Taja Chiles
Summary
Customer-focused Healthcare Customer Service Representative and Technical Support professional with experience supporting members and customers in high-volume call center environments. Skilled in explaining complex healthcare benefits, claims, and technical issues in clear, easy-to-understand terms. Proven ability to multitask across multiple systems while maintaining compliance, accuracy, and high customer satisfaction.
Overview
4
4
years of professional experience
Work History
Customer Service Representative
Alorica
04.2020 - 01.2023
- Handle inbound customer calls in a high-volume call center environment
- Assist customers with: Account and eligibility inquiries Benefits, coverage, or enrollment questions Claims, billing, and payment issues
- Meet or exceed productivity, quality, and attendance metrics
- Handled high volume of customer calls and emails while maintaining professionalism and composure in challenging situations.
Technical Support Advisor
Apple
01.2019 - 01.2020
- Troubleshoot and resolve technical issues involving: iPhone, iPad, Mac, Apple Watch, and Apple TV iOS, macOS, iCloud, Apple ID, and Apple services
- Educate customers on device features, settings, and best practices
- Guide customers through step-by-step technical solutions in a clear, patient manner
- Documented and tracked support tickets in a customer relationship management system, ensuring accurate records and timely follow-ups.
Member Service Advocate
Highmark Health
- Research and resolve member issues using internal systems and tools
- Educate members on how their health plan works and how to maximize benefits
- Accurately document all interactions in CRM/call tracking systems
- Meet quality, productivity, and compliance standards.
- Escalate complex issues when necessary while maintaining ownership of the case.
- Maintain HIPAA compliance and protect confidential member information
- Assist members with claims
Education
High School -
Hightower High School
Skills
- Medicaid
- Medicare
- Professional phone presence
- Claims Processing
- HIPAA Compliance
- Attention to Detail
- Empathy
- Multitasking
- Patience
- Quality Assurance
- Issue Resolution
- Communication
- Problem-solving
- MacOS Support
- IOS Support
Timeline
Customer Service Representative
Alorica
04.2020 - 01.2023
Technical Support Advisor
Apple
01.2019 - 01.2020
Member Service Advocate
Highmark Health
High School -
Hightower High School