Seeking to obtain a Professional position that will allow myself to learn and grow within the field. Excellent communicator
with 6 years in demanding Call Center environments and a proven ability to uphold extra responsibilities.
Overview
10
10
years of professional experience
Work History
Customer Service Representative 11
WellCare
09.2019 - Current
Answered up to 90 incoming calls in busy, fast-paced global call center.
Achieved and consistently exceeded revenue quota through product and service promotion during routine calls.
Adhered to company policies and scripts to consistently achieve call-time and quality standards.
Resolve customers inquiries via telephone in timely and appropriate manner.
Regarding claims, eligibility, covered benefits, and authorization status.
Educate members on health plan initiatives,
Document all activities for quality and metrics.
Work with other departments on cross functional tasks and projects
Claims Supervisor
Iron Bow Technologies
10.2018 - 06.2019
Motivate and manage up to 16 customer service representatives.
Monitor customer service representatives on 2 calls per month and provide feedback.
Keep current on all communication regarding changes to policies, procedures, and plan changes.
Respond to escalated calls and resolve problems concerning denied claims.
Contribute to ongoing improvement process. Facilitate regular team meetings.
Execute disciplinary action when necessary, Complete and deliver reports in timely manner.
Explain and deliver quarterly incentive payouts to all reps in timely fashion
Monitored team performance, enforcing compliance with corporate claims processes and procedures.
Customer Service Specialist
Iron Bow Technologies
01.2017 - 10.2018
Acted in place of TEAM LEAD Supervisor when away.
Monitored and coached staff on calls.
Analyzed open case work 30 -45 cases daily to assist Team Lead and Customer Service Representative to resolve and close issues.
Responded to escalated calls and resolved problems.
Administered policies and procedures to assure consistency.
Meet KPI Goals as established in call center.
Documented all client interactions according to established procedures.
Addressed customer complaints and mitigated dissatisfaction by employing timely and effective solutions for denied claims.
Economic Self Sufficient Specialist 1
Department of Children & Families.....Call Center (inbound/outbound)
11.2013 - 12.2015
Answer general inquiry, and complex eligibility questions related to program requirements; Complete data exchange; Case corrections.
Resolve Electronic Benefit issues; Conduct interviews for the purpose of collecting & required information on applications.
Data Entry; Planning & Organizing; Computer Proficiency;
Analyze & Interpret written, numerical, & verbal data from various sources; System Navigation, Generate daily reports; Call documentation
Answered on the average of 120 calls per day by addressing customer inquiries.
Education
Some College (No Degree) - Healthcare
Remington College
Tampa, FL
Skills
Ability to work well with others; Compassionate
Skilled at establishing priorities and managing time; Listening
Strong verbal, written & interpersonal skills;
Taking responsibility; Humor
Microsoft Word, Microsoft Outlook, Facets, Sir, Citrix, Workspace, Claims
Timeline
Customer Service Representative 11
WellCare
09.2019 - Current
Claims Supervisor
Iron Bow Technologies
10.2018 - 06.2019
Customer Service Specialist
Iron Bow Technologies
01.2017 - 10.2018
Economic Self Sufficient Specialist 1
Department of Children & Families.....Call Center (inbound/outbound)