Customer Service Representative

Sandra D. Evans

*** * ********* **., ********* North Carolina 28205 phone # 980-***-**** **********@*****.***

Education

Central Piedmont Community College

South Park High School

Business Degree

Employment

BENEFIT VERIFICATION SPECIALIST 10/2016-02/2017- Talent Bridge- Temporary Agency

Projected Worked on was for Regeneron.

Responsibilities included a full insurance investigation to verify coverage for a specific drug.

Contacted various payers to check coverage for a specific treatment and diagnosis either in a specialist office, or an outpatient hospital setting.

Provide

d written documentation as to the results of the investigation. Once completed, the results were forwarded back to the specialist or facility.

PENSION SPECIALIST 6/2016 - 09/2016- Randstad- Temporary Agency

Answer concerns and questions educating employees on their benefits, and solve complex issues relating to their health, savings, retirement plans and human resource related issues.

Responsible for providing professional, knowledgeable, helpful, courteous, and responsive customer service.

SERVER 9/2014-10/2016- East Boulevard Bar and Grill-

Process guests orders to ensure all items are prepared properly and on a timely basis.

Observes diners to ensure that they are satisfied with the food and service.

Responds to additional requests, and determines when the meal has been completed. Rings up bills and assist payments.

SERVER 10/2011-8/2014 Duckworths Taphouse and Grill-

Describes menu and daily specials, takes orders, serves food and makes sure customers have everything they need to enjoy their meals.

Responsible for coordinating entire section and communicating to front and back- of -house personnel to provide a dining experience that meets or exceed guest expectations.

BENEFIT VERIFICATION SPECIALIST 11/2010-01/2011 Aerotek-Temporary Agency

Responsibilities included contacting various payers and perform an extensive insurance verification ensure payment for services.

Verification was for specific treatments performed in either a hospital setting or in a specialist office.

COORDINATOR 05/27/2008-10/10/2008- Carolinas Healthcare System

Responsible for charts to be delivered to all departments of the hospital, operated a 6-line switchboard system, managed five clerks for charts to be picked up, copied and returned.

In addition, maintained heavy filing system.

REGISTRAR 05/14/2007-05/23/2008- Carolinas Healthcare System

Responsibilities included checking patients in, insurance verification, scheduling appointments, checking patients out, answering phone system, accepting payments, balancing cash drawer, and registering new patients.

Interviews incoming patients to obtain and enter necessary personal, financial, insurance, and/or other medical information necessary for claims processing.

LEAD 11/2005-05/2007- Coldwater Creek Retail

Responsibilities included opening and closing store, managing employees scheduled to work. In addition, provide daily reports and monitor daily goals and set new goals for each day.

Make necessary business decisions for the store regarding adding or cutting employees to meet the needs of the business.

COMMUNICATION ASSOCIATE 03/98-08/2005- Vanguard Group

I started as a customer service associate taking inbound calls regarding clients mutual fund accounts.

I provided balance inquires, processed deposits and redemptions, and assisted clients with any account maintenance needed.

In addition, I also worked as a communication associate assisting clients with transferring assets either from one individual to another or from institution to institution.

I sent communication out regarding the requirements needed to process the transfer.

CUSTOMER SERVICE REPRESENTATIVE 09/96-01/98- Cigna Healthcare

I worked in the call center taking inbound calls verifying benefits and eligibility for patients as well as facilities.

I explained in detail benefits, verified participating facilities and physicians, assisted with hospital authorizations.

In addition I took comments and complaints regarding physicians, reviewed claims, and sent for reprocessing if necessary.

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