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Customer Care Advocate Resume Example

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CUSTOMER CARE ADVOCATE
Experience
Customer Care Advocate04/2019 to Current
BMC HealthNet Plan – Boston, MA
  • Respond to phone calls and correspondence including but not limited too, appeals, corrected claims, timely filing, and claims projects.
  • Responding to high call volumes of incoming calls and customer inquiries from current and prospective members, providers as well as internal and external business partners and seeing those calls to completion.
  • Maintaining current knowledge of BMCHP and Wellsense Health Plan benefits, provider network development and contact issues, Mass and New Hampshire Medicaid regulations, as well as industry standards for claims adjudication and other party liability issues.
  • Meeting performance goals established for the position in the areas of productivity, call quality and customer satisfaction.
  • Adhere to HIPPA guidelines.
  • Perform other duties when assigned
Customer Care Representative03/2017 to 04/2019
BMC HealthNet Plan – Boston, MA
  • Resolving customer inquiries and problems through effective interaction with both internal and external staff‚ particularly in the areas of marketing‚ enrollment‚ provider relations‚ Customer Care Center and claims.
  • Responding to a high volume of incoming calls and customer inquiries from current and prospective members‚ providers and both internal and external staff and utilizes appropriate resource materials to effectively and accurately interpret‚ respond and resolve customer inquiries and sees those calls through to completion.
  • Utilizing appropriate resource materials to effectively and accurately interpret‚ respond and resolve customer inquiries and problems.
  • Maintaining knowledge of the plan contracts and effectively interpreting information related to the plan's benefits.
  • Employs strong interpersonal skills in order to handle difficult calls courteously and professionally.
  • Document calls in accordance with departmental policies.
  • Work with peers to solve problems and promotes teamwork.
Makeup Artist03/2013 to 07/2014
Clinique/Estee Lauder – Boston, Ma
  • Educated clients about products and performed full service makeup applications
  • Participated in focus days and promotional events to build client loyalty and to attract new clientele.
  • Achieved sales goals in accordance with productivity objectives.
  • Recorded clients purchasing information to communicate and ensure future business.
Server/Waitress08/2009 to 05/2014
PF Changs China Bistro – Dedham, MA
  • Presented and explained menus to customers - Answered queries regarding restaurant items and informed them of daily specials.
  • Provided excellent customer service: Worked closely with restaurant staff to ensure that orders were served in an efficient manner - Orders were assembled properly in the kitchen and delivered to customers in a timely manner.
  • Dedicated and meticulous - high level of accurateness and attention to detail.
  • Earned management trust by serving as key holder, responsibly opening and closing Establishment.
Skincare Specialist07/2006 to 06/2009
Bloomingdales – Chestnut Hill, Ma
  • Developed and maintained quality relationships with clients through follow-up practices and event invitations.
  • Exceeded sales goals and expectations on various skin care brands by using up-selling
  • Produced weekly brand reports in order to identify which products needed additional assistance for meeting monthly sales goals.
  • Calculated a daily sales goal to help consultants stay on track.
  • Attended training and education courses to train peers in various skincare brands.
Beauty Advisor Manager03/2005 to 05/2006
CVS Pharmacy – Brighton, Ma
  • Welcomed each guest while offering a superior customer experience.
  • Supervised Beauty department; hired and developed staff, managed performance and oversaw all departmental functions.
  • Responsible for proper promotion of products to all clients through professional tutorials and the introduction of new techniques to fully maximize use of products.
  • Attend periodic vendor training seminars and achieve the highest level of product knowledge.
Work History
Server/Waitress02/2009 to Current
PF Changs China Bistro - Dedham, Ma
  • Presented and explained menus to customers - Answered queries regarding restaurant items and informed them of daily specials.
  • Provided excellent customer service: Worked closely with restaurant staff to ensure that orders were served in an efficient manner - Orders were assembled properly in the kitchen and delivered to customers in a timely manner.
  • Dedicated and meticulous - high level of accurateness and attention to detail.
  • Earned management trust by serving as key holder, responsibly opening and closing Establishment.
Makeup Artist03/2013 to 07/2014
Clinique/Estee Lauder - Boston, Ma
  • Educated clients about products and performed full service makeup applications Participated in focus days and promotional events to build client loyalty and to attract new clientele.
  • Achieved sales goals in accordance with productivity objectives.
  • Recorded clients purchasing information to communicate and ensure future business.
Skincare Specialist07/2006 to 06/2009
Bloomingdales - Chestnut Hill, Ma
  • Developed and maintained quality relationships with clients through follow-up practices and event invitations.
  • Exceeded sales goals and expectations on various skin care brands by using up-selling Produced weekly brand reports in order to identify which products needed additional assistance for meeting monthly sales goals.
  • Calculated a daily sales goal to help consultants stay on track.
  • Attended training and education courses to train peers in various skincare brands.
Beauty Advisor Manager03/2005 to 05/2006
CVS Pharmacy - Brighton, Ma
  • Welcomed each guest while offering a superior customer experience.
  • Supervised Beauty department; hired and developed staff, managed performance and oversaw all departmental functions.
  • Responsible for proper promotion of products to all clients through professional tutorials and the introduction of new techniques to fully maximize use of products.
  • Attend periodic vendor training seminars and achieve the highest level of product knowledge.
Education
High School DiplomaWest Roxbury High School- Roxbury, MA
Skills
  • Creative problem solver MS Windows proficient
  • EExceptional communication skills Trusted key holder
  • SStrong client relations Mediation capability
  • SStrategic sales knowledge Proficient in cash management
  • QQuick learner Floor set design expertise,
  • Attention to detail, cash management, closing, communication skills, Creative problem solver, clientele, client, clients, client relations, excellent customer service, focus, Mediation, MS Windows, promotion, purchasing, quality, Quick learner, selling, sales, seminars, set design, skin care, Strategic
    • Professional Summary

    I am a motivated individual with exceptional customer service skills looking for professional growth. My experience in various settings have developed my understanding in working with a broad spectrum of customers.

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    Resume Overview

    Companies Worked For:

    • BMC HealthNet Plan
    • Clinique/Estee Lauder
    • PF Changs China Bistro
    • Bloomingdales
    • CVS Pharmacy

    School Attended

    • West Roxbury High School

    Job Titles Held:

    • Customer Care Advocate
    • Customer Care Representative
    • Makeup Artist
    • Server/Waitress
    • Skincare Specialist
    • Beauty Advisor Manager

    Degrees

    • High School Diploma

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