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Customer Service Representative Resume Example

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CUSTOMER SERVICE REPRESENTATIVE
Summary

Dynamic insurance, billing and customer service representative trained in an IT environment who goes above and beyond given job responsibilities to achieve superior results and maintain company-wide data integrity.

Highlights
  • Meticulous attention to detail
  • Time management
  • Spreadsheet management
  • Self-directed
  • Microsoft Office proficiency
  • Results-oriented
  • Strong problem solver
  • Multi-line phone proficiency
  • Physician billing
  • Insurance processing
  • HIPAA compliance
Accomplishments

Preserved an accuracy of 99% during 6 years of employment.

Experience
11/2013 to Current
Customer Service Representative CapitalOne － Sioux Falls, SD
  • Verified that information in the computer system was up-to-date and accurate.
  • Identified and resolved system and account issues.
  • Answered customer inquiries on accounts.
  • Collected payments and applied them to customer accounts.
07/2013 to 10/2013
Receptionist CORE Orthopedics － Sioux Falls, SD
  • Verified that information in the computer system was up-to-date and accurate.
  • Created monthly reports for records, closed terminated records and completed chart audits.
  • Identified and resolved system and account issues.
  • Processed confidential medical information while complying with the most recent HIPAA standards.
  • Scheduled and re-scheduled patient appointments.
  • Collected patient payments and applied payments to patient accounts.
  • Checked-in and directed patients to ensured the office was running in a timely manner.
01/2009 to 05/2013
Senior Service Associate Farmers Insurance － Olathe, KS
  • Analyzed, clarified and resolved complex policy and account related questions from internal and external customers.
  • Communicated with internal and external customers about complex underwriting philosophies, policies and marketing initiatives to service customer accounts.
  • Reviewed problems and communicated with appropriate personnel to obtain information when necessary.
  • Responded to customer inquiries.
  • Maintained a performance level standard of 99%.
  • Performed other duties as assigned by supervising staff.
02/2007 to 01/2009
Customer Advocate Consumer Solutions Farmers Insurance － Olathe, KS
  • Responsible for servicing customer inquiries including interpretation of invoices and charges.
  • Maintained insured and/or agent relationship by communicating account status or changes.
  • Assessed premiums, refunds, adjustments, and new reserve requirements, utilizing insurance rate standards.
  • Validated computations of interest accrued, premiums due, and settlement surrender on loan values.
  • Processed payments of initial premiums and issued receipts.
  • Analyzed application criteria for policy reinstatement.
  • Responsible for modifications, updates, and processing of existing policies.
  • Processed, prepared, and submitted business and government forms.
  • Completed Six Sigma training with a yellow belt, the highest of honors in training.
08/2005 to 12/2006
Office Manager Ollar Surveying － Cordova, TN
  • Developed and created a more effective filing system to accelerate paperwork processing.
  • Verified and logged in deadlines for responding to daily inquiries.
  • Greeted clients.
  • Answered multi-line phones.
  • Maintained job files.
  • Ensured employees medical insurance policies were up to date.
  • Performed property and deed research.
03/2004 to 08/2005
Chiropractic Assistant Heiland Chiropractic － St. Charles, MO
  • Assisted office manager with day to day operations.
  • Reviewed patient records and assigned CPT and ICD-9 codes to procedures performed.
  • Responsible for collecting payments from patients as well as billing patients.
  • Responsible for scheduling and re-scheduling patients to maintain high patient retention numbers.
  • Verified and educated patients on insurance coverage.
  • Prepared, printed and mailed HCFA claim forms for insurance payments.
  • Administered patient ultrasound and/or muscle stimulation therapy.
  • Answered patient concerns and offered patient education regarding chiropractic care.
Education
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Resume Overview

Companies Worked For:

  • CapitalOne
  • CORE Orthopedics
  • Farmers Insurance
  • Ollar Surveying
  • Heiland Chiropractic

Job Titles Held:

  • Customer Service Representative
  • Receptionist
  • Senior Service Associate
  • Customer Advocate Consumer Solutions
  • Office Manager
  • Chiropractic Assistant

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