Customer Service Representative

TROY JACKSON

***** *. **** ******, ******, CO ***12

720-***-**** / ******.****@*****.***

PROFESSIONAL EXPERIENCE

ALLIED UNIVERSAL, Supervisor, November 2022-March 2024

● Inspect and patrol premises, including 2 buildings/garages/offices

● Manage of team of 10 employees, scheduling, assigning locations

● Secure all exits, monitor surveillance, protect all assets, maintain Fire codes

● provide customer service to all clients, visitors, AED trained SPECTRUM Retirement Communities, Receptionist, October 2021-November 2022

● Provide answered phones, transferred calls,excellent customer service to members

● Greeted visitors directed guests to the appropriate departments

● Managed mail room, ordered supplies, billed invoices

● Scheduled meetings and set up meeting rooms

ANTHEM BLUE CROSS BLUE SHIELD, Customer Service Representative II, October 2020 - October 2021

● Provide excellent customer service to members

● Answer inbound calls regarding benefits, deductible plans, eligibility and providers

● Answer questions regarding CPT Codes and diagnosis codes

● Email customers their ID cards and provider lists DXC TECHNOLOGY, DENVER, Senior Executive Account Representative, June 2018 - October 2020

●Answered questions regarding provider eligibility, prior authorizations, password reset, and claims status

● Searched ICD-10-CM diagnosis and procedure codes for authorization approval

● Provide customer service to Medicaid members

AMERICAN CYBER SYSTEMS/XCEL ENERGY, Customer Service Representative II, June 2017- June 2018

● Answered inbound calls, assisting customers, answering questions, resolved customer complaints

● Provide excellent customer service to potential and existing HomeSmart from Xcel Energy customers for appliance repair and HVAC repair and sales

● Dispatched technicians to job locations

SHELL / 7 Eleven, Store Manager, October 2014 - June 2017

● Provide great customer service

● Oversee all store operations including scheduling, training and banking for day to day transactions

● Supervised employees and merchandise inventory

● Develop and maintain sales plans to grow the stores profitability KAISER PERMANENTE, Insurance Specialist, February 2014 - October 2014

● Provide great customer / patient service by answering questions in reference to referrals

● Entering highly sensitive information referencing customer / patient insurance information electronically, pertaining to Health Information Privacy Policy or HIPPA regulations.

● Work with doctors to advocate for patients in terms of reversing denied claims RMB, Insurance Specialist, August 2013 - February 2014

● Assist customer / patients by answering healthcare service questions

● Maintain customer / patient records by updating account information while maintaining strict confidentiality as regulated under HIPPA.

● Suggest viable options for account resolution

● Process payments for customers / patients; frequently exceeding goals for customer / patient debt collection

CONNECT FOR HEALTH COLORADO, Account Representative, June 2013-August 2013

● Assist Colorado Citizens (clients) in need of healthcare with the enrollment process for health insurance.

● Processed healthcare applications

● Verified potential tax credits for customers

● Referred clients to the proper brokers

● Follow up with clients as needed.

EDUCATION

● MOBERLY JUNIOR COLLEGE – MOBERLY, MISSOURI

Paralegal focus Completed 1995

● SALISBURY HIGH SCHOOL – SALISBURY, MISSOURI

Graduated Completed 1992

ADDITIONAL SKILLS

Polished professional with 10+ years in customer service

Technologically savvy with the ability to troubleshoot problems and issues very quickly.

Excellent verbal and written skills

Proficient in Microsoft Office, and various standard industry applications. (CMS, Salesforce, SharePoint and more). Strong analytical skills with ability to identify trends and determine appropriate solutions

High energy, team player with strict adherence to policy and procedure.

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