Ability to multi-task with efficiency and accuracy in a high paced environment. Excellent computer skills, knowledge of Microsoft Office software 10+ years of Customer Service experience analyzing and solving customer issues. Ability to handle multiple work assignments, set priorities and meet deadlines. Knowledge of medical terminology and CPT codes. Typing 55 - 60 wpm
Highlights
Guest services
Inventory control procedures
Merchandising expertise
Loss prevention
Cash register operations
Product promotions
Accomplishments
Experience
08/2013 to Present
Claims ExaminerAegon – New York, NY,
Process complex claims requiring further investigation.
Resolve pended claims.
Research participant invoices to resolve billing errors.
Make outbound calls to Physicians to rectify pending claims.
02/2013 to 08/2013
Agency/Sales Resource RepresentativeWeir Group – Clayton, NC,
Call Center environment.
Provided professional support to State Farm Agents and Agents staff.
Assisted agents with Sales Force program.
Assisted with contract questions and password resets.
01/2012 to 08/2012
Customer Care SpecialistHumana – City, STATE,
Worked in a fast paced environment and handled a constant volume of phone inquiries.
Assisted providers/Members with benefit verification and coverage.
Assisted with Claims/appeals status inquiries.
12/2002 to 01/2010
Account/Membership Representative IIIBlue Cross Blue Shield Of Texas – City, STATE,
Supported account set-up and maintenance processes for new/existing accounts.
After confirming all required documents were submitted, processed information and released to underwriter for approval.
Released initial ID cards, payments and bill once group had been approved.
Small Business segment experience.
Education
Expected in
Diploma: Hillsborough High School - Tampa, FL GPA:
Expected in
Certificate: Cisco Network Intern: El Centro College - Dallas, TX GPA:
Expected in
Certificate: Managing & Maintaining Computers: Richland College - Richardson, TX GPA:
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