BOBBY EDWARDS

Customer Service Representative

Tucson, AZ 85705

adclpk@r.postjobfree.com

520-***-****

Authorized to work in the US for any employer

CSR 1

Centene Corporation - Tucson, AZ

May 2019 to November 2019

I would answer calls from providers for there patients to verify health insurance. I would verify deductibles,out of pocket max, copays for primary care visits and specialty office visits,coin insurance and DME "durable medical equipment". I would verify all procedures being done during the patients visit and verify if any cost applies during that visit. I would verify accumulation to see if member met deductibles and coin insurance if applies to members insurance. I also did claim status for providers. The provider would call ask for status of claim. I would bring up claim and provide info. The claim could be in denied status, approved status or pending status. Depending on status of claim I would provide info on what needed to be done. Examples could be if claim was approved I would provide amount and date claim paid out and how if direct deposit or check also if check was paid in bulk meaning more than one claim could have been paid on the check. If claim was in pending status provide info let provider know claim is in pending status it could be in the turn around time status still or if it was not handled or looked at in turn around time for decision. I would send back claim with notes on why I sent claim back. If the claim was denied I would provide status on denial it could be denied for many reasons examples could be claim was not sent in or received from Date of Service of time allowed to be sent in depending on insurance claim must be sent in from anywhere from 30-60 from Date of Service. If provider disagreed with decision I would advise a reconsideration could be sent in or last resort appeal can be sent in. I would provide status on both claim forms CMS-1500 and UB-04. Customer service representative/Dispatcher

Alorica - Tucson, AZ

February 2013 to March 2019

I would answer phone calls for customers with home insurance for Fidelity Home Insurance. I would set up a appointment from a

vendor that was contracted threw Fidelity to go fix the issue the client had it could be from dishwasher not working/leaking to busted pipe, refrigerator not cooling, AC unit not blowing cold air and plumbing issues. In some extreme situations I would expedite work order and call vendor myself to get work order expedited.

• Managed customer accounts

• Conducted customer service surveys

• Booked appointments for clients

• Worked in the inbound call center

• Collected and documented orders

• Responded to inquiries and issues

Dispatcher/Customer Service Representative

WORK EXPERIENCE

Kingman Roffing - Tucson, AZ

February 2006 to January 2013

I would dispatch Workers/Offers to the site were jobs needed to been. I would take incoming calls from customers who needed repairs done or who had leaks on there roofs. I would schedule each roofing tech for there job. I had to properly keep schedule organized so there would be no discrepancies between jobs. I would keep in touch with each roofing tech threw there personal company phone. When job was done I would record and document job is complete and release tech for open for next job and assign to new job. I would also call client make sure Kingman Roofing met satisfactory and rate technician. I would also have to make calls to clients if schedule had to be reassigned to another date or if tech is going to be arriving later than scheduled time.

• Managed client records

• Set up client appointments

• Performed customer service surveys

• Provided policy and service information

• Assisted customers with a warm and professional attitude

• Answered general questions

• Answered calls from customers and clients

• Resolved customer information and complaints

• Responded to claim inquiries

• Responsible for tracking and maintaining inventory Customer Service Representative/Team Lead

Afni Customer Services - Tucson, AZ

January 2004 to January 2006

I would answer phone calls for customers who needed to there online account for Verizon wireless account. I would reset password if needed help them in there account and navigate what there looking for if it's there bill or phone upgrades. I would also walk the call floor answer questions other reps. Had while on there calls. I would also take supervisor requested calls.

High school or equivalent

Amphitheater High School - Tucson, AZ

August 1998 to May 2001

Csr (8 years)

Customer service (8 years)

Customer support (4 years)

Receptionist (8 years)

Retail sales (8 years)

Call Center

Customer Care

EDUCATION

SKILLS

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Call Center Customer Service — Proficient

December 2019

Applying customer service skills in a call center setting. Full results: https://share.indeedassessments.com/share_assignment/esakq-obk-iy-puq Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

ASSESSMENTS

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