Customer Service Representative
Resume:
Rebecca Taylor
East Boston, MA 02128
****************@*****.***
SKILLS
Proficient computer skills: Microsoft office, MMIS, Ma21, my workspace (map), MassServe,
H–sentive, and Aav
Self-motivated individual with ability to work well as a team player
Able to take initiative to accomplish tasks and projects on time
WORK EXPERIENCE
Tufts Health Plan Watertown, MA 12/2015-02/2016
Member service Representative
Provided quality customer service by responding to all the Members inquires in a professional,
Efficient, and courteous manner
Provided requested services and made appropriate referrals to internal and external programs for which customers may qualify and acted as liaison to selected groups
Communicated with customer(s) and/or their authorized representatives to explain programmatic requirements for all Tufts Health plan public plan programs
Inputted applicant data into agency’s computer system to establish and update customer data, validated data, and made corrections on agency computer system
Indicated Members medical services and benefits the members withhold on their cases and claims
Processed grievances and complaints that members
Mass Health Net (Maximus Staffing), Boston, MA 06/2015-12/2015
Members Service Representative
Provided quality customer service by responding to all customer inquiries in a professional, efficient, and courteous manner
Determined initial and ongoing eligibility for all Mass health populations and facilitated the accurate and timely determination of initial eligibility by explaining requirements and following up with customer(s) who did not submit required verifications
Communicated with customer(s) and/or their authorized representatives to explain programmatic requirements for all Mass Health programs
Inputted applicant data into agency’s computer system to establish and update customer data, validated data, and made corrections on agency computer system
Validated customer demographic, financial, and background data by contacting applicant to obtain information not listed on eligibility forms, contacted collateral sources and determines immigrant status by reviewing immigrant documentation
Provided requested services and made appropriate referrals to internal and external programs for which customers may qualify and acted as liaison to selected groups
Dollar Tree, Revere, MA 08/2011-10/2014
Cashier
Greeted customers who entered establishment
Recommended, selected, and helped locate or obtain merchandise based on customer’s needs and desires
Computed sales prices, total purchases and received and processed cash or credit payments
Organized shelves, and merchandise to meet company’s display standards
Requested information or assistance using paging systems
Maintained clean and orderly checkout areas and complete other general cleaning duties
Amazing.net, Fenway, MA 04/2007-08/2011
Key holder
Operated telephones switchboard to answer,screen,or forwarded calls, providing information, took messages or scheduled appointments
Listened to and resolved complaints and concerns from customers or the public
Filed and maintained records
Opened, closed store and responsible for nightly bank deposits
Greeted persons entering establishment, determined nature and purpose of visit, and directed or escorted them to specific destinations
Processed sales or other transactions
Maintained the supply sheet and time sheets
EDUCATION
West Roxbury High, West Roxbury, MA
High School Diploma
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