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Customer Service Representative

Location:
Sayreville, NJ, 08859
Salary:
41,000
Posted:
October 20, 2017

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Resume:

Myesha Y. Forbes

**** *********** ****., ******, ** 08859 Mobile: 201-***-**** Email: ******.******@*****.***

Summary of Qualifications:

Customer Service professional with over 10 years of experience in working in fast-paced office environments; demanding strong organizational, technical, and interpersonal skills. Capabilities include:

Customer Service & Relations

Telephone Reception

Problem Solving

Computer Operations

Experience:

Reliance Vitamin, Edison, NJ 05/2017-Present

Customer Service Representative

Manage inbound calls and follow-up calls to process product stock orders from in-house Sales Representatives and company buyers for both product lines Reliance (private label) and Plant Fusion.

Manage inbound and outbound correspondence with regards to order statuses/tracking, discrepancies and returns.

Manage other administrative/receptionist responsibilities such as visitor greeting, call routing, scanning, copying, scheduling and filing.

QPharma Corp., Morristown, NJ 08/2016- 4/2017 Customer Service Representative/Case Management

Managed inbound calls from variously represented, Pharmaceutical Sales Representatives and Credentialed Health Care Providers in regards to Rostered Pharmaceutical Sample Orders, placement and tracking/shipment statuses.

Managed inbound calls from Prescribed Patients in regards to offered Savings Programs, Medication Vouchers and requested Benefit Investigations.

Conducted HIPAA regulated Benefit Investigations to insurance companies on behalf of Prescribed Patients to inquire their co-pay impactions and necessary actions to provide cost relief.

Assisted Health Care Providers with initiating Prior Authorizations, Tier and Formulary Exceptions, etc. to aid in cost relief for prescribed Patients.

BlueCross Blue Shield NC, Durham NC 03/2012- 06/2016 Customer Service Advocate

Managed ~400 inbound calls for claim and benefit inquiries from Providers and Members, on monthly basis.

Managed call inventory and follow-up correspondence for myself and team to Providers and Members in a timely manner.

Served as a Liaison between Provider, Member and Claims for effective communication purposes.

Built relationships with Subject Matter Experts (SME), Provider Service Representatives (PSA), Knowledge Transfer Professionals (KTP), Claims Representatives and The Command Center to aid in best practices amongst the call center.

Educated Providers on proper Blue E usage and Claims/Important Correspondence submission for effective claims processing and communication purposes.

Aided in training process of new hires by providing a model for the BCBSNC Call Center Culture.

University of Phoenix/Apollo Group, Jersey City, NJ 07/2008 – 03/2012

Enrollment Advisor

Responsible for recruitment of prospective new students captured from online database.

Received accolades for ~80% retention of newly enrolled students.

Accountable for assisting prospecting and existing students during the Financial Aid application process.

Bank of America, Newark, NJ 01/2007 – 11/2007

Customer Marketing

Responsible for assisting Customers with account inquiries, sales, balance transfers, and billing.

Handled high call volume for call center with superior customer service and professional etiquette.

Education:

Certified Insurance Services Representative, CISR, Professional Designation



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