Member Service Representative Resume Example
Objectives
Highly motivated professional and a recent MBA graduate with a academic background in the medical field.
Goal oriented, hard-working, diligent, providing leadership and project management
Experienced in customer care with over three years of experience in the Health & Insurance Industry. Excellent reputation for resolving problems and improving customer satisfaction, mostly securing 80% on First Call Resolution.
Dedicated to serving individuals with special needs with utmost respect and consideration.
Highly motivated and positive individual with great organizational and communication skills. Customer service master and efficient problem solver. Provide thorough answers and solutions and provide an exceptional customer experience.
Possessing uncompromising work ethic, time management, organization and prioritization qualities.
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- On a day to day basis, some skills that I effectively use are demonstrating customer service skills, using strong listening, using memory retention abilities, and relaying information accurately, completely and sufficiently with excellent communication skills
- I have also been able to help problem solve with my colleagues along with members in claims, handling, and payments to efficiently supply to customer's needs
- Some key skills and responsibilities I have learned with my time at Anthem is simplifying plan benefits to new members to understand co-payments and co-insurance, exhibiting good skills in provider relations during authorization process before inpatient service, helping pharmacy department with inquiries, and also making attempts for patients to receive their medications in a timely manner
- One achievement that I feel shows and demonstrates my true skill as a customer service representative using different payment and research tools was First Call Resolution Benchmark Assessment, where I scored 80%
- This means that customer was 100% satisfied after duration of their first call
- Skills exhibited during my tenure with the Cincinnati Children Hospital were bridging the communication barrier between the patients and medical staff, simplifying the complex medical terminologies by explicit demonstration from the onset of the disease process, diagnosis, and the treatment plan. Assisting the management team and the caregivers to follow compliance for the best outcome for the patients
- Delivered real-time, accurate oral translations and interpretations for clients
- Interpreted conference calls and other workplace communications in real-time
- The purpose of most of our research was centered on studying effects of estrogen on phosphate receptors in the kidneys, to determine if hormonal therapy in postmenopausal women can reduce the risk for Osteoporosis
- Monitored multiple databases to keep track of all the research center inventory
- Using regression tools, graphic data visualization, other statistical equations from my Data Analytics 7011 class to attain 95% accuracy on data collection
- Used Microsoft Excel to develop inventory tracking spreadsheets
- Licenses & Certifications
Issuing authority : ECFMG - Externship in Unversity Hospital; University of Kentucky
Dates volunteered :Dec 2011 – Aug 2012 Volunteer duration, 9 mos - Externship - Nephrology Department: presented rare cases, scheduled meetings between faculty members and participated in grand rounds. Involved in group discussions to develop interpersonal communication skills
- Collaborated with team in my capstone in the development of Chester risk and analysis Co
- Oversee budgetary and income development, activities and work the board, contract the executives, and clinical results inside the division prompting accomplishing clinical and money related objectives
- Resolved product issue through consumer testing
UC Organizations: Women in Tech Initiative
American Heart Association
University of Cincinnati's Graduate Student Government Association
King Edward Medical College International Federation of Medical Students' Associations
Considering for your job of Regional Operations Manager which I saw promoted yesterday on your companies site.
I have the entirety of the aptitudes that you are searching for in a competitor, specifically I might want to feature my capacity to drive business development through operational greatness and world class client relationship building. I can have a genuine effect to your main concern by observing, training, supporting, rousing and creating colleagues to empower them to convey as well as could be expected.
In my present position, I assume an influential position in setting suitable gauges and in dealing with a particular topographical zone that comprises of different help. I go about as a change specialist inside operational administrations, especially in connection to support modernisation. At work, I have been complimented for dealing with my locale in a financially savvy way and for distinguishing and abusing administration improvement openings inside the area.
On an individual level I am amiable commonly and ready to keep up open correspondence inside all zones of my obligation.
At the present time, my desire is to join an organization where each representative is allowed the chance to arrive at their full profession potential.
I anticipate meeting with you to additionally talk about my application for this energizing position. If it's not too much trouble don't hesitate to reach me to mastermind a meeting whenever it might suit you. In shutting I might want to thank you for setting aside the effort to think about my application.
Sincerely,
Saira Karim
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Resume Overview
School Attended
- King Edward Medical University
- University of Cincinnati
Job Titles Held:
- Member Service Representative
- Medical Interpreter
- Volunteer- Medical Research Assistant
Degrees
- Doctor of Medicine (MD) Degree : ECFMG
MBA : Business Administration
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