Yakenjri Green

Riverview FL

ad28ig@r.postjobfree.com +1-813-***-****

To obtain employment with a company to contribute my experience in customer service, communication, and problem solving skills in a call center, retail, or front desk environment.

Work Experience

Data Processor

Wipro- Tampa Fl

Aug-2023 Present

Duties

- Provide excellent customer service to clients seeking health care advice

Assist clients in understanding their health care options and making informed decisions

- Conduct outbound calls to clients to provide information and answer questions

- Analyze client needs and recommend appropriate health care solutions

- Maintain accurate and detailed records of client interactions and transactions through data entry

- Communicate effectively with clients, both verbally and in writing, in English or other multilingual abilities

Customer Service Representative

Tata Consultanc Services- St. Pete Florida

Life Insurance Agent

May 2023 – Oct 2023

Description:

The Customer Care Representative should have a passion to provide optimal customer service experience over the phone to a wide variety of customers about various insurance topics and products. Candidates should have a positive attitude, willingness to learn, strong work ethic, and be comfortable using computers.

Responsibilities Include:

· Receives and answers phone calls from a variety of customers (such as insured’s, family members, medical providers, insurance agents, etc) who are calling for service on an insurance policy and/or the status of an insurance claim.

· Works promptly, completely, and accurately while appropriately and securely answering all customer inquiries received.

· Promotes customer and client satisfaction with the goal of efficiently resolving most or all customer concerns within the first point of contact.

· Functions within a team-based environment and actively participates in achieving team goals.

· Works well with others. Inquiries for help or delegates customer requests not within the employee’s skillset and as needed appropriately and professionally to other employees or internal departments in order to complete the customer service requests received from phone calls.

· Capable of appropriately use various resources including but not limited to customer information, procedures, computer applications, the company’s intranet, and the internet with the intent to accurately and efficiently answer customer questions and process customer requests.

· Thoroughly tracks and documents all contacts and conversations in the correct system; follows up to customer requests, callbacks, and outstanding work as required or as directed by management.

· Occasionally provides information to other employees and managers on a variety of complex customer service issues requiring knowledge of either life/health, annuity and investment products, phone calls, and transactions.

· Proactively seeks out and discovers customer trends from customer feedback that may cause unneeded additional phone calls or customer concerns that could have been avoided.

· Reports trends to management when applicable.

· May additionally suggest an appropriate solution to resolve the given trend or management and company review.

· Receives constructive feedback willingly and professionally. Also, provides solicited feedback appropriately and professionally about customers, systems, and fellow employees to management and/or the company.

· Learns new material at an efficient pace. Completes all required education within expected timeframes.

· Maintains the knowledge acquired from training through independent continual online courses including but not limited to company policies, computer applications, departmental procedures, and client products and services available.

· Actively seeks out other educational opportunities to improve self, the team, the department, and/or the company.

Claims Representative

Unitedhealth Group - Tampa, FL

May 2021 to July 2022

Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)

Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems

Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member

Review and research incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)

Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)

Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding

Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendance

Customer Service Representative

Macy's Credit Service - Clearwater, FL October 2019 to February 2020

•Answered inbound calls from customers inquiring about their account information.

•Updated customers' accounts and took payments over the phone.

•Assisted with resolving issues via telephone and making financial credit adjustments.

Cashier/Prep-Cook

Tampa Int'l Airport/Qdoba - Tampa, FL May 2019 to September 2019

•Welcomed customers and helped determined their orders.

•Processed customers' order and entered into database.

•Assisted with food preparation of customers orders.

Customer Service Representative

Healthnet - Tampa, FL

October 2016 to January 2018

•Received an average of 20 referrals a day for setting up appointments.

•Acted as liaison between the health provider and veteran patients scheduling appointments.

•Maintain cases of referral and follow-ups as necessary.

•Utilized medical billing and coding for scheduled procedures.

Customer Service Representative

Healthplan Services - Tampa, FL

February 2015 to June 2016

•Received inbound calls averaging 150 per day.

•Checked and informed eligibility and benefits for customers.

•Informed customers of treatment options and cost..

•Conducted insurance eligibility verifications.

•Performed administrative duties, such as scanned and upload documents,

Cashier/Sales Associate

Walmart - Tampa, FL

August 2014 to January 2015

•Responsible for friendly and timely service to customers.

•Handled cash and credit transactions utilizing sales register.

•Maintain daily count of register at the end of shift.

Front Desk Clerk

Florida Memorial University - Tampa, FL

August 2011 to June 2012

05/2010 - 01/2011

•Welcomed and check-in customers for scheduled appointments or events.• Received invoices and arranged documentation for payment

•Purchased supplies and materials for office.

Education

Florida Memorial University - Miami, FL May 2012

High School Diploma

Chamberlain High School - Tampa, FL May 2009

Skills

•Skilled in providing information regarding products and services of the company.

•Knowledge of taking orders, compute charges and apply billing or payments.

•Experience in reviewing, updating or making changes to customers' accounts.

•Attentive to listen and respond to customers' needs and concerns.

•Knowledge of medical billing and coding procedures.

•CPT Coding

•Medical Records

•ICD-10

•ICD-9

•Chat

•Zendesk

•Data Processor

Certifications and Licenses

Food Handler Certification

Contact this candidate