Customer Care Representiative Resume

SUMMARY:

Excellent communicator with outstanding customer service accolades as well as 15+ years of teaching and project management experience. Consistently performs at a high level in call reviews. I have a working knowledge of multiple claims practices in medical billing and travel insurance
Inventory control procedures
Excellent at de - escalating frustrated customers
Adjudicating claims in a timely manner with accuracy
Understanding policy and procedures
Organized
Time management
Detail-oriented
Strong communication skills
Public Speaking

EXPERIENCE:

Customer Care Representiative

Confidential

Responsibilities:

Working in the member and provider cues for Confidential .
Analyzing claims from providers to find out why the claim is denying or advising of methods of correcting claim errors.
For Medicaid members, I would help them locate providers in their area or help them understand what coverage they had.
Received a Certificate of Excellence in October of 2017 for excellent customer service.

Insurance Claims Examiner

Confidential

Responsibilities:

I am a claims examiner in a high volume call center.
I was brought in as a temp to handle the high volume of calls due to the severe storms.
My excellent customer service quickly brought about many customer compliments highlighting my attention to detail and personable nature that ensures that the customer is being heard.
I earned an Confidential within the first six months of being with the company for my commitment to the customer’s experience.
Even in situations where the customer came into the conversation frustrated, my calm demeanor helped to navigate them back to a place where we could discuss the problem and come to an understanding in a calm professional manner.

Call Center Representative

Confidential

Responsibilities:

I handled high volume call center with a proven record for outstanding customer service while at Confidential in the travel claims department.
In this position I gained a working knowledge of PeopleSoft and Imagenow in order to assist customers in navigating the claims process.

Shift Supervisor

Confidential

Responsibilities:

I answered customers' questions and addressed problems and complaints in person and via phone, opened and closed the store, which included counting cash drawers and making bank deposits.
Offered exceptional customer service to differentiate and promote the company brand and oversaw all daily operations of store locations.
Built customer confidence by actively listening to their concerns and giving appropriate feedback.
I balanced the needs of multiple customers simultaneously in a fast-paced retail environment.
As a supervisor, I held each team member accountable for achieving brand and performance goals.
Built and maintained effective relationships with peers and upper management.

Colorguard Program Coordinator

Confidential, Fairfax, VA

Responsibilities:

I oversaw the operations and logistics of Mason Declaration, a competitive colorguard for the university.
This is included scheduling rehearsals, facilities, and competitions.
All aspects of design were my responsibility including set, flags, and uniforms.