Service Representative Customer

DANIELLE WINN

SUMMARY

Professional Customer Service Representative/Member Service Specialist

talented at processing high volumes of error-free transactions and meeting departmental goals. Offers 8+ years of success in resolving customer concerns and inquiries. Skilled at accurately documenting call details, preparing reports and arranging service. Well-versed in providing helpful answers and relevant information to retain clients. Friendly and efficient. Devoted to maximizing customer satisfaction with exceptional service and support.

EXPERIENCE

Member Service Representative, 01/2019 - 02/2021

HealthNet, LLC of Centene Corporation - Sacramento, CA Customer Service Representative II, 01/2017 - 12/2018 Gap Inc Direct - Rocklin, CA

Store Manager, 01/2015 - 01/2017

Smokeless Norcal - Folsom, CA

CONTACT

Address: Roseville, CA 95661

Phone: 916-***-****

Email: *************@*****.***

High volume calls assisting in members questions concerning Benefits & SKILLS Eligibility for Medicare Supplement Plans.

•

Reviewed customer account information to determine current issues and potential solutions.

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Collaborated between physicians, medical offices and internal/external departments to address members needs.

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• Displayed strong telephone etiquette, effectively handling difficult calls. Collected payments for medical insurance premiums and updated accounts to reflect new balances.

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Confirmed delivery of online orders and troubleshot missed delivery dates, shortages and overages for Gap, Old Navy, Banana Republic, Athleta, Gap & Banana Republic Factory stores.

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Upheld privacy and security requirements established by HIPAA regulatory procedures.

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Improved service quality and increased sales by developing strong knowledge of the company's products and services.

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Networked with external representatives i.e., Synchrony Bank & various store locations for resolutions to delivering top-notch customer service.

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Handled daily paperwork, balanced register drawers, produced staffing schedules and prepared deposits.

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HIPAA Compliance Software (Health

Insurance Portability and

Accountability Act)

•

• Call Center Operations

• Microsoft Office expertise

• Avaya trained

Customer Relationship

Management (CRM) software

•

Electronic Health Record (EHR)

Software

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• Medical Equipment Management

Salesforce Microsoft Teams

Lightening Force

•

Shipping and receiving

understanding

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• Credit card payment processing

• De-escalating

• Customer support

• Empathy

• Adaptability

Verbal & written communication

skills

•

• Emotional Intelligence

Office Assistant, 05/2012 - 11/2014

Winsol Groundworks - Sacramento, CA

EDUCATION AND TRAINING

High School Diploma, 06/2006

Harry P.B. Carden High School - Marysville, CA

Associate of Science, Expected in 07/2023

Sierra College - Rocklin, CA

REFERENCES

Katie B.:916-***-**** Rachael M.:916-***-**** Robert J.:916-***-****

(All above references are prior Supervisors)

CERTIFICATIONS

CPR AED First Aid Certified by NationalCPRFoundation #559EA5C5 WEBSITES, PORTFOLIOS,

PROFILES

Responsible for sanitation; safety and health standards in work areas to meet OSHA requirements.

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Generated repeat business by responding to customer concerns with friendly and knowledgeable service.

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Assisted in training of new hires on organizational procedures, policies and sales techniques.

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• 4.0 GPA

• Pre-Requisites

• Clear English

• Active listener

• Time-Management

Healthcare Common Procedure

Coding System (HCPCS) knowledge

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Understanding of Current Procedure

Terminology (CPT)

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Familiarity with International

Classification of Diseases, Ninth

Revision, Clinical Modification (ICD-

9-CM)

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LINKEDIN:

https://www.linkedin.com/in/paris-

danielle-winn-5098531a9

FACEBOOK:

https://www.facebook.com/keepin.up.

wit.dee

INSTAGRAM:

https://www.instagram.com/keepin.u

p.wit.dee

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