Frances Elmore
Merriam, KS, 66203
Contact Phone 540-***-****
Objective
To secure a position with a company that will allow me to utilize my customer service background.
Abilities
* Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
* Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
* Check to ensure that appropriate changes were made to resolve customers' problems.
* Determine charges for services requested, collect deposits or payments, or arrange for billing.
* Refer unresolved customer grievances to designated departments for further investigation.
* Review insurance policy terms to determine whether a particular loss is covered by insurance.
* Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
* Resolve customer’s service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
Frances Elmore page 2
Employment History
08/2015- Present, Aerotek, Kansas City, MO
Complex Authorization Specialist - Reviews and enters complex authorizations and referrals from VA and providers. Ability to effectively communicate medical information, test results, diagnoses and or proposed treatment in a manner easily understood by the patient. Providing accurate data entry and completion of authorization data from customer information, medical records and referral/ authorization forms.
06/2014 - 06/2015, OptumRX, Overland Park, KS
Pharmacy Help desk / Mail Service - Review database of member pharmacy orders and enter appropriate member-related data. Respond to pharmacy order questions as necessary. Resolve questions and issues. Handles non-clinical matters with customers and resolve communication issues.
08/2013- 01/2014 USBANK OVERLAND PARK, KS
FRAUD RISK ANALYST- Responding to telephone inquiries assist customers with reports of lost or stolen credit/debit cards, and processing card blocking and closure requests.
09/2010-12/2011 UNITED HEALTHCARE ROANOKE, VA
HELP DESK- Provided plan information, assisted with ordering training and marketing materials. Updated insurance producers with application and commission statuses
03/2010- 09/2010 BRIGHT SERVICES ROANOKE, VA
ADMINISTRATIVE ASSISTANT- Provided support to upper management while answering phone calls and taking messages for an entire office.
01/2007-09/2009 WACHOVIA BANK ROANOKE, VA
PHONE BANKER 2- Ensured retention and exercising excellent customer service in all client interactions. Identifying and offering better account opportunities based on the customer’s needs.
09/200*-**-**** SUPERTARGET RALEIGH, NC
GUEST SERVICE REPRESENTATIVE- Provided quick and friendly checkout assistance, answered great questions and maintained a clean, terrific looking store.
Education History
Completion Date
Issuing Institution
Qualification
Course of Study
06/1999
Mary E. Phillips High School
High School Diploma
General High School Curriculum