PEGGY WILSON-DOPSON

**** **** **** **. *, Jacksonville, FL 32222 H: 904-***-**** ac3b4p@r.postjobfree.com Obtain a position with a company that provides a stable yet challenging work environment, with a competitive benefits package as well as opportunities for advancement. Results-oriented

Proactive team player

Personable

Driven

Analytical

Professional phone etiquette

Excellent communication skills

Customer service-oriented

Provider Claims Service Representative, 12/2013 to Current Amerihealth Caritas – Jacksonville, FL

Adjust claims and forward those requiring additional information and/or special handling; external department intervention to the appropriate department or person. Monitors outstanding inquiries and works with management staff to identify and resolve areas of non-compliance. Customer Service Representative, 06/2009 to 09/2013 Blue Cross Blue Shield of Fl – Jacksonville, FL

Responsible for taking inbound calls from members and providers. Answering benefit calls and resolving problems with claims processing issues. Working written inquiries from members and providers. Claims Processor, 06/2006 to 05/2009

Current Blue Cross Blue Shield of Florida – Jacksonville, FL Analysis claim to verify validity and accuracy Contact issuing agency to obtain additional claims information Manage a daily caseload of 120 claims Assist on specialized project to correct overpayments/aged materials Entering claim and assign in creating new entry manual Assisting peers with claims resolution and entry questions Member of special team that helped with cue card issues and corrections.

Contact Consultant, 10/2005 to 02/2006

Internal Revenue Service – Jacksonville, FL

Discuss current tax law inquiries for callers.

Forward requested tax forms.

Advised filers of proper forms to use for their situation. Collections/Service Specialist, 03/1999 to 06/2004 Bellsouth – Jacksonville, FL

Discuss current and past bills with customers.

Evaluate charges and make adjustments if warranted. Analysis usage to recommend enhancement services.

Accepted payments and made necessary payment arrangements. Account Manager, 07/1998

TransWorld Health – Jacksonville, FL

Process medical supply orders for specific customer base. Filed necessary insurance claims.

Ensure proper billing for accounts.

PROFESSIONAL SUMMARY

SKILLS

WORK HISTORY

Core Strengths Mastery of verbal and non-verbal communication Data entry Telephone inquiries Customer service Telecommunication skills Listening skills Fast learner Energetic work attitude Accomplishments Customer Assistance Worked with company systems and diligently completed all assigned tasks, working overtime as needed.

Conflict Resolution Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction. Customer Service Representative, 06/2006 to 09/2014 Blue Cross Blue Shield of Florida – Jacksonville, FL Associate of Applied Science:

Sandford Brown - Jacksonville, FL

AS: Nursing,

Florida Community College -

Nursing

EDUCATION