Customer Service Representative
Resume:
LaToya Grier
Charlotte, NC ****9
**************@*****.***
OBJECTIVE: To obtain a challenging position in which I can use my past experience and skills.
HIGHLIGHTS: 2+ years of diverse customer service experience
Strong customer service and communication skills
Able to work independently and effectively as part of a team
Skilled in working in a fast paced environment
EXPERIENCE:
Lash Group
Benefit specialist/ Investigator
October 2016-February 2017
Contacting health insurance companies on behalf of providers to obtain insurance benefit information and patient out of pocket cost share for a specific medication, Updating cost share grids and benefit structures.
Optum
Customer Service Representative
December 2011- September 2016
Blue cross blue shield CSO (payment agent)
Processing payments for health insurance
Researching location of missed placed and lost payments, requesting
payment to be released and transferred to the correct member account
updating member on status of release and transfer date
Wellpoint Compass Anthem:
Assisting medicare member with making premium payments, answering questions about health plan benefits and provider information. Researching claim denial reasons,
or why claims were not processed. Sending claim that were denied in error back
for reprocessing with supporting documents attached to claim. Advising providers on steps to resubmit claim with corrections for payment or steps on how to appeal denial reason.
Mass Health/Vermont Exchange:
Entering application for health care, Processing change in income and address information.
Assistance with enrolling and withdrawing from health plans
Editing special enrollment dates and coverage start dates
CVS Caremark
Assisting members with ordering and updating prescriptions.
OPTUM
Confer with members by telephone about health insurance benefits
Assist member with scheduling doctors appointments
Update insurance information
Speaking with members about yearly health exams
SIGNATURE STYLES
Assisting costumer with placing online orders
Tracking order that were shipped or returned
Processing payments and returns
IQOR
Customer Service Representative
March 2008 - May 2009
Responsible for answering incoming phone calls; provided information regarding customer accounts and services
Assisted customers in setting up, canceling and making changes to existing service
Provided billing information, resolved billing issues and processed payments
Documented and maintained records of customer calls
Marshall’s
Department Store
Retail Sales Associate
September 2007 - March 2008
Greeted customers and provided excellent customer service
Answered customer inquiries and assisted customers in locating store items
Operated cash register and accepted payments,Processed cash, check and credit card transactions and Processed merchandise returns and exchanges
Assisted with inventory damage,lost, sale-able and unsaleable items on sales floor and stock room monthly.
Carowinds
Security Guard
March 2006 - December 2006
Responsible for monitoring and maintaining security on park property
Authorized entrance and departure of employees and visitors
Answered alarms and investigated disturbances; documented incidents
Escorted and/or transported individuals to specified locations
Contact this candidate