Fort Worth, TX *****
acenso@r.postjobfree.com
Phyllis Ware
My goal is to deliver the information and support over what effects them the most:
OBJECTIVE
t heir peace of mind. I am dedicated, diverse, talented and passionate about wanting to
make a meaningful difference.
*Extensive customer service experience *Medicare/Medicare Advantage and health
SKILLS &
i nsurance *Experience with processing claims * Good computer skills with Windows
A BILIT IE
and Micro Soft Plus * Effective verbal and writ ten communication skills * Detail
S
o riented * A positive and helpful attitude * Teamwork and Willingness to be coached
EXPERIENCE CUSTO ME R SERV ICE REPRESENTAT I V E, R ANDSTAD STAFF I NG
AGENCY – CA AND FORT WORT H, TX
June 2011 - Present
Processed insurance claims for UPS via third party company and processed medical
claims for insurance companies, hospitals and medical facilities via third party
corporation. Duties included responding promptly to client inquiries; obtain, verify
and evaluate all relevant information to handle task; organize workflow to meet
t imeframes; direct request and unresolved issues to the designated resource;
maintained communication with other internal/external departments and recorded
details of actions taken. Other duties performed were providing pricing and delivery
i nformation; setting up and managing new customer accounts; prepare and distribute
customer activity reports and provide feedback on the efficiency of the customer
service process.
C USTO ME R SERV ICE REPRESENTAT I V E, N OVO1- FORT WORT H, TX
October 2012 – April 2013
Assisted medical advantage members via inbound and outbound calls. Helped the
members determine which plan was best for their needs. Took payments and ensure
customer satisfaction on every call. Advised providers and policy holders of covered
benefits, claim status, and provider information. Completed writ ten grievances and
appeals adhering to strict guidelines. Assisted providers with contractual information
and billing issues ensuring claims were paid according to schedule.
L ICE NSED STATE OF CAL I FOR N IA REAL ESTATE AGENT
M arch 1989 – March 2012
Successfully guided homebuyers and sellers through the sale and purchase of
residential properties. Identified and resolved situations that arise between lenders,
escrow, title or other realtors. Maintained and managed administrative activities.
P repared, processed and kept accurate records of processed purchasing and leasing
agreements. Planned successful marketing and advertising strategies targeting and
developing new clients. Demonstrated consistent ability to increase sales,
i mplemented revenue-generating and t ime management strategies.
E DUCATION SAN BERNARD I NO VALLEY COLLEGE, SAN BERNARD I NO, CA
February 2009 I enrolled in a two year Business Administration/Culinary Arts
Certification Program. Upon completion of the program in June 2011, I earned the
r ight to participate in the graduation ceremony with a GPA of 4.90. During my two
years I also earned a place on the Deans’ Honor Roll.
REFERENCE REFERENCES AVAI LABLE UPON REQUEST
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