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Customer Service Rep

Location:
Hartford, CT
Posted:
January 17, 2024

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Resume:

A B O U T M E

VIRGINIA BEALL

CUSTOMER SERVICE

OBJECTIVE

Polished, professional customer service rep offering:

•Proven experience providing customer support in busy call center environment

•An unwavering commitment to customer service, with the ability to build productive relationships, resolve complex issues and win customer loyalty.

•Strategic-relationship and partnership-building skills—listen attentively, solve problems creatively and use tact and diplomacy to achieve win-win outcomes.

EXPERIENCE

UNITED HEALTH GROUP

CUSTOMER SERVICE ADVOCATE

(2018-Present)

•Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence

•Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider

•Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance

•Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient

ANTHEM INC., CUSTOMER SERVICE REP

(2015-2017)

•Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.

•Analyzed problems and provides information/solutions.

•Operated a PC/image station to obtain and extract information; documents information, activities and changes in the database.

•Thoroughly documented inquiry outcomes for accurate tracking and analysis.

•Developed and maintain positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

•Researched and analyzed data to address operational challenges and customer service issues.

•Provides external and internal customers with requested information.

•Received and placed follow-up telephone calls / e-mails to answer customer questions that are routine in nature.

•Used computerized systems for tracking, information gathering and troubleshooting.

•Knowledge of company services, products, insurance benefits, provider contracts and claims.

•Seeks, understands and responds to the needs and expectations of internal and external customers

THE AVENUE, CO-MANAGER

(2013-2015)

•Oversee sales floor and employees

•Inventory

•Assisting customers and addressing concerns

•Cash handling and operating POS

•Provide product information

•Stock sales floor

•Recruiting new employees

SKILLS

Customer service professional with multiple year of experience in leadership and managerial roles.

C O N T A C T

ad2usa@r.postjobfree.com

203-***-****

New Haven, Connecticut

E D U C A T I O N

METROPOLITAN BUSINESS ACADEMY

Diploma

2009

LONG ISLAND UNIVERSITY

2009-2010



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