Summary
Overview
Work History
Education
Skills
Languages
Timeline
CustomerServiceRepresentative

VANESSA F. SINGH

Riverside,NJ

Summary

Experienced Customer Service Representative and health insurance appeals counselor seeking to expand my learnings, knowledge, and skills while contributing to the company’s success.

Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.

Overview

11
11
years of professional experience

Work History

Customer Service Representative

NJ FAMILY CARE
10.2019 - 04.2025
  • Responsible for submission, intervention, and resolution of appeals and/or complaints from NJ Family care members.
  • Research issues and collect all information necessary for a determination to be made.
  • Assure verbal and written responses are provided to members and/or other parties within the required timeframes.
  • Communicates both verbally and in writing with Members and the State.
  • Completes and submits monthly appeal and outbound calls reports for the Compliance department.
  • Maintains a current level of knowledge regarding Medicaid and NJ Family care. Thoroughly document all member appeal and state referrals related interactions and interventions.
  • Provide accurate, prompt, and courteous service in response to written and telephonic member inquiries.
  • Responsible for the progress and resolution of appeals and state referrals from the Governor, Legislative, and Senator’s office efficiently.

Health Benefit Administrator

HEALTH BENEFIT ADMINISTRATOR
06.2017 - 10.2019
  • Manage enrollments and determine employee eligibility.
  • Handle all benefit compensation and reimbursement procedures.
  • Inform employees of their benefit options and plans and monitor use.
  • Responsible for day-to-day contact with employees via phone to assist with matters relating to benefits eligibility, plan features, qualifying events, dependent verification audits, retro deductions, system related problems and helping to resolve health care claims issues.
  • Provides administration of all company health, dental, vision, welfare and retirement benefits including the processing of all enrollments and terminations.
  • Provides front line customer service and support for benefits function. Serve as primary contact to resolve employee benefit issues. Work with healthcare partners to resolve issues and or concerns.

Customer Security Assurance

CUSTOMER SECURITY ASSURANCE
04.2016 - 05.2017
  • Investigate documents and resolve abuse and fraud-related security issues.
  • Be Familiar with security concepts such as Spam, Spyware, Viruses, Bots/Botnets.
  • Intimate knowledge of remediation software for security protection and breaches.
  • Application-level knowledge of email protocols (how email works, etc.) Practical and technical knowledge with hardware, firmware, software, and concepts such as routers, firewalls and mail protocols.
  • Respond carefully to abuse, fraud and security related phone, email, and chat requests for support.
  • Capacity to observe, process and discuss highly sensitive information, as well as, media, that may be controversial or offensive in nature, as relates to customer security issues that could have possible legal implications.
  • Track events in Remedy Ticketing System.
  • Review customer security and policy descriptions and educate customers to prevent future occurrences.
  • Ability to resolve issues discreetly and diplomatically with Comcast customers via telephone and email while respecting both the customer and company privacy.

Human Resources Assistant

2ND Avenue Stores, Grendrop Trucking & Greendrop LLC
12.2013 - 02.2015
  • Creating, archiving, updating, and maintaining files and records for current and terminated employees and producing verification letters for them upon request.
  • Dealing with inquiries and issues regarding vacation eligibility, sick days, benefits, pay stubs, unemployment notifications, worker’s compensation cases, enforcing conduct policies for employees (generating reports and following up investigations).
  • Other clerical duties such as faxing and/or copying documents, responding to general correspondence, and answering the telephone.

Education

Associate in applied science - Medical Sonography

Gloucester County College
01.2014

Certification - Medical Administrator Assistant

Lincoln Technical Institute
01.2012

Skills

  • Bilingual fluent reading and writing (Spanish, English)
  • Self-Motivated
  • Detail Oriented, Organized
  • Administrative Assistant
  • Clerical duties
  • Receptionist
  • Computer Skills (Microsoft Office, Centricity, Dentrix, Paychex, ADP, Box Merlin and EMS, JobScope, Systems, OIT, Connexions, SAVE)
  • Customer Service Satisfaction
  • Time Management - Multitasking
  • Human Resources

Languages

Spanish
Native or Bilingual

Timeline

Customer Service Representative

NJ FAMILY CARE
10.2019 - 04.2025

Health Benefit Administrator

HEALTH BENEFIT ADMINISTRATOR
06.2017 - 10.2019

Customer Security Assurance

CUSTOMER SECURITY ASSURANCE
04.2016 - 05.2017

Human Resources Assistant

2ND Avenue Stores, Grendrop Trucking & Greendrop LLC
12.2013 - 02.2015

Associate in applied science - Medical Sonography

Gloucester County College

Certification - Medical Administrator Assistant

Lincoln Technical Institute
VANESSA F. SINGH