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Service Representative Customer

Location:
Queens, NY
Posted:
March 04, 2023

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Resume:

Areille Brewster

347-***-****

South Richmond Hill, NY

KEY SKILLS:

Remote Customer Service

Insurance Industry experience

Claim Status Updates

Excellent Communication

Microsoft Office

EXPERIENCE:

*Remote Customer Service* (multiple companies) (2020 – current)

Farmers Insurance (Remote)

Claims Support Specialist

Obtain and keep records of client interactions, process client accounts, and file documents

Answering & routing incoming calls to appropriate claim adjusters.

Processing information regarding claims, routing emails to claim adjusters to contact calibers about vehicles

Outstanding customer service to all the callers and assist all coworkers with any and all issues that arises.

Gathered supporting documents to complete end-of-shift reporting and explain discrepancies.

Worked independently with minimal supervision.

Created enjoyable atmosphere for co-workers by engaging in positive and entertaining conversation through Webex channel.

Navigated company CRM with ease and multitasked in a fast paced working environment.

Responded proactively and positively to rapid change.

Upload photos/estimate and assign for inspection with licensed appraisers.

Assist with retrieving/distributing voice mails to assignment specialists and claim adjusters.

Loomis Co.-Bright Health Insurance (Remote)

Customer Service Representative

Proven ability to communicate via telephone and written correspondence with an enthusiastic and courteous demeanor.

Stellar people & listening skills.

Proven reliability, problem solving skills, and ability to work well under pressure in a fast-paced environment.

Proficient typing skills with minimal error count.

Knowledge of Microsoft Office products.

Healthplex, Uniondale, NY

Customer Service Representative (Remote)

Assists in an inbound call center by investigating and responding to all member inquiries regarding coverage, status of claims, and any other information that will assist our clients.

An unwavering commitment to an inbound customer service call center, with the ability to build productive relationships, resolve complex issues and win customer loyalty.

Answering & routing incoming calls to appropriate departments.

Responsible for assisting members with Medicaid, Medicare, and Exchange Coverage

Meet and report all statistical requirements to the Health Plan monthly.

Verifying member insurance eligibility and documenting into the medical manager system.

Efficiently answer inbound calls while resolving member issues concerning their dental coverage

Adhere to all attendance/punctuality policies and procedures

Absorb and retain information to ensure consistency when explaining benefits, regulatory items, and policy and procedures

Meet or exceed standards of quality and professionalism as set by both Healthplex and the NCQA

Marmur Medical Dermatology & Cardiology

Administrative Assistant / Customer Service

2019 - 2019

Confirmation of patient Insurance, Address and Pharmacy information.

Performing administrative and secretarial support functions, including answering multi – line telephones, direct and route calls, filing, photocopying, faxing, appointment scheduling, and upkeep of patient files.

Skilled with EMRs CPOE and relevant computer applications.

Verifying insurance eligibility of patient insurances and entering of patient demographics into medical manager system.

Restock, record of all sampled medications.

An unwavering commitment to customer service, with the ability to build productive relationships, resolve complex issues and win customer loyalty.

EDUCATION:

2014 American Heart Association New York

BCLS Certified

2012 SUNY BEOC Medical Assistant Brooklyn, NY

Certified Medical Assistant

Certified Phlebotomist

Certified EKG Administration Technician

2010 Beach Channel High School Rockaway Park, NY

High School Diploma



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