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Customer Service Health Insurance

Location:
New York, NY
Posted:
October 03, 2013

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Resume:

Jamelia M Farrell

**** ******* **, ********, ** *1213

Cell 347-***-**** Home 718-***-****

**************@*****.***

CUSTOMER SERVICE PROFESSIONAL

Profile More than 7 years' successful experience in customer service

and support with recognized strengths in account maintenance,

problem-solving and trouble-shooting, sales staff support,

and planning/implementing proactive procedures and systems to

avoid problems in the first place.

Possess solid computer skills.

Excellent working knowledge using both IBM and Mac systems;

Lotus 1-2-3, Microsoft Excel, WordPerfect, Microsoft Word, CT

DataTrac.

Develop plan, conduct audits and variance analyses, process

payroll and payroll tax reports and filings, and

maintain/update accurate inventories.

Internships J.P. Morgan, New York, NY 2007

Prepare presentation and marketing materials for use in

client meetings and transaction execution, covering topics

such as financing alternatives, capital markets activity,

capital structure advice, treasury services, and derivatives

Participate in all stages of a syndicated and leveraged

finance deal cycle, from the pitch phase through execution

Build and maintain financial models to evaluate

creditworthiness of a client and the impact of various

capital structures

Perform financial and credit analyses on our clients and

prospects

Conduct industry research and comparable analysis relevant to

our client base

Coordinate efforts with deal team members and product

partners across Commercial Banking and the Corporate and

Investment Bank

Employment Emblem Health, New York, NY 4/2012 -

Present

MSPRC Specialist

Verify proper authorization for all entities

requesting information.

Processed request for conditional payment letters from

beneficiaries, attorneys, and all other entities.

Processed several different workloads and complied

necessary data for Medicare records. As well as

filtering claims.

Work with all required systems, including but not

limited to RSC, Imagio, CWF, ECRS, and ReMas.

Aegis Communications Inc., New York, NY 12/201

0-

9/2011

Client Support

Answered billing and enrollment calls for Humana

Health Insurance.

Answered pharmacy calls for Humana health insurance as

well.

Answered high volumes of inbound calls for Humana

health insurance.

Processed prescriptions overrides for Humana members

and pharmacies.

Processed all billing and enrollment inquires for

Humana members

Textures Inc., New York, NY

5/2005 - 9/2010

Receptionist

. Schedule appointments with clients.

. Received emails (documents, correspondence, query

etc.)

. Alphanumeric filing, answered telephone calls to

provide service.

. Devised a system to manage client contact

information and organize messages between

clients and faculty

. Assist manager in daily duties and run errands for

faculty.

Education University Of Phoenix, Jersey City, NY Presen

t

Accounting

References Furnished Upon Request



Contact this candidate