy Knowledge: Stay updated on company policies, industry regulations, and compliance requirements to provide accurate information and ensure consistent service quality.

Customer Service Associate

Startek
02.2019 - 04.2021
  • Working diligently with customers, providing them with solutions, answering general customer service questions that may include service issues, billing inquires, and product enhancement opportunities that will continue to drive customer satisfaction for our clients.
  • Developed strong relationships with clients through attentive listening and empathetic understanding of their needs.
  • Handled billing and payment issues by following guidelines and resolving disputes.
  • Handle customer inquiries and/or cases through different channels in a timely and professional manner decisions in consideration of the policies and procedures within the service level agreement.
  • Managed approximately 30 incoming calls, emails and faxes per day from customers.

Skills

  • Claims investigation
  • Assertiveness
  • Policy interpretation
  • Insurance claims review
  • Communication Skills
  • Adaptability & Problem-Solving
  • Collaboration & Teamwork

Timeline

Claims Representative Associate

United Healthcare Group
06.2023 - 12.2024

Customer Service Specialist

Active Connect
04.2021 - 06.2023

Customer Service Associate

Startek
02.2019 - 04.2021

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Stephanie Rene