Benefits/Billing Customer Service Representative Resume

SUMMARY:

To obtain a career that provides an excellent opportunity to express and enhance my work experiences related to customer service, health insurance, claims processing, billing, and related fields.

TECHNICAL SKILLS:

Adobe CS5 and older (Photoshop, Illustrator, Dreamweaver, Flash Professional), HTML, XHTML, JavaScript, CSS, Siebel, ICOMS, PowerMHS, MaxMC, IPD, Turbo Tax Software, MACESS

PROFESSIONAL EXPERIENCE:

Confidential

Benefits/Billing Customer Service Representative

Responsibilities:

Assist members, healthcare providers, and agents with questions and concerns about insurance coverage, benefits, claims, billing, etc.
Process billing request and take insurance premium payments over the phone.
Explain insurance benefit and coverage to members.

Confidential

Technical Support

Responsibilities:

Answer inbound phone calls from Confidential desktop and online users that need help with using the Turbo tax software.
Troubleshoot Turbo Tax software and E - Filing issues.
Help users locate the correct tax forms within the Turbo Tax program to enter their tax information.
Process Turbo Tax software orders and downloads.
Reset customer passwords and update account information.

Confidential

Emergency Roadside Service Representative

Responsibilities:

Answer inbound phone calls from Confidential members in need of emergency road service.
Locate and pinpoint Confidential member’s breakdown location to receive service.
Cancel or update breakdown location for Confidential members.
Work directly with Confidential Dispatch and/or Confidential Service Technicians to provide world class service.
Respond to customer request and questions regarding service using established guidelines and procedures.
Provide and explain basic information to Confidential members about their membership.

Confidential, Morrisville, NC

Quality Assurance Representative

Responsibilities:

Follow up with customers to ensure installations are completed and working properly.
Troubleshoot service interruptions or problems.
Schedule installations and service calls for technicians.
Follow up and research any unresolved service calls.
Enter information in SAP software to collect data on customer usage, upgrades and technical support issues.
Enter service upgrades and new service for cable, internet, and/or phone service.
Maintain records, files, and account information.

Confidential, Durham, NC

Customer Service Specialist / Insured Claims Processor

Responsibilities:

Assist subscribers, healthcare providers, and agents with questions and concerns about insurance coverage, benefits, claims, billing, etc.
Follow up and research any unresolved inquires
Process health insurance claims accurately and timely in a high production environment.
Call providers to obtain missing information or request addition medical records needed to process claim.
Maintain records, files, and subscriber account information.

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