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Customer Service Representative

Location:
Brook Park, OH
Salary:
25,000.00
Posted:
July 16, 2014

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Resume:

CHERYL A. MILLER

**** ********* ****

Brookpark ohio 44142

PH. 440-***-****

SUMMARY OF QUALIFICATIONS

Experienced Customer Relations Professional with outstanding abilities in problem solving and

interacting with diverse people and situations. Self-sufficient and reliable.

WORK EXPERIENCE

Visiting Angels-Home Health Care-july 2013-May 2014

All aspects of home health care.

Jayne Crabtree--Home health care. Feb-2012-June 2014

Inez Park Home health care. April 2008- Jan 2012

All aspects of home health care. Including supervisor, Bath meals, cleaning the home, Taking her

to Dr. Appt. Scheduling. Payroll. All shopping. on call 247 for emergencies.

Renhill staffing--April 2009-Present

Antares Oct 09-Dec 09.

Data entry. Reviewed info and made any corrections needed.

Antares Ins -April 09--Aug 09--Spoke with insureds and Cleveland clinic pertaining to thier

insurance claims.

Handled adjustments of claims previously processed.

Sent letters and EOB’s to customers as needed.

Sandra Heath Oct 2003-July 2004-Temporary service

U.S.Fence--April 2004-Jan 2008Special orders customer service, Dealt with approx. 600

customers per week to help with problems dealing with installation and questions on the fencing

Helped companies in the ordering and information of their orders, Explained to customers what is

needed for their jobs, helped them in putting together their orders. Answered questions they had

on installation.

Released Orders.

Ceres Administrators, (formerly Central Reserve Life) Strongsville, OH 1989 to 2002

Customer Service Representative 1994-2002

Maintained thorough knowledge of various automated claims systems, line of business,

procedures, benefits, and administration, and related corporate policies to ensure the accuracy of

services provided.

Satisfied approx100-150 customers per day,by assisting insured, providers, and General Agents

in resolving questions, concerns and complaints.

Analyzed, researched, completed online or manual adjustments of paid or rejected claims

resulting in responsive customer service.

Collaborated with Quality Assurance and Legal Department ensuring department teamwork.

Trained new employees prior to their being put on the floor strengthening their self-esteem and

confidence in the workplace.

Claims Examiner 1991-1994

Input data for medical claims, manually reviewed medical records to determine pre-existing status

of claimants.

Compiled proper information to complete claims reducing work for other departments.

Dialoged and problem solved on debatable discrepancies prior to turning over to legal

department.

Reviewed and initiated payments, leading to completion of claims.

Claims Assistant 1989-1991

Organized data received from other departments and co-workers.

Assisted examiners in organizing their work freeing them for other work.

Disbursed information to other departments providing them with needed data to perform job

functions.

EDUCATION

Coursework, Business

Management, Cuyahoga Community College, Parma, OH

PROFESSIONAL DEVELOPMENT

Supervisory Skills

Training New Employees

Medical Terminology I & II

TECHNICAL SKILLS

Personal Computers-microsoft word and some excel

Fax & Copy Machines

Multi-line Telephones

Outstanding Telephone SkillsEtiquette

CERTIFICATES IN--

Medical codes, CPT, ICD-9 and ADA codes



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