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Customer Service Representative

Location:
Everett, WA, 98203
Posted:
October 19, 2010

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Resume:

Charlene Jackson

**** ****** *****

Everett, WA *8208

425-***-**** (home)

425-***-****(cell)

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

Skills: Typing 45-50 wpm, data entry, MS Word for Windows, MS Excel, MS

Outlook, Internet literate, MS PowerPoint, Copying, Faxing, Mail sorting, & MS

Access

Experience:

AppleOne Staffing Service

6/10 to current

Customer Service Representative

Seattle, WA

Placed at Community Healthplan of Washington, Answered incoming calls from

Members and Providers needing to check eligibility and benefits. Followed up on

member’s questions and problems. Answered claims questions from providers

and advised on claims issues.

PREMERA BLUE CROSS

11/07 – 02/10

Associate Customer Service Representative

Mtlk Terrace, WA

Accountable for phone based customer service in the course of providing first

call and/or email resolution, as well as caller education, through clear and

accurate exchange of information, Multi-task and keyboard while researching,

following-up, resolving and documenting issues of each call through efficient use

of communication skills and navigating between multiple systems and tools,

Timely follow up on pended items and routes incoming paperwork to correct

departments for completion. Route claims to Claims department and

Membership and Billing department as appropriate. Understand medical terms

and communicate standard medical terms to customers. Work with highly

sensitive information while maintaining Personal Protected Information (PPI)

requirements. Conduct routine research with understanding and knowledge of

medical, pharmacy, and Blue Cross Blue Shield Association guidelines and

policies. Other duties as assigned.

MOLINA HEALTHCARE OF WASHINGTON

09/04 to 01/06

Member Services Representative

Bothell, WA

Answered incoming calls from Members and Providers needing to check

eligibility and benefits. Followed up on member’s questions and problems.

Answered claims questions from providers and advised on claims issues. Also

answered provider and member questions regarding their pharmacy issues with

access to RxAmerica.

Manpower Inc.

Tukwila, WA

Conference Operator

11/02 to 1/04

Placed at IBM, located at Boeing. Answered incoming calls from Boeing

employees to set up teleconferences on four different databases. Replied to

employees via telephone, or email with their set up time. Provided overall

Customer Service.

Education:

Ingraham High School

Seattle, WA

Diploma

References: Available upon request



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