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Customer Service Representative

Location:
Schenectady, New York, United States
Posted:
February 26, 2018

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Resume:

Tiffany Brewer

Customer Service

Schenectady, NY 12306

ac4mhu@r.postjobfree.com - 518-***-****

• Self-starting, goal-oriented strategist whose confidence, perseverance and vision promote success.

• Work well in a high pressure environment.

• Strong background in all phases of a high pressure Call Center and efficiently trained in deciphering claims, members policies and able to communicate them properly WORK EXPERIENCE

Customer Service Representative

MVP Health Care - Schenectady, NY - 2015-09 - 2017-05 Representative • Checked to ensure that appropriate changes were made to resolve customers' problems.

• Executed daily operations of reviewing members policies for benefits available to providers, also communicating with our clinical dept to allow them to decide whether an authorization was required for any level of care. • Obtained and examined all relevant information in order to assess validity of complaints and to determine possible causes, such as human error. • Kept records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.. • Contacted customers in order to respond to inquiries and to notify them of claim investigation results and any planned adjustments..

• Resolved customers' service and billing complaints by performing activities such as reviewing claims and members policies to see if benefits were covered and adjust the claim if needed • Reviewed claims adjustments with providers and members, • Reviewed insurance policy terms in order to determine whether a particular benefit was covered by insurance. • Referred unresolved customer grievances to designated departments for further investigation

Customer Service

Value Options - Latham, NY - 2014-04 - 2014-09

Representative

• Checked to ensure that appropriate changes were made to resolve customers' problems.

• Executed daily operations of reviewing members policies for benefits available to providers, also communicating with our clinical dept to allow them to decide whether an authorization was required for any level of care.

• Obtained and examined all relevant information in order to assess validity of complaints and to determine possible causes, such as human error.

• Kept records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken..

• Contacted customers in order to respond to inquiries and to notify them of claim investigation results and any planned adjustments..

• Resolved customers' service and billing complaints by performing activities such as reviewing claims and members policies to see if benefits were covered and adjust the claim if needed

• Reviewed claims adjustments with providers and members,

• Reviewed insurance policy terms in order to determine whether a particular benefit was covered by insurance.

• Referred unresolved customer grievances to designated departments for further investigation Customer Service

Kelly Services// WellPoint BC/BS - Albany, NY - 2013-09 - 2014-03 Representative

• Checked to ensure that appropriate changes were made to resolve customers' problems.

• Executed daily operations of reviewing members insurance policies

• Kept records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.

• Contacted customers in order to respond to inquiries and to notify them of claim investigation results and any planned adjustments.

• Resolved customers' service and billing complaints by performing activities such as applying payments for the policies, refunding money, and sending bills to finance for adjustment / credit if needed

• Reviewed insurance policy terms in order to determine whether a particular benefit was covered by insurance.

• Referred unresolved customer grievances to designated departments for further investigation.

• Determined charges for services requested, collected deposits and payments, and arranged for billing.

• Completed contract forms, prepared change of address records, and issued service discontinuance orders, using computers.

Regional Outbound Sales Lead

Time Warner Cable - Albany, NY - 2007-03 - 2012-09 March / 2007 to September / 2012

• Checked to ensure that appropriate changes were made to resolve customers' problems.

• Executed daily operations of actively communicating with our current and potential customers in a call center and upselling them with our current products

• Kept records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.

• Recommended improvements in products, packaging, shipping, service, and billing methods and procedures in order to prevent future problems.

• Trained and managed over 100 person staffed call center and helped them achieve significant improvements in their productivity.

• Contacted customers in order to respond to inquiries and to notify them of any billing issues and any planned adjustments.

• Sold Cable television, Internet and Phone service

• Conferred with customers by telephone and in person in order to provide information about products and services, to take orders and cancel accounts, and to obtain details of complaints.

• Responsible for contributing to constant improvement by sharing and implementing ideas with my superiors and other management, staff and peers

Counter Service / Cold Food Prep

Shoperama Pizza - Schenectady, NY - 2006-06 - 2007-02 June / 2006 to February / 2007

• Executed daily operations of greeting and taking food orders from customers with a friendly and polite manner

• Trained new employees the policies and procedures of working in a high pressure food environment

• Successfully able to work under pressure as a team player EDUCATION

B. A in Culinary Arts

Schenectady County Community College - Schenectady, NY 2012 - 2013

Schenectady High School - Schenectady, NY

1991 - 1995



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