Cherisse Proctor
ad3t2h@r.postjobfree.com 862-***-****
*** *. ******* **, ******, Nj 07065
PROFESSIONAL SUMMARY
Motivated customer relations team member focused on delivering top-notch service to every person. Remain levelheaded and analytical when approaching each issue. Document problems thoroughly and pursue complete resolutions for every concern.
SKILLS
Salesforce-outbound calls-inbound calls - medical terminology- benefits verification - email-excel – outlook – Call management -delivery scheduling – Order documentation – complaint resolution – Account updating.
EXPERIENCE
Benefits Verification Specialist
Conduent- Remote NJ November 2021-current
Verified Medical Benefits for providers.
Confirmed eligibility and enrollment.
Confirmed Prior authorization status.
Placed outbound calls to health insurance providers.
Emailed results of the verification
Customer Service Representative
MMC Group (Maximus) – Remote, NJ November 2020 – May 2023
• Maximized satisfaction by anticipating needs and consistently offering expert support.
• Processed applications, enrollments, and state subsidies for consumers looking for health care during open enrollment
• Investigated and resolved customer concerns related to their medical coverage.
Telephone Customer Service Representative
Glantz – Edison, NJ July 2019 - November 2020
• Answered incoming calls, chat messages, and email communications to handle [Product or service] concerns.
• Partnered with numerous customers to handle caller needs, including service issues, new sales, and account problems.
• Safeguarded customer data by observing all information security policies and confidentiality guidelines.
• Resolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
• Met inbound customer needs while maintaining strict performance targets.
• Updated records with all interactions and customers transactions.
Telephone Customer Service Representative
Ashley Furniture – Edison, NJ November 2018 - July 2019
Answered incoming calls, chat messages, and email communications to handle [Product or service] concerns.
Delivered accurate organizational information, including products, services, and procedures.
Resolved issues based on thorough investigations of concerns.
Confirmed delivery dates.
Entered claims.
Benefits Specialist
Conduent – Secaucus, NJ June 2017 - April 2018
• Handling the administrative requirements of employee benefit plans
• Provided details for enrollment in FSA,HSA,HRA, and DCAP accounts
• Managed account details, like account balance what the debit cards can be used for and how to substantiate claims
Provided inbound call assistance on status and updates regarding benefits.
Updated office files daily and kept records organized.
Utilization Review Specialist
Logisticare – Edison, NJ March 2014 - November 2017
• Setup and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents, such as attendance records, correspondence, or other material
• Complete forms in accordance with company procedures.
• Compose, type, and distribute meeting notes, routine correspondence, or reports such as presentations or expense, statistical or monthly reports.
•Answer telephones provided services to customers, such as order placement or account information. Take message or transfer calls to appropriate parties.
•Utilization review specialist in various treatment types like Substance Abuse, Dialysis and Mental health.
•Provided medical transportation.
EDUCATION
Diploma
Union County Votech Scotch plains, NJ April 2003