Network and Systems Administrators Resumes, FL - Hire IT People

PROFESSIONAL SUMMARY

Customer Service Professional with over 10 years experience satisfying clients’ expectations utilizing both in person and call center customer service skills.
Expert at utilizing Microsoft Word, Excel, Access and Outlook in daily functions to organize, enter data, and communicate effectively.
Proficient in switching between computer windows in order to enter data, look up information for clients, and place orders.
Excellent communications skills.

PROFESSIONAL EXPERIENCE

Confidential

Fort Lauderdale, FL

Customer Service Representative

Responsibilities:

Receive incoming telephone calls and conduct personal conferences with members and network providers.
Provide prompt, courteous, and accurate responses to inquiries and concerns as defined by organizational standards.
Participate in ongoing training to ensure full competency in interacting with callers.
Educate members regarding their benefits, policies and procedures, benefits coverage, and eligibility and instructs on how to correctly utilize the managed health care system.
Utilize available systems to provide real time information to members, including eligibility status, POWER Account contributions and transactions,) premium payments, PMP assignments, and all other service and utilization data.
Educate members regarding their rights and responsibilities.
Serve as the member’s and/or provider’s advocate to resolve outstanding issues.
Recognize potential quality issues, such as grievances/complaints and appeals, and process the information accordingly.
Recognize and respond to the inquiries and concerns of the covered members.
Document all contacts with members for the purposes of continuity of care and service.
Schedule transportation services for members.
Process Primary Medical Provider (PMP) changes within the network.
Perform annual Member Survey as necessary.
Perform 24 - Hour PMP Availability Audits as necessary.

Confidential

Boca Raton, FL

Visa Passport Specialist

Responsibilities:

Provided guidance and expert assistance to customers calling for expediting passport and visa services.
Maintained knowledge and interpretation of passport and visa regulations and procedures.
Processed order request for visas and passports in a timely manner for Case Managers review
Tracked and logged all inbound calls.
Provided all document requirements to customers for obtaining a visa or passport for travel.

Confidential

Margate, FL

Customer Service Representative

Responsibilities:

Seasonally supported Crate and Barrel.
Attracted potential and existing customers by answering inbound calls about products and service questions.
Suggested information about other products and services.
Maintained customer records by updating customer information.
Processed customer orders via the corporate software.
Tracked and confirmed customer's delivery time frames.

Confidential

Boca Raton, FL

Membership Services Representative

Responsibilities:

Responded to inbound communications (primarily by telephone with some email and written correspondence.)
Processed membership cancellations and reinstatements.
Assisted members to obtain reimbursements from their FSA for eligible medical services.
Processed charge backs, credit card refunds and other accounting transactions in various. corporate software programs.

Confidential

Owings Mills, MD

Credentialing Specialist

Responsibilities:

Coordinated all phases of credentialing activities for potential practitioners.
Followed established procedures to ensure a comprehensive review of professional credentials.
Responded to practitioners regarding status of applications and status of credentialing process.
Maintained credential database through ongoing data entry of practitioner updates with accuracy and in compliance of established integrity guidelines.

Confidential

Owings Mills, MD

Customer Service Team Leader

Responsibilities:

Responded to inbound communications (primarily by telephone with some email and written correspondence.)
Retrieved pay-off information.
Investigated misapplied customer payments.
Supervised a staff of Customer Retention Pre-Term Lease Clerks responsible for account termination, lease extensions, and direct sales.
Monitored staff performance and conducted employee evaluations.
Monitored inbound calls to customer service representatives.