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Customer Service Years Experience

Location:
Columbus, GA, 31907
Posted:
September 20, 2010

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Resume:

T ONI COLE **** M i lgen Road, Columbus,

GA ***** 706-***-****

EXPERT ISE QUAL I F ICAT IO NS SUMMARY

Office Management Proven record of facilitating support services and

m anaging

C lient Relations fast-paced office operations. Strong organizational and

P rovider Relations communication skills with the abil ity to concurrently direct

A dministrative Support multiple business affairs. A multitude of versatile skil ls

Confidential Information transfer into any administrative setting to create and

m aintain

Team Leadership high levels of efficiency and productivity. Advanced

F ront Office Operations understanding of customer needs with dil igent attention to

Departmental L iaison detail resulting in superior customer service and high

levels

Innovative Problem Solver of client satisfaction. Trusted consultant, l iaison

a nd assistant.

Documentation /Record Keeping

T ranscription

RELEVANT PROFESSIONAL EXPER IE NCE

Aflac Columbus,

GA

Customer Service Specia list I I I

• Five years of servicing policyholders with proper claim fi l ing including

Medicare and Medicaid claim with rules and regulations with the

u nderstanding of crossover claims, proper diagnosis per policy and

corresponding codes for surgeries, cancer, chemotherapy, radiation therapy,

d ifferent level of office visits, MRI, CT, PET, colonoscopy, pap smear,

m ammogram, etc. ICD-9, CPT.

• Process claims with proper coding while customer is on the phone.

• Annual classes and certification for H IPPA Rules and Regulation compliance.

• Use my empowerment and resources given to me to accurately, expeditiously

a nd in a professional manner resolve the policyholder's, account's or agent's

questions.

• Document each call fully and accurately for accurate references in the future.

• Use the numerous "systems" interactively to gather information and resolve

c ircumstances.

• Communicate with other internal co-workers and departments as necessary.

• Able to manage the required 98% accuracy percentile by maintaining 100%.

• Show empathy for others as necessary in their difficult times of medical

c ircumstances.

• Handle calls for policyholders in relation to their policy premiums and status

of policies; accounts' premiums submitted for the policyholders as well as

guidance with instructions with the management of the policyholders and

i nvoices; assist agents with questions or resolutions regarding their

policyholders or accounts.

Funderburk, Day & Lane

Legal Secreta ry

• Personal legal secretary for the number one partner of the fi rm, Kenneth

F underburk.

• Transcribed dictation for legal documents; law suits, wi l ls, divorces,

correspondence.

• Filed legal documents with the court in a timely fashion.

• Assisted with daily deposits.

• Assisted with real estate closings.

I have a total of 8 years experience as a legal secretary and a total of approximately

30 years experience as a secretary. I learned my medical knowledge working for

A flac. The procedure of processing claims and researching claims involves extensive

k nowledge of the medical terminology.



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