Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
9
9
years of professional experience
Work History
Customer Service Representative
Co-op Services Credit Union
03.2020 - 04.2024
Coordinate the activities of all service functions to ensure that the goals and needs of the clients are met.
Answer incoming calls and emails
Researches and resolves client inquiries (i.e., system functions, system problems, cardholder issues, etc.).
Create and maintain accurate cases for inquiries received.
Fully comprehend and be able to interpret all daily and month-end reports available to Co-op Solutions Credit Unions in order to assist and answer client questions.
Have the ability to refer clients to the appropriate reports for future inquires.
Enhanced productivity levels by anticipating needs and delivering outstanding support .
Customer Service Representative
CCS Medical
05.2018 - 03.2020
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Educated customers about billing, payment processing and support policies and procedures explaining to members and providers what was covered by the insurance and what was total patient responsibility etc.
Investigated and resolved customer inquiries and complaints quickly such as claim issues , pre-authorization inquiries , premium concerns along with other payment issues.
Assisted with Eligibility and Benefits
Provided assistance to members and providers when it came to rights on appeals disputes or simply resubmitting the claim for reconsideration.
Customer Service Representative
Evolent Health
07.2015 - 01.2018
Answer patient calls and provide accurate, satisfactory answers to their inquiries and concerns the first time they call.
Provided full service to members providers and brokers.
Responded proactively and positively to rapid change.
Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Educated customers about billing, payment processing and support policies and procedures for their insurance police
Confirmed providers network status (PAR/NONPAR).
Gained Healthcare Knowledge on HMO, PPO, and Marketplace policies.
Assisted with Medical claims
Provided assistance with additional information on appeals, disputes, claims. and other important numbers and addresses.
Provided assistance with Prior Authorization status etc.
Education
High School Diploma -
Dunbar High School
Fort Worth
07.2014
Skills
Data Entry
Scheduling
Data Collection
Appointment Scheduling
Microsoft Excel
Microsoft Outlook
Order Processing
Active Listening
Professional telephone demeanor
Documentation
Understanding Dispute status and Claim Status
Customer Service
Live chat support
Critical Thinking
Call center experience
Proofreading
Customer Relations
Medical terminology knowledge
Office equipment proficiency
Payment Processing
De-Escalation Techniques
Reading Comprehension
Follow-up skills
Prioritization
Conflict Resolution
Microsoft PowerPoint
Problem Resolution
Delivery Scheduling
Complaint Handling
CRM Software
Spreadsheets
Customer Education
Problem-solving
Client Relations
Information Security
Timeline
Customer Service Representative
Co-op Services Credit Union
03.2020 - 04.2024
Customer Service Representative
CCS Medical
05.2018 - 03.2020
Customer Service Representative
Evolent Health
07.2015 - 01.2018
High School Diploma -
Dunbar High School
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