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Customer Service Care

Location:
United States
Posted:
April 19, 2015

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Resume:

Angela R. Newton

**** *.*. ***** *******

Miami Gardens, FL 33056

**************@*****.***

786-***-****

Objective: To secure a position as a customer care representative wherein

I can use my knowledge and previous experience to provide customer care and

gain valuable experience and skills.

Qualifications:

. Effective oral and written communication skills

. Strong computer skills, including Microsoft Windows XP, Vista,

Microsoft Word, Excel.

. Inbound call center experience, able to provide one call resolution

. Ability to adapt quickly to new environment

. Capable of working quickly and accurately, able to multitask

. Familiar with some insurance procedures as it pertains to the patient

Education:

Keiser University of Fort Lauderdale, FL

Associate of Science in Physical Therapist Assistant, December

2011

Employment History:

United Health Group, Doral, FL

12/01/2014-Present

Provider Resolution Specialist

. Assist providers with reviewing claims and advising them of the claim

or appeal status.

. Assist providers with resubmitting claims for reconsideration.

. Provide providers with information or inquiries about the members

Medicaid plan including quoting benefits and eligibility.

. Determining the next appropriate step to help the provider have a

satisfactory resolution.

Emblem Health, Hollywood, FL 01/14-

10/15/2014

Coordination of benefits

. Coordinates benefits for members

. Answers inbound calls to assist eligible members with initial

enrollment to benefits.

. Update/terminate primary insurance coverage

. Determine what insurer will pay primary versus secondary.

. Also works in Recovery department, which is recovering funds that were

paid on a members behalf that another insurer is/was responsible for

paying.

. Provide general customer service and answering general inquiries.

FedEx Freight, Hollywood, FL

08/11- 01/ 14

Office support

. Answers incoming and outgoing calls, answers any questions pertaining

to freight shipments.

. Provides driver check- in and does the billing for the freight.

. Assist with setting appointments and general office personnel

. Assist with the OS&D department, which is the over, short, or damaged

department to investigate and locate lost, short, or damaged freight.

The Answer Group (TAG) Margate, FL 08/09-01/11

Motorola Technical Customer Support

. Answered inbound calls general questions

. Provided assistance and troubleshooting resolutions that they

experienced with their Motorola device (PDA/Smartphone, software,

accessories).

. Provided outbound calls to customer to follow up on their issue

. Quality customer service in a timely courteous manner

Precision Response Corporation (PRC) Sunrise, FL 02/05-07/08

AARP Customer Care 04/08-07/08

. Answered inbound calls and inquires pertaining to any billing or

questions about the customer's account

. Renewed/canceled memberships

. Assisted in providing help to customers needing to reach any other

programs that AARP provides for their customers (life, car, or home

insurance, discounts etc)

YUM Brands Customer Care 05/07-03/08

. Provided customer care for the customer's experience for Pizza Hut and

Taco Bell

. Provided one call resolution to handle customers needs in a timely

manner

. Set up callbacks with the regional manager if needed to resolve the

customer's issue.

Direct TV Customer Support 02/05-05/07

. Provided customer support to customers about any inquires about their

monthly bill, plan, equipment or account.

. Provided customer installation report to set up appointments to get

new installation done as well as selected the correct equipment.

. Team leader and assisted in training new classes to learn the

programs that we used to set up installation

. Worked on the escalations team to provide one call resolutions for

the customers

Employment gaps:

07/08-08/09 and 01/11-08/11: I was attending school full time and wanted

to focus on my studies.

Angela R. Newton

2920 N.W. 210TH Terrace

Miami Gardens, FL 33056

**************@*****.***

786-***-****

To whom it may concern,

I'm responding to the Claims Analyst position on your website. I am

interested in seeking this employment opportunity and would like to apply

for this posting. I consider my previous experience in customer

service/care and knowledge essential in becoming a candidate.

I understand and am able to adapt to working in different work settings. I

have the ability to mutli-task in a face paced setting in a timely manner.

For over 7 years it is has been my goal to provide excellent customer

service and

Customer satisfaction regardless of what realm of customer service that I'm

providing.

It would be a great pleasure to work for your company I would greatly

appreciate your consideration for this position.

Sincerely,

Angela R. Newton



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