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Call Center Representative Resume

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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
Confidential

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.
Confidential,Richmond, VA

Call Center Representative

Responsibilities:

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

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.
Confidential, Richmond, VA

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.
Confidential, Richmond, VA

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.
Confidential,Richmond, VA

Call Center Representative- PT

Responsibilities:

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

Senior CSR

Responsibilities:

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

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