SUMMARY:

• To obtain employment with a company that promotes personal and professional growth in both private and public sectors.

TECHNICAL SKILLS:

• Clerical
• Receptionist
• Typing
• Computer Literate. Microsoft Office
• Word
• Excel
• Access
• Windows Operating Systems

PROFESSIONAL EXPERIENCE:

Confidential

Call Center Representative

Responsibilities:

• Research Claims and Eligibility for members and providers
• Using HICPPS, Kepro, Providers services and MMIS system
• Changing passwords for Providers
• Informing Members and Providers about eligibility status
• Knowledge of  HMO, PPO Medicare and Medicaid plans, as well as MCO and CCC

Data Entry Clerk

Responsibilities:

• Entering employee claims for worker comp in Caremc System
• Checking and uploading claims for verification of payments for employee.
• Contact the injured worker to update their information for claims.

Call Center Representative

Responsibilities:

• Assisting customers with requests about their packages.
• Track customer packages for delivery.
• Tracking UPS divers for their location on delivery.

Call Center Representative

Responsibilities:

•  Answer phones for customers calling to schedule appointments for plumbing, electrical, heating restoration, AC and handyman services.
• Check availability board for technician scheduling.
• Quote diagnostic fees and dispatch fees for services to customers.
• Dispatch verification of customer’s time of arrival of services.
• Prepared invoices for mailing to customer upon completion of services.

Call Center Representative

Responsibilities:

• Answer phones for clients about there Health Insurance.
• Members called in to make payments for there Health Insurance.
• Quote benefits to members and providers about benefit and procedures that where being rendered.
• Sent out authorization letters for members going out of town using there health insurance.
• Look up in network doctor’s for member.
• Changed member primary care doctor’s in the Aim’s system.

Office Assistant III

Responsibilities:

•  Answer phones for clients about their case.
• Accept client’s application and other paper documents and distributed to their case worker.
• Collect, sort and distribute mail to the case workers.
• Look up clients benefit information for their case workers
• Health Insurance credit request processing for maximum credit for Retirees.
• Distributed health insurance information letters to Retirees via USPS.
• Using RIMS systems to make sure refunds was processed and sent out to Retirees.
• Investigated insurance companies for VRS qualifications.

Call Center Representative- PT

Responsibilities:

• Conducted surveys and other political polls.
• Surveys & polls was conducted in several different States.

Senior CSR

Responsibilities:

• Approve over the limit checks for other cashiers.
• Approve customer’s exchanges and returns.
• Cashier and greet customers on occasion.