Outstanding Customer Service Skilled Representative
Resume:
Joanna Aguilar
Brownfield, TX 79316
903-***-**** ******.*********@*****.***
Experience
Dental Customer Service Specialist
Anthem BCBS
November 2023-Present
Communicate with Plan Members & Dental Providers over the phone, assisting them with their questions and concerns regarding their Dental policy.
Appropriately document Member’s policies with the proper workflow.
Have a working knowledge of HIPAA and other Medical Insurance regulations, including Dental procedure codes and reimbursement protocols.
Retention Specialist
American Income Life
July 2023-October 2023
Handled inbound and outbound calls for the Retention Department.
Assisted Members with their Life Insurance policy questions, monthly premiums payments, and coverage details.
Properly documented the polices with proper workflow.
Customer Service Support Representative
Foundever (formerly known as Sykes/Sitel)
November 2021-February 2023
Responsible for handling inbound calls for Wellcare (Medicare Advantage Plan)
Assisted plan Members with their questions and concerns regarding their advantage plan benefits, deductibles, premium payments, and claim information.
Located In Network Providers for the Members to schedule appointments for care.
For the Elder Members I assisted more so by reaching out to the Providers offices to schedule appointments for care, as well as Transportation details and pharmacy inquiries.
References
Angela Martinez
Human Resources Director; Penske
Christina Powell
Office Manager; J &L Oil Services
Dallas Hanson
Floor Supervisor; UPS
.
Education
Central High School
San Angelo, Texas
GED; August 12, 1999
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