Skilled in managing insurance claims with focus on customer care. Provided effective resolutions to claim disputes and delivered exceptional service in previous roles as Claims Customer Care Representative. Strengths include strong communication skills, ability to quickly understand policy details and adeptness at navigating complex insurance systems. Significant contributions in improving customer satisfaction ratings through efficient claims processing and dispute resolution.
Overview
8
8
years of professional experience
Work History
Customer Care Representative
Blue Shield of CA
Rancho Cordova, CA
04.2024 - 03.2025
Maintained a detailed record of all customer interactions, transactions, comments, and complaints.
Assisted customers in navigating through website features and functions to locate desired information or products.
Verified accuracy of customer information prior to enrolling them into a health plan.
Processed changes in insurance policies and periodically reassessed client needs.
Resolved customer complaints or escalated them as necessary in a timely manner.
Answered phone calls promptly and responded to emails within 24 hours.
Calculated premiums and established payment methods.
Advised customers on the features, advantages and benefits of different types of health plans.
Assisted customers with inquiries about health insurance policies and coverage options.
Monitored clients' insurance coverages to ensure changing needs were met.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Administrative Office Assistant
All Kids Learning Center
Rancho Cordova, CA
04.2022 - 04.2024
Tracked expenses and prepared expense reports for management review.
Pleasantly welcomed visitors, answered phone calls, and maintained front reception desk.
Organized office supplies and placed orders when necessary.
Created spreadsheets in Microsoft Excel for record-keeping and reporting.
Answered phone calls and emails to provide information, resulting in effective business correspondence.
Kept office equipment functional and supplies well-stocked to promote efficient operations.
Handled incoming and outgoing correspondence, including email, mail, and package deliveries, ensuring timely distribution.
Developed and implemented filing systems, both digital and physical, improving document organization and retrieval efficiency.
Responded to customer issues to provide immediate resolution and improve retention.
Organized files, developed spreadsheets, faxed reports and scanned documents, maintaining front desk and reception area in neat and organized fashion.
Completed day-to-day duties accurately and efficiently.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Identified needs of customers promptly and efficiently.
Cashier
Home Depot
Rancho Cordova, California
01.2021 - 07.2021
Greeted customers promptly and responded to questions.
Organized promotional displays or arrange merchandise on counters or tables to promote sales.
Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
Provided excellent customer service while promoting loyalty programs to increase sales potential.
Helped customers find specific products, answered questions, and offered product advice.
Resolved customer complaints professionally in accordance with company policy.
Collected payments and provided accurate change.
Accepted cash and credit card payments, issued receipts and provided change.
Operated cash register or POS system to receive payment by cash, check and credit card.
Performed opening and closing procedures including counting cash drawers and preparing deposits.
Kept check-out areas clean, organized and well-stocked to maintain attractive store.
Verified customer age requirement for alcohol or tobacco purchases.
Cashier
Walmart
North Highlands, CA
10.2016 - 12.2020
Greeted customers promptly and responded to questions.
Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
Maintained clean and orderly checkout areas by sanitizing register belts, emptying trash cans and organizing candy racks.
Provided excellent customer service while promoting loyalty programs to increase sales potential.
Learned roles of other departments to provide coverage and keep store operational.
Resolved customer complaints professionally in accordance with company policy.
Operated cash register or POS system to receive payment by cash, check and credit card.
Trained new team members in cash register operation, stock procedures, and customer services.
Kept check-out areas clean, organized and well-stocked to maintain attractive store.
Verified customer age requirement for alcohol or tobacco purchases.
Greeted customers and answered any questions they had about the store's products and services.
Welcomed customers, offering assistance to help find store items.
Performed other duties as assigned by management.
Counted money in cash drawers at the beginning of shifts to ensure amounts were correct.
Stocked shelves with merchandise when needed.
Processed customer payments quickly and returned exact change and receipts.