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United Health Care employee for over three years,. Claims trained and Blue Shield of California trained, has the desire to work with a team. Personable and dedicated Customer Service Representative with extensive experience in the Health Care industry. Solid team player with upbeat, positive attitude and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specializes in quality, speed and process optimization. Articulate, enthusiastic and results-oriented with demonstrated compassion for building relationships, cultivating partnerships and growing businesses. Has the integrity to be open and honest with people through communication.
Currently on the claims team, using innovation to reprocess claims and troubleshoot using Facets and ISET. Also on the Texas Children's Medicaid and Chip team to assist with dental issues, provider changes, verifying contracts and assignments and claims using Skygen . I work with Medicaid and Medicare members in dental.
Proficient with Excel and Microsoft Word.
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- Answered customer telephone calls promptly to avoid on-hold wait times.
- Consulted with outside parties to resolve discrepancies and create effective solutions.
- Used company troubleshooting resolution tree to evaluate technical problems while leveraging personal expertise to find appropriate solutions.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Responded to customer requests for products, services and company information.
- Answered constant flow of customer calls with up to 90 calls in queue per minute.
- Provided primary customer support to internal and external customers in fast-paced environment.
- Offered advice and assistance to customers, paying attention to special needs or wants.
Answered phones, used computer software utilizing multiple systems at one time. Provided excellent customer service.
Oscoda Area High School - Oscoda, MI
- Dental Insurance Specialist, United Health Care - 2018
- Certified Claims Specialist, United Health Care - 2021-present
- Blue Shield of California, United Health Care - 2022- present
- Medicaid and Medicare Training - 2019- present
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School Attended
- Oscoda Area High School
Job Titles Held:
- Customer Service Representative
- Customer Service Representative
Degrees
- High School Diploma
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