Customer Service Specialist

REGINA A GILES-CALDWELL

**** ******** *****, **********, ** 40219

Phone: 502-***-****

*******@******.***

Professional Summary

Goal-oriented Customer Service Specialist dedicated to high levels of customer

satisfaction and meeting aggressive business goals. Dependable and Dynamic with

specialized knowledge in customer service as a representative on call centers.

Skills

Customer and Personal Service Computer Literacy

Time Management Critical Thinking

Administration Self-starter

Organizational Skills Work as Team Player

Communication Skills Research Abilities

Experience

Medicare Customer Service Apr 2007-Present

Humana Inc. - Louisville, KY

Answer telephones and give information to callers, take messages, or transfer

calls to appropriate individuals.

Complete forms in accordance with company procedures.

Medicare Call Representative, take calls from Medicare members to assist them with plan information, enrollment, billing, premiums. Trained in Billing, Enrollment, Pharmacy, Claims, Agent Queue, Cariten Acquisitions, MDCare Acquisitions, Behavioral Health, Veteran Calls, Escalation Calls,H1036, Desu,Bariatric Calls.

Collections Representative Aug 1992-Mar 2006

Anesthesiology Associates PSC - Louisville, KY

Receive payments and post amounts paid to customer accounts.

Answer customer questions regarding problems with their accounts.

Contact insurance companies to check on status of claims payments and write

appeal letters for denial on claims.

Perform various administrative functions for assigned accounts, such as

recording address changes and purging the records of deceased customers.

Encoder Nov 1990-Aug 1995

National City Processing - Louisville, KY

Enter commands, using computer terminal, and activate controls on computer

and peripheral equipment to integrate and operate equipment.

Type command on keyboard to transfer encoded data from memory unit to magnetic tape and assist in labeling, classifying, cataloging and maintaining tapes.

Education

High School Diploma: Basic

Southern High School - Louisville, KY

Basic Education

Jefferson Community and Technical College - Louisville, KY

Jul 1991

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