Summary
Overview
Work History
Education
Skills
Timeline
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Victoria Semones

Maumee,OH

Summary

Knowledgeable and dedicated customer service professional with extensive experience in the medical insurance industry. Solid team player with positive demeanor and proven skills in establishing rapport with clients both internal and external. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.

Overview

26
26
years of professional experience

Work History

Customer Resolution Specialist

Medical Mutual
04.2022 - Current
  • Collaborates with multiple departments and team members to resolve customer complaints and drive customer experience.
  • Completes projects from scoping through execution.
  • Reduces process inconsistencies and effectively trains team members on best practices and protocols.
  • Exhibits professionalism when dealing with clients and staff.
  • Responds to customer requests, offering excellent support and tailored recommendations to address needs.
  • Utilize problem solving skills when dealing with difficult and complex situations.

Senior Customer Service Specialist

Medical Mutual
11.2008 - 04.2022
  • Handled customer inquiries and complaints with professionalism.
  • Trained staff on operating procedures and company services.
  • Reduced process inconsistencies and effectively trained team members on best practices.


Senior Claim Processing Specialist

Medical Mutual
12.1997 - 10.2008
  • Utilized specialized software to process incoming claims, enter data and generate reports.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
  • Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.

Education

High School Diploma -

Perrysburg High School
Perrysburg, OH

Skills

  • Operational Efficiency
  • Problem Resolution
  • Correcting Discrepancies
  • Customer Experience
  • Constructive Feedback
  • Customer Interaction
  • Employee Coaching and Mentoring
  • Conflict Resolution Techniques
  • Clear Written Communication Skills

Timeline

Customer Resolution Specialist

Medical Mutual
04.2022 - Current

Senior Customer Service Specialist

Medical Mutual
11.2008 - 04.2022

Senior Claim Processing Specialist

Medical Mutual
12.1997 - 10.2008

High School Diploma -

Perrysburg High School

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Victoria Semones