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Call Center Representative(Healthcare and Financial Svc)

Location:
Milwaukee, WI
Salary:
20.00
Posted:
December 13, 2022

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Resume:

DeVonne Smith

Customer Service/Call Center Representative

Milwaukee, WI

adt08p@r.postjobfree.com

414-***-****

Dedicated Account Executive/CSR with motivation to maintain customer satisfaction and contribute to company success.

CORE STRENGTHS

•Proficient in Microsoft Word, Excel pivot tables, Spreadsheets, Outlook and Peachtree

•Strong organizational skills

•Excellent communication skills

•MS Windows proficient

•Fast learner

•Courteous demeanor

•Strong client relations

•Customer service

•Telecommunication skills

•Multi-line phone usage

•Adaptability

Work Experience

Claim specialist Tier1 support

STATE OF MICHIGAN UNEMPLOYMENT OFFICE

April 2020 to January 2022

•Assisted members with submitting weekly claims and pandemic applications / claims.

•Navigated members on website on how to file and submit appeals.

•Monitored and notified Fraud department on suspicious activities.

Benefit Verification Specialist

AMERISOURCE BERGEN-LASHGROUP–Fort Mill, SC

November 2019 to March 2020

•Verified patients’ specific benefits and precisely documented specifics for various payer plans, including patient coverage, cost share, and access/provider options according to Program specific SOPs.

•Collected and reviewed all patient insurance information needed to complete the benefit verification process.

•Identified any restrictions and details on how to expedite patient access.

Customer Service/Call Center Representative

GUARANTY BANK - Milwaukee, WI

January 2018 to November 2019

•Performed accurate transactions and account maintenance

•Provide enthusiastic, professional, accurate and efficient member service via the telephone

•Provides members with general information regarding their accounts, policies and services.

Customer Service/Call Center Representative

AURORA HEALTHCARE - Milwaukee, WI

September 2017 to December 2017

•Updated insurance, financial responsibility and other data when changes or additions occurred, and communicated to patient as appropriate.

•Monitored patient flow to ensure they were cared for in the most efficient and courteous manner.

•Accurately records all calls as applicable.

Customer Service/Call Center Representative

MOLINA HEALTHCARE - Milwaukee, WI

January 2017 to August 2017

•Responds to incoming calls from members and providers excluding provider claims calls.

•Achieves individual performance goals as it relates to call center objectives.

•Assists callers with Web Portal registration and utilization.

Customer Service Representative

HSA BANK - Milwaukee, WI January 2015 to January 2017

•Orders, cancelled accounts, or obtain details of complaints.

•Verified transactions and history, including disputes.

•Navigated customers with online banking login and setting up accounts.

Mortgage Servicing Specialist

WELLS FARGO HOME MORTGAGE - Milwaukee, WI

January 2014 to November 2014

•Resolve customer's service for billing and payments by performing activities such as applying payments to their principle or escrow accounts, looking up tax and insurance issues, adjusting late charges and other fees, answering mortgage questions and faxing over important documents such as deeds, notes, loan information, opening up work orders, transferring funds.

•Updated address and bank information.

•Refer customers to different departments for further investigation transferred through telephony.

Customer Service/Call Center Representative

JC PENNY'S - Wauwatosa, WI October 2013 to January 2014

contract)

•Checked to ensure that appropriate changes were made to resolve customers' problems.

•Resolved customers' service or billing complaints by performing activities such as placing orders,exchanging merchandise, refunding money, adjusting charges

•Assisted with credit card applications, updating change of address records, resolving shipping issue, and Warranty service

Customer Service/Clerk

LOWE'S HOME IMPROVEMENT - Wauwatosa, WI

September 2008 to August 2013

•Arranged for repair and replacement of defective items covered by warranty.

•Took orders for merchandise,rentals and repairs.

•Notified customers when service was completed . submitted credit card applications, applied credits to accounts refunded and accepted payments. Created sales quotes

Office Assistant

GOLD FISH UNIFORMS - Milwaukee, WI

July 2005 to March 2008

•Maintain and update filing, inventory, mailing, and database systems, either manually or using a computer.

•Communicate with customers, employees, and other individuals to answer questions, disseminate or explain information, take orders, and address complaints.

•Open, sort, and route incoming mail, answer correspondence, and prepare outgoing mail.

Education

High school or equivalent Malcolm X College - Chicago, IL August 1984 to January 1985

Skills

•Call Center

•CSR

•Customer Service

•Administrative Experience (10+ years)

•Data Entry (10+ years)



Contact this candidate