Diplomatic Customer Service Agent versed in applying strong communication, problem-solving skills and polite, professional demeanor to resolve customer issues and maximize satisfaction. Experienced in exceeding performance goals in fast-paced call center environments. Trained in connecting with customers to build positive relationships and strengthen loyalty.
Overview
19
19
years of professional experience
Work History
Claims Specialist
Alorica - Wisconsin/Kentucky
06.2020 - 05.2022
Documented customer correspondence in CRM to track requests, problems and solutions.
Utilized active listening and communication skills to address customer inquiries and escalate issues to supervisor.
Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
Asked probing questions to determine service needs and accurately input information into electronic systems.
Maintained a high level of customer satisfaction by providing accurate and helpful responses.
Leveraged reference tools and conducted trainings to improve customer service.
Attended training sessions regularly to stay current on new products or services.
Resolved customer complaints quickly and efficiently.
Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
Participated in team projects, demonstrating an ability to work collaboratively and effectively.
Cultivated interpersonal skills by building positive relationships with others.
Reimbursement Specialist
Insulet
Greenville, SC
04.2017 - 03.2020
Educated clients on insurance policies and procedures.
Analyzed customer needs to provide customized insurance solutions.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Educated clients on account services and resolved client inquiries regarding statement information and account balances.
Evaluated customer information to explore issues, develop potential solutions, and maintain high-quality service.
Entered customer interaction details in sales system to track requests, document problems, and record solutions offered.
Adapted to new applications and maintained knowledge of current technologies.
Contacted customers to return routine and general calls promptly.
Sought out extra training opportunities to enhance customer relationship management abilities.
Provided primary customer support to internal and external customers.
Offered advice and assistance to customers, paying attention to special needs or wants.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Answered customer telephone calls promptly to avoid on-hold wait times.
Answered constant flow of customer calls with minimal wait times.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Medicaid Service Coordinator
Concentrix -
03.2019 - 04.2019
Interpreted complex policies for clients so that they could make informed decisions about their healthcare options.
Provided assistance to clients regarding the medical bill process, including helping them understand their coverage and how to use it.
Attended conferences related to Medicaid regulations and best practices in order to stay current on changes affecting the industry.
Assisted Medicaid applicants in completing and submitting applications for health care benefits.
Participated in staff development training sessions focused on topics related to Medicaid regulations and program policies.
Medicaid Agent
Sykes Work
11.2018 - 03.2019
Delivered excellent service via inbound and outbound calling efforts, meeting established minimum targets.
Removed barriers to drive end-to-end resolution of servicing and billing.
Evaluated and identified opportunities to drive process improvements, positively impacting customer experience.
Learned and applied sales techniques to achieve marketing goals for outreach.
Responded promptly to customer service calls and inquiries from diverse groups of individuals.
Responded promptly to customer inquiries and complaints in a professional manner.
Developed customer relationships and ensured satisfaction with services.
Adhered strictly to company policies regarding confidentiality of client information.
Utilized computer systems for tracking, information gathering and and or troubleshooting.
Benefits Coordinator
Benefitfocus
08.2016 - 05.2018
Received inbound calls and provided employees telephonic enrollment.
Conducted Outbound calls when applicable
Educated eligibility of Insurance
Assisted Retirees going into Medicare Advised New Hires in Eligibility and Enrollment
Provided support for special projects related to benefits administration such as developing online enrollment systems or evaluating wellness programs.
Led weekly open enrollment question and answer session with employees on benefit program updates.
Discussed medical, dental, short-term and long-term benefit plans with new hires and eligible employees with status changes.
Managed claims processing activities related to employee benefits packages such as disability claims or long-term care claims.
Maintained up-to-date knowledge of all benefit plan provisions, policies, and procedures.