Customer Service Data Entry
Resume:
Diamond Miller
* ******** ** **********, ** ***** 336-***-**** April 20, 1993, *******.************@*****.***
Objective
Looking for a more reputable company to work and grow with. For years and years to come.
Education
June 2011-June 2013
GUILFORD TECHNICAL COMMUNITY COLLEGE
·June 2011-Current General Studies
JAMES B. DUDLEY HIGH SCHOOL
·June 2011- High School Diploma
Skills & Abilities
Strong interpersonal skills and the ability to adapt and flex styles in a quickly changing team environment.
Strong ability to effectively develop and lead a team, grasp concepts quickly, and articulate ideas effectively.
Strong planning and organization skills.
Professional demeanor and the ability to always interact with internal/external customers in a positive and professional manner.
Negotiation competency Active listening skills Seasoned in conflict resolution.
Sharp problem solver Courteous demeanor Employee relations specialist
High customer service standards
Customer service management expertise Troubleshooting skills Telecommunications knowledge
40 WPM
Salesforce
HealthCare
Sales
Prior Authorization (PA)
Workforce
Proficient MSR
HIPPA
IT
Fraud Specialist
Experience
OUTBOUND REP. REMOTE DATAFIED/ULTIMATE STAFFING PART-TIME FEBRUARY 2021- JULY 2023
Calling to offices and facilities
Auditing medical records
No Sales or Telemarketing
HIPPA, HEDIS
Express-Scripts (Helping members with prescriptions, communicating with pharmacy)
Claims
CUSTOMER SERVICE REP. REMOTE MARYLAND DEPARTMENT OF LABOR/VDART OCTOBER2021-OCTOBER 2022 BALTIMORE, MD
Being responsible for working at home independently.
PA (Prior Authorization)
Handling unemployment insurance claims for the state of Maryland.
Utilizing multiple forms and systems
One call resolution
Fraud
Claims
BENEFIT ADVOCATE UNITEDHEALTH CARE AUGUST 2018-JANUARY 2021 GREENSBORO, NC
Provide excellent customer service by responding to customer interactions via the telephone, email, or internet, in a professional, courteous, accurate manner while recording a brief overview of communication.
Resolve customer inquiries and concerns with first call resolution; assist with the members needs regarding benefits, eligibility, claims, financial spending accounts and correspondence.
Benefit Claims
Participates in and supports the development and implementation of special projects. Research and solve claims and billing issues.
Helps members with eligibility and benefits coverage questions.
Interfaces with insurance carriers, physicians, hospitals and other
Encourages self-sufficiency by assisting members in navigating company websites, cell phone applications, and tools.
Take ownership of each call to build rapport by providing resolutions on behalf of the member in real time.
PA (Prior Authorization)
Benefit Eligibility
Prescriptions
OPERATIONS SUPERVISOR ALORICA NOVEMBER 2016-AUGUST 2018 GREENSBORO, NC
Setting goals for performance and deadlines in ways that comply with the company’s plans and vision and communicating them to subordinates.
Organize workflow and ensure that employees understand their duties or delegated task.
Monitor employee productivity and provide constructive feedback and coaching.
Hire and train new employees.
CUSTOMER SERVICE REP . ALORICA APRIL 2015 – NOVEMBER 2016 GREENSBORO, NC
·Specializing in customer resolution by listening to customers and problem-solving skills. Answer inquiries, maintain and update data entry, handling escalated calls, as well as email request that need to be resolved from a corporate manner.
LIGHT INDUSTRIAL PROCTOR & GAMBLE DECEMBER 2012-APRIL2015 BROWN SUMMIT, NC
·Manage the movement of goods into and out of production facilities.
·Packed and unpacked product
·Loaded and unloaded trucks
·Lifted product 50lbs+
CREW MEMBER MCDONALDS JUNE 2011- December 2012 Greensboro, NC
Provide customers with a quick and accurate service
Take orders, take money from customers and provide accurate change.
Assist in preparing the orders for the customers. Multitask and be friendly to customers.
Contact this candidate