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registry consultant customer service sales assoc2 resume example with 9+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Summary

Results-driven professional with twelve years of customer service experience in multi-faceted environments. Another strength of mine is insurance, seven years working in the Insurance industry had undoubtedly strengthened my knowledge, and understanding of it, learning provisions, how policies work, their benefits, claims, etc. First, working as a Inbound Customer Service Rep. Lastly, becoming a Claims Analyst II, which gave me a look with other department operations. Reversing roles to be the provider instead, verifying patient benefits and dealing with the insurance companies seems fitting for me. My experiences and knowledge may give me some advantages, already knowing some of what to expect when contacting insurance, like identifiers needed to pass identity at the beginning of the call. Having previous insurance benefits and insurance knowledge, I feel confident learning quickly the providers full role and ready for a change of environment. Demonstrated prior success in goal-oriented projects, team-building, adapting to changing workplaces and received award-winning work recognition for my productivity in customer service.

Skills
  • Experienced with HIPAA/GBLA guidelines and privacy laws through annual job training and refreshers
  • 7 years experience working in the Insurance industry. Trained in and worked mainly with Individual Life insurance, Health Supplements plans, Cancer Expense coverage, Mini-Medical, Short-term Disability, Accidental Death/Dismemberment, Dental Coverage/VSP Vision rider, Accidental Hospital Coverages, Medicare Supplement plans and Long-Term Care insurance. Also felt with many different riders offered to attach to policies and riders issued with plans
  • Direct training was received during my time working at 2 Insurance Companies. Knowledgeable on many different types of insurance policies/rider information, how to read and understand policy provisions, exclusions, correct benefit information, and so much more. Learning how different policies/riders work alone or may work in conjunction with others
  • Completed Medical Terminology I Course, through Physicians Mutual
  • Customer service expert, comfortable providing excellent experience, whether it's face-to-face, by phone, email, etc
  • Understands extremely well when a Provider calls an Insurance company needing verification, benefit eligibility, claim status, benefit payment questions, etc
  • Interactions working for insurance as the representative speaking with so many providers. General idea on claim filing information and benefits
  • Great understanding of how to provide the patient/insured with there benefits, eligability, waiting periods, deductibles, claim payment
  • Trained research and investigation skills
  • Data entry
  • Some practice and experience gives reminder with attention to details, the mistake of medical coding and/or diagnoses on claim can make a difference with claim decision or even payment amount
  • Pays great attention to detail and always strives for
  • Inbound/Outbound calling
  • Experienced multi-tasking abilities
  • Organizational and time management skills
  • Consistently meets or exceeds expectations, monthly production and goals
  • Fast learner, doesn't mind change and open to new skills
  • Proficient in Microsoft Office programs (Word, Excel, Outlook, PowerPoint)
  • Google Products are no problem
  • Adobe versed
  • Expert in Keyboarding/10-key
  • Skype for Business
  • Versed in social media to include Facebook, Instagram, Twitter, Snapchat, LinkedIn, Indeed, The Knot, and more
  • Some newer experience in managing social media for a friend's small business
  • Mainframe
  • Handles conflict revolution well, staying calm under times of pressure
Education and Training
Metropolitan Community College Omaha, NE Expected in : Medical Billing - GPA :
Bellevue East Sr High School Bellevue, NE Expected in 05/2009 High School Diploma : - GPA :
Experience
Bed Bath & Beyond - Registry Consultant-Customer Service-Sales Assoc2
City, STATE, 11/2018 - Current

Provide phenomenal customer service that builds strong, lasting relationships with clientel. Engage customers to determine their needs and direct them to the appropriate merchandise while providing product knowledge and offering additional goods and services. Utilize the tools and programs relative to wedding and gift registry.

• Consistently meets or exceeded productivity goals.

• Provide couples with instruction for navigation of the company app, and future app use.

• Gained clientel through word-of-mouth references by establishing relationships and networking.

• Outperformed other consultants in store gift registry sales.

• Maintains professional demeanor under demanding situations.

• Answers multi-phone lines, assisting all callers.

• When needed, worked in Customer Service, assisting all customer's with any returns, their purchases, questions or concerns.

Mutual Of Omaha Insurance Company - Claims Analyst II (Individual Life Claims)
City, STATE, 01/2018 - 08/2018

Ensured the accurate, prompt and thorough evaluation of claims by analyzing and determining the appropriate action needed while adhering to both internal and external regulations and protecting an industry leading customer service experience. Obligating independent decision-making on complex claims using critical thinking. Created letters to provide concise explanations to customers regarding claim determinations. Extensive and prolonged typing/keyboarding, working in a fast-paced, high-volume environment with set production goals.

•Handled over-limit threshold payment approvals based on department guidelines.

•Displayed excellent problem-solving abilities when assisting customers with any payment issues or inquiries, that could be varied as they were complex.

•Received company-wide recognition for providing outstanding customer service experience.

•Met or Exceeded the monthly production goals set for me by management.

•Profecient multi-tasking skills requiring the use of dual computer monitors while utilizing various software applications, and interaction with customers.

Physicians Mutual Insurance Company - Advanced Inbound Teleservice Rep, Policy Owner Ser
City, STATE, 03/2011 - 11/2017

Received Inbound calls, for example, to answer questions anywhere from new business, coverages available, benefits, payments, claims status, and policy changes. Strong ability to probe, assess customer needs, and appropriately resolve issues. Advanced problem-solving skills at a high level of complexity.

•Demonstrated excellent communication skills, verbal and written, as well as technology proficiency.

•Motivated by learning and furthering my understanding of the insurance industry, procedures, terminology, and products.

•Independently enrolled in a company course for growth, passing and also received Medical Terminology I certificate.

•Chosen for the "Awesome Customer Experience" (ACE) Award numerous times during my years there.

•Continuously received monthly bonuses, for the amount of my leads that ended signing up.

•Semi-annual promotions when passing each product class, meaning calls you get have more variety and variables.

•Started as a Life insurance rep. Then promoted to the Basic group with training on the Health Supplemental, Cancer, Mini Medical, Short-term Disability, also riders that attach to policies for additional or more benefits. The next promotion was to the Advanced group, taking on Medicare Supplement plans, Supplemental coverage for Dental with optional initial or possible later rider offer for VSP Vision attachment.

•Dependable and reliable employee, with an extremely positive, optimistic attitude, professional and good time management or attendance habits.

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Resume Overview

School Attended

  • Metropolitan Community College
  • Bellevue East Sr High School

Job Titles Held:

  • Registry Consultant-Customer Service-Sales Assoc2
  • Claims Analyst II (Individual Life Claims)
  • Advanced Inbound Teleservice Rep, Policy Owner Ser

Degrees

  • Some College (No Degree)
  • High School Diploma

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