Customer Service Benefits Specialist

SALONYIA FISHER

Senior Claims Examiner

************@*****.*** 678-***-**** Stone Mountain, Georgia

WORK EXPERIENCE

BENEFITS SPECIALIST

DELTA DENTAL

Jan 2019 - May 2022

Provides client-specific advice, counseling and representation on matters involving insurance issues, public/private benefits and other legal issues to beneficiaries and/or their caregivers Assists potentially eligible beneficiaries and/or their caregivers to apply for entitlement programs and ensured that benefits were understood by applicants

Carries out educational and outreach activities on matters involving insurance issues, public/private benefits and other legal issues

Maintains and establishes indispensable relationships with community social service agencies and providers

Participates in professional trainings pertaining to the beneficiaries and people with disabilitiesRoute claims based on messages to the appropriate department based on guidelines Creates administrative procedures for longResponsible for reviewing dental claims for accuracy and compliance with the groups.Responsible for reviewing dental claims for accuracy and compliance within the group guidelines

SALES ASSOCIATE

MACYS

Oct 2018 - Dec 2018

Demonstrated customer service skills by greeting each customer that entered the department and directed customers to departments that met their needs

Operated cashier stand to help customers efficiently and processed coupons and reward cards

Maintained a clean department by straightening hangers and placing appropriate items in specific departments for a neat and welcoming customer environment

Completed weekly price changes and assisted in inventory control and maintained sales report and met monthly quota

Received calls daily, answering questions and educating customers on our products

UNDERWRITING SERVICE ASSISTANT

CAREER OBJECTIVE

Motivated and dedicated professional

with years of expertise in customer

relations and service satisfaction.

Proficient in job execution and proven

track record of success in compliance

and customer service. Skilled and

collaborative team player with

experience in coordinating, planning

and supporting daily operations.

EDUCATION

BACHELOR OF SCIENCE

BUSINESS MANAGEMENT

UNIVERSITY OF PHOENIX

Sep 2015

Masters of Science

Business Management

University of Phoenix

- current

SKILLS

REPORTS/DOCUMENTATION

SOCIAL PERCEPTIVENESS

COMMUNCIATION SKILLS

INTERPERSONAL SKILLS

CONFLICT RESOLUTION

SERVICE ORIENTATION

ATTENTION TO DETAIL

CRITICAL THINKING

CUSTOMER SERVICE

PROBLEM SOLVING

MICROSOFT OFFICE

TIME MANAGEMENT

STATE FARM INSURANCE PARK CENTER

Sep 2016 - Aug 2018 DUNWOODY, GA

Demonstrated knowledge of claims process and terminology, providing constructive feedback as needed

Collected all necessary customer demographics and insurance information and documentation to complete registrations within a timely manner

Issued new business renewals and endorsements timely and accurately, reviewed and corrected auto applications for completion

Submitted recommendations towards process improvement and helped to streamline process in order to enhance overall efficiencies

Managed escalated service concerns and worked to resolve all issues within a timely manner in order to retain loyal business and increase client/employee satisfaction

Made sure all deductibles are properly applied, approving files for payment and closure rates

Participated in meetings for professional development and updates on company process

CUSTOMER CARE REPRESENTATIVE

STATE FARM INSURANCE PARK CENTER

Jul 2010 - Sep 2016 DUNWOODY, GA

Provided quality professional customer service, answered all inbound calls and respond to customer inquiries related to the company's annual enrollment period while meeting/exceeding company standards of operations

Conferred with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints

Collected all necessary patient demographics and insurance information/documentation to complete registrations within a timely manner

Demonstrated strong communication skills through active listening and understanding customer needs

Served as subject matter expert to fellow employees in resolving all client issues/complaints

Set the example in quality customer service and provided on-the- job training to new hires, serving as subject matter expert Senior Claims Examiner

Lincoln Financial Group

May 2022 - current

Team Player

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