Service Representative and Complaint Resolution Specialist who is dedicated to providing excellent customer service; possess over 10 plus years experience in a high call volume environment. Committed to addressing customer inquiries and complaints with speed, accuracy and professionalism.
Documented complaints, appeals, grievances and disputes received via telephone and or written inquires based on Medicare regulations and guidelines.
Investigated and resolved CMS complaints in a timely and efficient manner.
Received from Senior Products member telephone and/or written inquires about administrative procedures, enrollment/dis-enrollment, premium billing, benefits and claims adjustments.
Provided accurate and appropriate information in response to customer inquiries via telephone and/or written requests. Completed Business Systems Training 2008. Maintained 100% Quality for entire 2010.
Handled inbound calls from members regarding eligibility and benefit questions, claims submissions and adjustments.
Assisted providers regarding member's coverage and contractual issues. Investigated and resolved insurance/claims denials ensuring compliance with HIPPA guidelines.
Prepared complete personal and business tax returns within IRS guidelines. Promote and provide additional products and services (audit protection, 401K's and IRA's).
Participated in continuing education to keep updated on changes in tax laws in order to provide efficient and reliable tax preparation services to clients
Completed over 60 credits towards Associate Degree
Completed Business Systems Training 2008
Maintained 100% Quality January to December 2010
Companies Worked For:
Job Titles Held: