Detail minded, customer friendly “go to “person interested in leveraging 15+ years in front line customer service and administrative support in health care/ insurance environment. Recognized for building productive relationships and resolving complex issues while winning customer loyalty. Stays calm under pressure and responds with empathy and a high level of professionalism. I usually handle about 30-80
calls per day. I can type about 35-40wpm. I am familiar and can use MicroSoft Office, internet
proficiency other office machines calculators, fax machines, copiers, and Windows 10.
PROFESSIONAL HIGHLIGHTS
United Healthcare-Optum, Horsham, PA July, 2017-October,2017
Customer Service Representative
Answering calls from clients about 2018 Medicare Supplement benefits and costs.
Explaining claims status to clients and providers.
Advising customers of Long Term Care benefits and claims
Updating files with current information
Connect America/Medical Alert, Bala Cynwyd, PA April, 2016-October, 2016
Customer Service Agent
Answering calls from clients about their emergency devices activation or their billing accounts.
Take credit card payments over the telephone.
Updating client information for emergency contacts and address changes.
Company Voice, Blue Bell, PA October, 2015-February, 2016
Licensed Insurance Agent
Answering calls from clients to renew Affordable care Act policies for 2016 during open
enrollment season.
Update family and financial information to determine monthly premiums.
United Health Group – Catalyst 360, Horsham, PA June, 2014 – August, 2014
Licensed Insurance Agent
Answering calls from clients and medical providers about benefits and claims payments.
Explaining medical benefits and claim status.
Enrolling or renewing memberships in AARP.
W. A. Burpee, Warminster, PA January, 2013 – May, 2013
Customer Service Representative
Answering calls from clients about seed, plant and catalog orders and status of delivery.
Obtaining specific information about plant growth from horticultural experts, as needed.
Answering questions about clients’ billing and any refunds that were due.
Keystone Mercy Health Plan, Philadelphia, PA June, 2012-September, 2012
Provider Appeals Clerk
Indexing incoming information and supportive documents from doctors and hospitals
about payment or denial of patient claims.
Forwarding documents to appropriate medical provider for review and resolution.
Aramark, Philadelphia, PA May, 2010 – March, 2012
Benefits Specialist
Answering calls from fellow employees with questions about the various medical
plans available for enrollment.
Enrolling or updating employees and dependents in medical plans.
Resolving any problems with claims status or eligibility of coverage.
Refer more complex problems to appropriate sources for additional review.
NutriSystem, Horsham, PA October, 2008 – April, 2010
Customer Service Representative
Answering calls from clients about the workings of the diet plan.
Assist with placing of orders for meals for monthly delivery.
Process payments and cancellations per requests.
Transfer calls to counseling and nutritionist for additional service.
EDUCATION
Urban League of Philadelphia Customer Service Training Certificate
Urban League of Philadelphia Microsoft office Certificate
Cheyney University Bachelor degree in Education