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Customer Service Specialist

Location:
Pomona, CA
Salary:
Negotiable
Posted:
December 23, 2023

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Resume:

SUMMARY

SKILLS

EXPERIENCE

MINDY

MAGEE

ad16k2@r.postjobfree.com

928-***-****

Fort Mohave, AZ 86426

Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues.

• Coverage Assessments

• Compliance Management

• Documentation Review

• Customer Service

• Teamwork and Collaboration

• Records Management

• Adaptive Team Player

• Data Transcription

• Claim Amount Calculations

• Program Planning

• Case Management

• Work Assignments

• Employee Coaching

• Regulatory Requirements

• Eligibility Determinations

• Employer Matching

• Talent Acquisition

• Account Management

• Customer Retention

• Complaint Resolution

• Conflict Mediation

• Problem Resolution

• Call Management

• Account Updating

• Product Knowledge

• Inbound and Outbound Calling

• Data Entry

• Consultative Sales

• Multi-Task Management

• Active Listening

• Tactful and Diplomatic

• Technical Support

• Researching

• Call Center Operations

• Administrative Support

• Conflict Resolution

• Documentation

• Prioritization

• Critical Thinking

• Research

CLAIMS SPECIALIST 04/2009 to Current

Social Security Administration

Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.

Investigated complex or high-value claims to identify discrepancies and fraud indicators.

Collaborated with other departments within the organization to resolve issues related to claims processing.

• Performed quality assurance reviews on new hires' work product. Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.

Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.

• Documented specific claims by completing and recording forms, reports and logs. Processed initial claims and applications for various benefits including retirement, Medicare, Disability, and SSI.

Verified continuing eligibility for various programs including income and resource evaluations for SSI.

EMPLOYMENT SPECIALIST 04/2007 to 03/2009

San Bernardino County

• Developed and implemented career development workshops for job seekers. Facilitated the delivery of employment services to clients in accordance with program guidelines.

EDUCATION AND

TRAINING

OLDER EXPERIENCE

Provided comprehensive case management services to ensure successful job placement outcomes.

Counseled clients on resume writing, interviewing techniques, job search strategies, and other related topics.

Created and maintained accurate records of client progress towards goals in a timely manner.

Assisted clients with developing an appropriate career plan that incorporated their skills and interests.

Researched local training opportunities and educational resources available to assist clients in achieving their desired objectives.

Worked with welfare to work program recipients weekly to verify compliance and participation for program eligibility.

F16 AWARDS PROGRAM MANAGER

Hill Air Force Base

• Facilitated introductions of speakers and guests at events.

• Greeted attendees, answered questions, and provided directions as needed.

• Managed event timelines to ensure all necessary activities were completed on time. Maintained an organized master schedule of all events taking place over the course of the day.

• Ensured that all presentation materials were available when needed.

• Communicated upcoming awards criteria with managers. Monitored and reviewed award submissions to verify eligibility, accuracy, and file completeness before finalizing award submissions.

Handled the government travel card accounting and reviewing for accurate authorized purchases and timely payments and reimbursements.

National University

Master's Degree

Management, 10/2011

Western Governor's University

Bachelor's Degree

Business Management, 08/2008

• Mortgage Collections, 99-01.

• Homes America Sales 97-99

• Paul law, collections 01-03



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