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Humana Customer Service Representative Resume Example

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HUMANA CUSTOMER SERVICE REPRESENTATIVE
Summary

Cheerful and upbeat Customer Service with history of exceeding customer and patron expectations. Calm and composed in stressful situations with successful record of reducing customer dissatisfaction through acknowledgment, decisive communication and focused solutions. Expert at finding win-win solutions. Detail-oriented approach to resolving CRM issues.

Skills
  • Quickbooks
  • Bookkeeping
  • Front Office
  • Payroll
  • Accounts Payable
  • Scheduling
  • Billing
  • Accounts Receivable
  • Word
  • Office Management
  • Outlook
  • Human Resources
  • Receptionist
  • Typing
  • Microsoft Office
  • Filing
  • MS Office
  • Clerical
  • Data Entry
  • Sales
  • Time Management
  • Organizational Skills
  • Medical Terminology
  • Excel
  • Training
  • Telemarketing
  • Insurance Verification
  • Medical Records
  • Public Speaking
  • Medical Office Experience
  • HIPAA
  • Research
  • Medical Scheduling
  • Outbound Sales
  • Inside Sales
  • Cold Calling
  • Driver's License
  • Attention to Detail — Completed
  • September 2019
  • Accounts Payable, Accounts Receivable, Administrative Assistant, Attention to Detail, Basic, Billing, Bookkeeping, Budgeting, Clerical, Cold Calling, Competitive, Customer Service, Data Entry, Data base, Faxing, Filing, Filling, Financing, Front Office, Hiring, Human Resource, Human Resources, Inside Sales, Insurance, Inventory, Keyboard, Marketing, Materials, Medical Terminology, Excel, Money, Microsoft Office, MS Office, Office, Outlook, Word, Multi-tasking, Office Manager, Office Management, Organizational Skills, Payroll, Profit, Public Speaking, Quick, Quickbooks, Rapport, Receiving, Receptionist, Research, Sales, Selling, Scheduling, Telemarketing, Phone, Phones, Phone Skills, Time Management, Typing, Type, Well-organized, Work-flow
  • Credit card payment processing
  • Microsoft Office expertise
  • High-energy attitude
  • Report creation
  • Inbound and outbound calling
  • Problem-solving abilities
  • Clerical support
  • Adaptive team player
  • Office equipment proficiency
  • Courteous demeanor
  • Promotional support
  • Call center experience
  • Customer relations
  • Quality control
  • Technologically savvy
  • Product organization
  • Sales expertise
  • Quality assurance controls
Experience
Humana Customer Service Representative | 12/2020 to CurrentHinduja Global Solutions - Remote, TX
  • Documented conversations with customers to track requests, problems and solutions.
  • Interviewed customers regarding Medicare issues and reported feedback to management team.
  • Evaluated customer account information to assess current issues and determine potential solutions.
  • Answered 30+ inbound calls per day and directed to designated individuals or departments.
  • Set up and activated customer accounts to maintain QA satisfaction levels.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Educated customers on special pricing opportunities and company offerings.
  • Consulted with customers to determine best methods to resolve service and billing issues.
  • Interviewed customers regarding RX issues and reported feedback to management team.
Customer Service Representative Agent | 04/2018 to 05/2020Woodbridge Home Exteriors - Addisson, TX
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Documented conversations with customers to track requests, problems and solutions.
  • Educated customers on special pricing opportunities and company offerings.
  • Consulted with customers to determine best methods to resolve service and billing issues.
  • Cultivated impactful relationships with customers and drove business development by delivering product knowledge.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Delivered service and support to each customer, paving way for future business opportunities.
  • Evaluated customer account information to assess current issues and determine potential solutions.
  • Fielded customer complaints and queries, fast-tracking them for problem resolution.
  • Escalated customer concerns, store issues and inventory requirements to supervisors.
  • Created and implemented process improvements to reduce workloads and bolster callback efficiency.
  • Reviewed account and service histories to identify trends and issues.
  • Set up and activated customer accounts to maintain QA satisfaction levels.
Office Manager | 01/2017 to 03/2018Miracle-Ear - Mesquite, TX
  • Handled scheduling and managed timely and effective allocation of resources and calendars.
  • Increased office organization by developing filing system and customer database protocols.
  • Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
  • Oversaw office inventory and timely reordering of supplies.
  • Recruited, trained and developed dynamic administrative team, supporting all corporate growth and productivity objectives.
  • Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
  • Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications.
  • Managed office inventory by maintaining documentation of stock.
  • Enhanced customer satisfaction ratings by resolving account issues efficiently.
  • Organized patient files and streamlined operations to improve efficiency.
  • Elevated customer satisfaction ratings by resolving client and case issues effectively.
Education and Training
Brookhaven College - - Dallas,TX | | Some College (No Degree)Psychology
Additional Information
  • Willing to relocate: Anywhere, Authorized to work in the US for any employer
Accomplishments
  • Customer Service - Researched, calmed and rapidly resolved client conflicts to prevent loss of key accounts.
  • Customer Assistance - Worked with company systems such as Live Support and diligently completed all assigned tasks, working overtime as needed.
  • Database Maintenance - Assisted in the managing of the company database and verified, edited and modified members' information.
  • Consistently maintained high customer satisfaction ratings.
Activities and Honors
  • Customer Service Institute of America
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Resume Overview

Companies Worked For:

  • Hinduja Global Solutions
  • Woodbridge Home Exteriors
  • Miracle-Ear

School Attended

  • Brookhaven College

Job Titles Held:

  • Humana Customer Service Representative
  • Customer Service Representative Agent
  • Office Manager

Degrees

  • Brookhaven College - Dallas , TX | Some College (No Degree)

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