Customer Service Case Management
Resume:
Thomas Gregorcy
Dallas, TX 75219
**********@*****.***
Work Experience
Medical Claims Specialist
WEBTPA- Irving TX
I assisted providers and members with claim status.
I advised of any additional information is needed to process claim or sent claim back for reprocessing with corrected information.
The claims reviewed were from employer based medical plans and Medicare Supplemental Plans.
I identified over payments and underpayments and requested refunds and additional payments to be processed.
Long Term Care Specialist
Transamerica Life Insurance Company - Plano, TX
April 2017 to January 2019
I answered benefit questions on Long Term Care policies.
I took over 100 inbound calls a day.
I explained how to file a claim and necessary documentation.
Seasonal CSR Level 1
Tower Watson Willis-Onexchange - Richardson, TX
October 2016 to February 2017
I answered questions about outstanding claims and balances on Health Reimbursement Arrangements and Health Savings Accounts for retired employees on a Medicare advantage or Medicare Supplemental Plan.
Member Service Agent
Prime Therapeutics - Irving, TX
August 2015 to June 2016
I placed orders for specialty drugs with an emphasis on quality of service. Worked within a call center and answered over 100 inbound calls per work day.
Retention Representative
ADT Security Company - Irving, TX
June 2014 to August 2015
I saved customers by tailoring offers to their needs.
I handled escalated calls from Customer Service.
Consistently 200 percent of targeted save goal.
Benefit Customer Service Agent
Mercer Human Resource Consulting - Dallas, TX
March 2013 to March 2014
I handled over 150 inbound calls assisting employees with employer benefit questions.
I assisted with open enrollment with benefit presentations and the distribution of enrollment Information.
I assisted employees with questions pertaining to their Pension Plan.
Email Customer Service Agent
PFSWEB - Dallas, TX
April 2012 to February 2013
I responded to incoming emails for three online retail customers.
I Assisted team leads with completing escalated issues.
I assisted customer service agents with follow-up and research on complex issues.
Executive Customer Relations Agent
Wingspan Portfolio Advisors LLC
May 2010 to February 2011
I handled all executive and regulatory complaints forwarded to the Office of the President for the
largest mortgage company in America.
I worked to completion all escalated requests for loan modifications and Short Sales.
While on the job I obtained expert knowledge of the Real Estate Settlement Procedures Act, Truth and Lending Laws and available Loss Mitigation programs.
Sales and Service Representative
Countrywide Home Loans - Richardson, TX
November 2007 to July 2009
I answered 100 inbound calls daily, assisting customers with their residential mortgage accounts.
I processed payments for Escrow shortages on accounts.
I assisted customers to process loan modifications and Short Sales through Salesforce.
Collections Representative
Nissan - Irving, TX
June 2005 to September 2007
Answered 120 collections calls a day from a predictive dialer.
Setup payment arrangements and took payments for past due car loans.
Bachelor of Arts in Human Services
Ottawa University - Ottawa, KS
2010 to 2014
Coastal Bend College Beeville - Beeville, TX
1986 to 1988
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