Borisier Roberts

Winter Garden, FL *****

ad3og8@r.postjobfree.com

+1-340-***-****

Customer Service Professional bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service- oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.

Authorized to work in the US for any employer

Work Experience

Customer Care Representative

Elevance Healthcare - Tampa, FL

July 2023 to Present

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

• Analyzes problems and provides information/solutions.

• Update members Demographics.

• Provide PCP

• Dental and Vision Vendor

• Assists with Transportation

• Submit Appeals and Complaints

• Procedures and HIPPA Regulations

• Maintained contact with members.

• Call Center

Pharmacy Representative

CORAM - Tampa, FL

April 2023 to July 2023

• Work along side pharmacist.

• Keep the shelves organized and clean

• Make regular inventory checks

• Perform administrative duties/task

• An ability to work individually and as part of a team.

• Competent keyboard skills

• Attention to detail

• Basic computer skills

• Strong customer service and communication skills Client Service Associate II

Seminole Hard Rock Hotel And Casino - Remote

September 2022 to April 2023

• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.

• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.

• Delivered prompt service to prioritize customer needs.

• Responded to customer requests, offering excellent support and tailored recommendations to address needs.

Medical Pharmacy Claims Specialist

Walgreens - Orlando, FL

February 2022 to September 2022

• Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.

• Paid or denied medical claims based upon established claims processing criteria.

• Communicated with prescribers to verify medication dosages, refill authorizations and patient information.

• Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.

• Prepared bills for insurance companies and submitted required paperwork. Driver - Billing Processor

Department of Human Services - St Thomas VI

February 2021 to January 2022

• Maintained contact with customers to research billing questions and furnish copies of support documentation.

• Researched and resolved routine billing questions and discrepancies and escalated non-standard issues to higher level personnel.

• Responded to inbound inquiries regarding accounts and payments.

• Reconciled accounts receivable ledger to verify payments and resolve variances.

• Reviewed and solved account and billing discrepancies. Online Customer Service Representative

Kmart - St Thomas Virgin Islands

October 2017 to November 2020

• Answered live online chats to give quick answers and solve problems faster.

• Troubleshot and resolved online ordering issues and concerns to promote seamless ordering process for customers.

• Developed and maintained knowledge of evolving products and services to accurately answer questions and make recommendations based on customer needs.

• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences. Scheduler Coordinator (Part-Time)/ WAH

Limousine Services - St Thomas, Virgin Islands

January 2013 to February 2019

• Answered telephone calls to offer office information, answer questions and direct calls to staff.

• Optimized organizational processes by effectively managing crew schedules while adhering to contractual restrictions.

• Balanced employee availability, customer schedules and maximum load levels when scheduling appointments.

• Received in-bound calls and initiated out-bound daily calls to introduce customers to products and services offered.

Education

GED

Delaware Valley Job Corp - Callicoon, NY

September 1985 to December 1986

Skills

• Client Rapport-Building

• Service Recommendations

• Customer Support

• Quality Assurance and Control

• Answering Customer Questions

• Payment Processing

• Prescription Preparation

• High-Volume Environments

• Interpersonal and Written Communication

• Complex Problem-Solving

• Operational Efficiency

• Member Relationship Management

• Workload Prioritization

• Information Updates

• Active Listening

• Computer Proficiency

• Schedule Mastery

• Managing Multiple Tasks

• Customer service

• HIPAA

• Research

• Cash handling

• Driving

• Microsoft Outlook

• Microsoft Word

• Communication skills

• Microsoft Excel

• Quality assurance

• Cash register

• Account reconciliation

• Accounts receivable

• Data entry

• English

• Computer literacy

Certifications and Licenses

Driver's License

September 2022 to April 2031

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