Customer Service Representative
Resume:
Adrianna Cook
Enthusiastic about helping patients get necessary medical support with a strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach.
Experience
*************@*****.***
https//www.linkedin.com/in/adriann
a-cook-3543a8218/
Sedgwick, Remote— Claims Care Team Representative
January 2024 - April 2024
● Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.
● Analyzes FMLA, Workers Compensation and Disability claims to determine eligibility and certification in compliance with state and federal regulations.
● Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client.
CCS Medical, Remote— Customer Service Representative June 2023 - November 2023
● Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
● Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
● Filed and maintained patient records in accordance with HIPAA regulations. Assurant, Remote— Processing Specialist (contract) December 2022 - March 2023
● Identify policy type and determine appropriate action needed. For example: PUD, Townhome, Flood, Wind, etc.
● Make applicable updates to the client database in order to meet regulatory obligations.
● Make timely premium payments from established escrow accounts to ensure continuous coverage. Buffalo Wild Wings, Peachtree Corners — Part time Server/ Cashier February 2022 - September 2022
● Created a welcoming and positive environment to make diners and guests feel at home.
● Acted as a team player, and helped bar or service staff depending on which side of the house was busiest.
● Maintained a robust knowledge of 100+ food and drink items to proactively up-sell menu items to guests while ensuring customer satisfaction.
Credo Mobile, Remote — Customer Service Representative (contract) September 2021 - March 2022
● Strive for quick complaint resolution; commenced by supervisor for the ability to resolve problems on the first call and avoid escalation.
● Excel within a service-oriented company, demonstrating a talent for communicating effectively with customers from diverse backgrounds.
● Respond to telephone inquiries, providing quality service to customers inquiring about the availability of products or status of orders.
First Watch, Peachtree Corners — Head Server
January 2019 - September 2021
● Resolve Customer complaints regarding food service.
● Train workers in service, sanitation, and safety procedures.
● Assign duties, responsibilities, and workstations to employees in accordance with work requirements. Automatic Data Processing Inc (ADP), Alpharetta — Production Representative December 2019 - December 2023
● Maintained records, confidential files and other related information for department needs.
● Required software applications to produce correspondence, electronic communication and maintain spreadsheets and databases.
● Solve employee questions concerning paychecks or pay in general. SKILLS
Serving Experience
Restaurant Experience
Software Troubleshooting
Customer Support
Customer Service
Technical Support
Remote Access Software
Operating Systems
Help Desk
Zendesk
VPN
Report Preparation
Credit Card Payment Processing
Medical Billing
Chart Pulling
Health Education
Insurance Information Collection
HIPAA Compliance
Attention to Detail
Microsoft
IOS
LANGUAGES
Fluent in English
Education
Online Gwinnett Campus
- December 2018
Contact this candidate