Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Authorized to work in the US for any employer.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Other Party Liability agent
Highmark Health
04.2023 - Current
Responds to and resolves inquires from subscribers, members, providers, facilities, groups, other plans and other departments
Communicates and interacts with internal and external customers in a clear, unambiguous, concise, professional and empathetic fashion
Handles all inquiries and services incoming and outbound calls and correspondence
Considers all aspects or elements in a logical manner; considers contractual provisions and options to resolve inquiry
Utilizes and interprets appropriate reference materials and other necessary resources in responding to inquires
Pursues, researches, tracks and follows up on information regarding claim benefits, eligibility and all other aspects of business
Builds files in COB module and Facets, updates systems to reflect accurate information
Processes and adjusts claims for all Opl business but maintain knowledge of all possible processing
Performs related clerical duties
Maintains confidentiality and adheres to HIPAA regulations
Delivers customer service in a professional, polite and efficient manner.
Consumer Service Representative
Firstsource Advantage LLC
09.2022 - 04.2023
Handle inbound calls from clients with business or consumer cards
Helping clients with payment program options if need be
Help clients complete general maintenance on accounts and referring clients to proper channels for optimal customer satisfaction
Memorizing state and federal payment laws to ensure fair and proper handling accounts
Memorizing various company procedures and polices and adhering to them
Explaining said policies to customers if needed
Usage of microsoft word,access and excel as needed
Assisted customers with a warm and professional attitude
Processed refunds, customer transactions
Assisted customers with questions
Handled emails, inbound calls, and outbound calls
Monitored and tracked complaints
Handled billing issues and payment inquiries.
Supervisor
Tim Hortons
02.2017 - 06.2020
Managed a team of various ages in a high paced environment
Dealt with customer questions and concerns
Helped with creating schedules, hiring and training new team members
Handled inventory and ordering for the store
Managed money and deposits for my shift
Created work schedules
Counted nightly register and cash totals
Regularly supervised a crew of 15 or more employees
3 years of supervisory experience
Managed day to day production, sales and operations