Service Representative Customer

NAOMI R. JIMENEZ

480-***-**** adtw9a@r.postjobfree.com

Summary of Qualifications:

Insurance background with strong communication and experience in conflict resolution

Proficiency with making billing adjustments accordingly

Experience educating customers on insurance services including explanation of benefits

Personable, motivated, enthusiastic and responsible daily

Experience in Excel creating and maintaining spreadsheets

EMPLOYMENT

Lakeside Amusement Park- Denver, CO 07/2022-11/2022

Receptionist

• Handle incoming calls in regards to park hours, price admissions, and employee call ins.

• Checked in ride operators for their daily shifts and assigned to appropriate assignments.

• Document all guests concerns or complaints, and communication information to responsible

Personnel for proper handling.

Full-time Caregiver - Phoenix, AZ 11/2019 - 7/2022

Took time away from my professional career to act as a full-time caregiver to a family member

Assisted relative with daily task such as feeding, bathing, and dressing

USI – Tempe, AZ 10/2018 -11/2019

Accounting Document Specialist

Review and process 150+ insurance invoices from multiple insurance carriers.

Investigate missing invoices which include emailing and calling a variety of business partners

Match invoices to client and policies in Agency Management System

Manage 5+ general ledger accounts for all incoming wires and checks to ensure invoices have been received, reviewed and processed in a timely manner prior to month end deadlines

Optum - Phoenix, AZ 12/2014 – 10/2017

Insurance Customer Service Representative/Escalation Specialist

Answered incoming phone calls from insurance members, identified type of assistance they needed (benefits, eligibility, billing, premiums, authorizations, explanation of benefits)

Ask appropriate questions while actively listening to identify specific questions or issues while documenting the required information in computer system

Handled escalated calls, resolving more complex member’s issues in a one and done manner

Researched complex issues across multiple databases/worked with support resources to resolve member’s issues

Macy’s Inc. -Tempe, AZ 07/2008 - 06/2014

Customer Service Representative/Billing Adjustments

Provided various forms of support to external customers

Took over the phone payments through Ezpay system

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