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: ad2kpj@r.postjobfree.com
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.
•
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
•
• Medical Equipment Management
Salesforce Microsoft Teams
Lightening Force
•
Shipping and receiving
understanding
•
• 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
•
Understanding of Current Procedure
Terminology (CPT)
•
Familiarity with International
Classification of Diseases, Ninth
Revision, Clinical Modification (ICD-
9-CM)
•
LINKEDIN:
https://www.linkedin.com/in/paris-
danielle-winn-5098531a9
FACEBOOK:
https://www.facebook.com/keepin.up.
wit.dee
INSTAGRAM:
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