Customer Service Representative
Resume:
Apt ****
Phoenix, AZ ***27 480-***-****
**********@*****.***
Georgina D Miller
Profile
. Excellent Customer Service Skills
. Excellent Analytical Reasoning Skills
. BA Psychology
. AAS Business Management
. Proficient with Med D Policies
. Knowledge of Prior Authorization Claims
Education
2010-Present University of Phoenix
Masters-Psychology Research
2005-2009 Colorado State University-Pueblo Pueblo Colorado
BA-Psychology
2000-2002 Pueblo Community Colorado Pueblo, Colorado
AAS Business Management
Professional
2010-2010 First American Phoenix, AZ
Claims Resolution Specialist II
Provides solutions for problem claims
Research claims
Set appointments for call backs
Issue credits
Set up recalls, continuations, second opinions, ECT...
2009-2010 Medix Staffing Solution Phoenix, AZ
Temporary Customer Service Representative
Provided information for Med D insurance
Followed HIPPA rules and regulations
Explained different tiers and donut hole to potential consumer
Gave Details on Pharmaceutical Coverage
Marx approved
Fulfilled time contract
2009-2010 PES Phoenix, AZ
Temporary Enrollment Personnel
Provided insurance information on differed health plans offered
Advised employees how to sign up with their health insurance benefits
Retrieved information from computer system
Knowledge of Peoples Soft Case Management System
Fulfilled time contract
2008-2009 Innotrac Pueblo, CO
Product Research Analysis
Provided excellent customer service
Provided information on product, procedures, and policies of the
company to customer service representative and order entry (CSR/OE)
Resolved problem situations with customers
Researched account problems and customer escalations
Worked daily reports
Manned tune if CSR and OE representatives
Issued downtime according to call volume
Worked with various departments
Communications sent via Microsoft Outlook
Clerical duties
De-escalated angry customers
Supported Account Executive and Account liaison
2005-2007 Express Scripts, Inc Pueblo, CO
Patient Care Advocate
Provided excellent customer service
Emailed to various resources to de-escalate problem situations
Answered all patient questions on procedures and benefit overviews
including Med D plans and Prior Authorizations
Checked coverage and eligibility of medications
Refilled medications
Passed on information on status of orders, eligibility, and prior
authorizations
One Call resolution
2004-2005 Innotrac Pueblo, CO
Temp Team Lead
Provided excellent customer service
Emails to various resources to de-escalate a situation
Answered questions on procedures and policies
Clerical duties completed on a daily basis included:
Invoices, faxes, various letters, categorizing mail, and other
documentations
Supervision of up to 10 employees
2000-2004 B & G Quality Movers Pueblo, CO
Co-owner
Negotiated Customer services issues and claims
Delivered household goods
Moved household goods
Clerical duties included:
Booking, invoices, faxes, scheduling of delivery routes
1991-2004 Country Kitchen Pueblo, CO
Manager
Supervision of up to 30 employees
Logged daily sales
Deposited daily sales
Assured customer service satisfaction
Clerical duties included:
Invoices, faxes, balancing daily register and petty cash
Maintained a fun but proficient working environment
Filled in positions for call offs
1993-1996 Matrixx Pueblo, CO
Telemarketer
Provided excellent customer service
Took telephone orders
Answered product questions
Advanced to specialty line-Household Finance
References
Upon request
Contact this candidate