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Customer Service, Data Entry,Public Speaking, Microsoft Office

Location:
Baton Rouge, LA
Salary:
$38,000.00
Posted:
June 09, 2017

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Resume:

SUMMARY OF QUALIFICATIONS

Talented, innovative creative worker with strengths in writing, editing, and journalism.

Highly organized and quick learner.

Strong work ethic.

Strong written, verbal communication and organization skills.

Thrives in team oriented environments.

PRIMARY SOFTWARE AND TOOLS USED

Windows XP, 2000, Vista, Windows 7

Microsoft Office 2000/2003/2007

Partial training in Final Cut Pro

GRLevel3

Movable Type

iNAV/ICOMS

EdgeHealth/Polaris

iCall

Data Entry

Typing-85 WPM

WORK EXPERIENCE

October 2015-Present Blue Cross Blue Shield of Louisiana Baton Rouge, LA

Provider Dispute Analyst

Coordinating response activities between the appropriate departments

Conducting necessary investigation by reviewing telecommunication tapes of calls, documentation, and claims submitted by providers or members

Sending out acknowledgement letters on all provider disputes within the requested timeframe notifying that we have received their request

Coordinating and hosting management level Provider Dispute meetings between internal management from various areas within the plan and the provider or their representative

Handling other assignments including but not limited to processing inventory from the Imaging Auto Work Distribution (IAWD) and serving as backup to the Appeals and Grievance analysts

Maintaining confidentiality and knowledge of company policies and procedures

October 2013-October 2015 Blue Cross Blue Shield of Louisiana Baton Rouge, LA

Account Advisor I/II

Provided customer service to existing members and providers

Maintained confidentiality of members’ medical policies and protected health information

Performed research on policies which include: type of policies, services covered under policies, processed and denied claims, member payments

Data entry in systems which includes: Facets, Doc Creation, Common Query, CRM

November 2012-October 2013 Capital One Bank Baton Rouge, LA

Full Time Teller I

Performed financial transactions which include: counting and & distribution of money, deposits & withdrawals, and balancing of customer accounts daily

Provided customer service to existing and potential customers

Maintained confidentiality of personal & business accounts

Customer referrals leading to new accounts and convenient customer services

January 2011-October 2012 Cox Communications Baton Rouge, LA

Technical Support Representative

Effectively troubleshooting customer equipment which include: operating signals in order to reboot for cable, Internet, and telephone services and manually resetting equipment for services

Scheduled technician appointments

Informed customers of all account services and billing information

Advised of current promotions and applying additional services to customer accounts

Provided customer service to current and potential customers

October 2010-January 2011 Home Depot Direct Baton Rouge, LA

Customer Service Representative

Effectively responding to customer inquiries regarding products, services, and orders

Handled cancellations and delivery schedules

Advised of current promotions

June 2009-October 2010 First Guaranty Bank Hammond, LA

Part Time Teller

Performed financial transactions which include: counting and & distribution of money, deposits & withdrawals, and balancing of customer accounts daily

Provided customer service to existing and potential customers

Maintained confidentiality of personal & business accounts

December 2008-August 2009 Haggar Clothing Company Gonzales, LA

Part Time Sales Associate

Provided customer service

Operation of cash register

Created visual displays

Maintained, opened, and closed store

August 2007-July 2009 SELU Dept of Foreign Languages Hammond, LA

Student Worker

Assisted professors and students

Proctoring of tests

Performed administrative duties which include: data entry, answering multi-line phones, sending emails, making copies and sending faxes

ACHIEVEMENTS AND AWARDS

Published news articles on NOLA.com

Southeastern LA University’s President’s List

Southeastern LA University’s Honor Roll

EDUCATION

May, 2010: Southeastern LA University, Bachelors of Arts in Communication

May, 2006: River Parish Community College, Associate of General Studies May, 2004: East Ascension High School, Diploma

MEMBERSHIPS

National Broadcast Society

Southeastern Times

Lions of Communications

REFERENCES

Furnished Upon Request



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