Customer Service Representative
Resume:
World Class Customer Service/Health Care Rep.
Date: 2012-10-09, 10:59AM EDT
see below
Dear Hiring Manager:
Thank you for the opportunity to submit my resume for your review. It would be an honor to be considered for an interview with your organization as I believe my skill set would be an excellent match for this position.
My professional experience includes delivering expert customer service in both the healthcare and life insurance industries and my ability to resolve problems in a personal and empathetic way is of expert level. I am expert in most Microsoft office applications and also have extensive experience in medical billing and scheduling as well as claim resolution and timely filing.
It would be a pleasure to discuss this opportunity further and I am grateful for your consideration of this information. I can be contacted via email; abo5wm@r.postjobfree.com or on my mobile phone at 614-***-****.
Sincerely,
Debra A Plimley
Debra A Plimley
549 Warwick Lane
Pickerington, OH 43147
My primary goal is to continually meet and exceed the goals I have set for myself as well as the goals and objectives of my employer. Having achieved several of my personal goals, one being returning to school and achieving my Associates Degree with a 3.4 GPA, as well as graduating with the distinction of Suma Cum Laude, has afforded me the ability to realize there are no goals I cannot attain when I set my mind to it. This is a characteristic I would bring to any employer I was honored to work for. In addition, I have also attained several World Class Customer Service Incentive Awards and would continue to deliver the highest performance in whatever position I was privileged to attain.
EDUCATION:
Nassau Community College
One Education Way
Garden City, New York 11530
A.A.S. Paralegal Studies (ABA Approved Program)
Graduated: Cum Laude, May 2005
G.P.A. 3.5
Invited to Honors Program and Thi Beta Kappa
Holy Trinity High School
98 Cherry Lane
Hicksville, New York 11801
Regents Diploma/Liberal Arts
Underwriting Analyst
Anthem Life Insurance
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Gregory Tolliver, UW Director
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Customer Service Representative
Anthem Wellpoint
6740 N. High Street
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One of the most important aspects of this position is the ability to manipulate between multiple systems in order to accurately determine the cause of why a health care providers claims may or may not have paid. Toggling between these systems and deciphering the codes and information provided by the patient's home plan is the single most challenging part of the range of responsibilities this job entails. Also essential, is the ability to give the providers this information in an accurate and empathetic way, particularly if the provider is already frustrated by numerous inquiries. Resolving payment and processing issues successfully is the most satisfying part of the job.
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As a customer service representative, as well as A/R Representative and sales auditor, for one of America's most well-known lawn care companies, my duties included verifying all account and service information, as well as assisting customers with general product and service inquiries.
Working closely with the sales staff as the auditor, my duties also included the ability to maintain quality control for the sales of various horticulture and lawn care products and services and accurately me the customer's expectations. Collecting outstanding balances, usually due to service related issues, was a challenge that I exceeded and won several incentive awards for.
Customer Service Representative
The Pool Man - America's Best Pool Supply (Internet Site)
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Columbus, Ohio 43213
As a phone representative and sales associate for one of the leading on-line pool and recreational facilities in the country, my duties were varied from assisting customers with product information and chemical inquiries, for both pool and spas, as well as following up sales deliveries and trouble shooting problems associated with goods damaged during transit and in need of replacement. Also included in this position, was the responsibility of educating consumers on how to order custom pool and spa covers as well as which filtration and pump systems would be appropriate to fit their needs.
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Procuring medical records for lawyers representing clients in medical malpractice litigation was the primary responsibility of this position. It also involved developing relationships with a number of facilities in order to expedite the delivery of necessary x-rays and reports when time constraints due to impending trial was necessary. Status of delivery and requests were kept on EXCEL and WORD documents, which lawyers could review and request from, as well as filing these documents in appropriate fashion for delivery to co-defendant counsel as well. Composing appropriate correspondence for these requests as well as cover letters to co-defendant counsel was also an important part of this position as was maintaining necessary professional decorum and respect the privacy issues of plaintiffs as per HIPAA compliance.
PROFESSIONAL SKILL SET:
Word Processing/EXCEL - Microsoft Office Applications (Word, Outlook)
Expert data entry skills
Expert oral and written communication skills
Typing over 70 wpm
Excellent Customer Service abilities and Problem Solving Skills
Expert Phone Skills - consistent discretion, diplomacy and empathy
Contact this candidate