Jared D Watson **** Richards Circle, Desoto, Texas75115 ad28tn@r.postjobfree.com 469/354-1398

SUMMARY

I am currently a dedicated customer service representative motivated to maintain customer satisfaction and contribute to company success. I’m seeking a position that will offer job stability, while utilizing my strong communication skills that will aid the company in increasing profitability while providing an opportunity for personal, financial, and professional growth. I Work well with others as well as independently, to meet deadlines and complete task. I possess superior interpersonal and communication skills. I am organized, reliable, and enthusiastic. I am service oriented and have a courteous demeanor. I am a sharp problem solver and conflict and claims resolution expert. I am self-motivated, assertive and persuasive and I can present complex information clearly and engagingly, also I have experience in salesforce or (Experience Cloud) and Google G-Suite

EDUCATION

Roosevelt Hight School High School Diploma 2000

Langston University August 2000 – December 2002

EXPERIENCE

Prior Authorization Representative 10/2023-01/2024

Conflux System /CVS Health, Irving, TX

Clinical services, inbound calls from providers, pharmacies, members, etc. providing professional and courteous phone assistant to all callers through the criteria based prior authorization process.

Maintain complete timely, and accurate documentation for reviews, and basic insurance and third-party terms, transfer all clinical questions, escalations, and judgement call to the senior line.

Customer Service Representative 03/2023-08/2023

Medix/ USMD, Irving TX

Answer inbound phone calls while displaying a willingness to assist, display compassion and empathy, make outbound calls as necessary.

Schedule, coordinate and assist with patient appointments, relay messages to staff through direct call or by appropriate communications process.

Coordinate care for all services ordered by a health care provider and verify important information.

Customer Service Representative/Medicare Insurance Agent 08/2021-02/2023

Medicare Hero Farmers Branch, TX

Initiated and received calls from clients regarding their Medicare/Medicaid benefits.

Made recommendations about obtaining supplemental insurance and helped the clients to understand their options, for prescription drug, vision, and dental policies.

Assisted clients with applications and enrollment issues.

Solid understanding of Medicare programs and details such as election periods, patient eligibility requirements, pharmacy and provider networks, and prescription drug plans.

Reviewed clients’ health care plan and assisted them in evaluating their needs against the services and coverage that they were eligible to receive.

Made recommendations about obtaining supplemental insurance and helped clients to understand their options for prescription drug, vision, and dental plans.

Customer Service Representative 10/2020 to 01/ 2021

Willis Tower Watson, Management-Richardson, TX

Received incoming calls from customers regarding their Medicare/Medicaid benefits/refunds.

Advocated for the customers and assisted them with enrollment issues and applications.

Answered general questions and concerns and facilitated the customer’s Health Reimbursement Accounts (HRA). Respond to questions and concerns about customer benefits and escalate calls appropriately.

Customer Service Claim Adjuster Representative 06/2015to 11/2017

Assurant Solutions – Addison, TX

Answer customer telephone calls regarding telephone replacement claims

Respond to questions and concerns about service and escalate calls appropriately.

Consult with customers to evaluate needs and determine best service plans and options.

Consistently improve customer satisfaction through expert resolution of conflicts, issues and concerns.