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Service Representative Customer

Location:
Tampa, FL
Posted:
March 09, 2023

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Resume:

Sade Wheeler

Ruskin, FL *****

advs2k@r.postjobfree.com

229-***-****

A position as a customer service representative.

Customer-focused customer service professional with strong in-bound

And out-bound call center experience for leading communications

Companies and expert knowledge of wireless communications

Products. Skills include a demonstrated competency in Windows

applications, keyboarding proficiency and use of automated systems.

Articulate with excellent verbal and written communication skills.

Diplomatically resolve customer complaints and diffuse tension to

ensure customer retention Abilities Experience in interacting with

customers to provide information in response to inquiries about

products and services, and to handle and resolve complaints. Interact

with customers to provide information in response to inquiries about

products or services and to handle and resolve complaints,

communicate with customers through a variety of means - by

telephone; by e-mail, fax, regular mail; or in person. Representatives

handle general questions and complaints, whereas others specialize in

a particular area. Hard working, highly motivated team player with

over 15 years experience in the customer service field.

WORK EXPERIENCE

Claims Advisor

Health plan services

02/2019-9/2022

Assist with Client claims audits and the provision of summary reports and analysis prior to

renewal as directed;

Review and interpret policy wordings to obtain the best claims settlements for Clients;

Negotiate with Insurers/suppliers to achieve the most beneficial, cost effective settlement for

the Client;

Perusing recovery of losses on behalf of insurers and/or clients on all complex liability cases;

Challenging current work procedures and recommend process improvement or development;

Handling inbound telephone calls and responding appropriately and in a courteous and efficient

manner;

Deliver a first class claims handling service;

Negotiate with insurers to ensure the best outcome for your client;

Build strong relationships with colleagues, brokers and suppliers to ensure a seamless

claims handling service;

Acting as the first point of contact for customers abroad and requiring medical assistance;

Understanding policy terms and conditions;

Forwarding claims to internal teams to coordinate claims efficiently;

Ensure the accurate documentation of client conversations;

Take responsibility for every claim you handle and ensure all parties are kept informed;

Dealing with all emergency and non-emergency claims in a calm and empathetic manner.

CONCIERGE SPECIALIST

Global TPA Freedom Health Insurance

2016-10 – 2018-01

• Answers all telephone calls within established department standards.

• Tracks all existing member calls within the IKA database ensuring that documentation is concise and

factual.

• Participates in new employee orientation program and ongoing education programs as directed by

Super CAL visors.

• Responsible for fully understanding all lines of business benefits, medical management processes

,demographic change processes, and process for changing Primary Care Physicians (PCP).

• Answer "entry l evel" claims inquiries.

• Takes "Over the Counter" (OTC) orders for products and diabetic supplies.

• Understands and processes "entry level" enrollment and disenrollment procedures.

• Enters prospective members into Leads software.

• Maintains appropriate current source documents and reference documents.

• Performs quality work within deadlines with or without direct supervision.

• Interacts professionally with other employees, customers and suppliers.

• Works effectively as a team contributor on all assignments.

• Works independently while understanding the necessity for communicating and coordinating work

Efforts with other employees and organizations.

• As required, re-directs calls to appropriate department.

• Participates in any projects as assigned by Supervisors.

• Performs other duties as assigned.

Career Service Advisor

Ultimate Medical Academy

2015-01 - 2015-07

• Demonstrates knowledge of, and carefully follows all applicable=

• Federal and state compliance

Requirements and regulations including

• Those prescribed by the Department of Education, ABHES, and CIE.

• Effectively communicates compliance requirements to students and

• Other staff as appropriate and

Quickly escalates any compliance

• Concerns to the Compliance department.

• Develops and implements marketing plans to achieve graduation

• Employment goals.

• Builds effective relationships with local and regional corporations,

• Non-profit and government organizations and community partners to • identify employment

Opportunities and to promote the school's

• Qualified students, graduates and alumni.

• Cold calls hiring managers to generate interviews for graduates.

• Completes telephone interviews and e-mail correspondence to • prospective employers to determine

Their employment needs •

• Assists students and graduates in securing employment in their field

• Of training.

• Provides career coaching, including seminars and workshops on • interviewing techniques and other job

Search skills training to

• Students and alumni.

• Ensures the up-to-date maintenance of the Career Services database, • documentation, reports and

Students record in accordance with company

• Policies, government regulations and accreditation standards.

• Consistently meets department metrics and quotas including number of • dials, talk time, interviews,

Hires and monthly quota of placed

• Graduates.

BANK TELLER

TD BANK

2014-06 - 2014-12

Receive checking and savings deposits: verify cash and

Endorsements, receive proper identification for cash back,

And issue receipts of deposit.

• Examine checks deposited and determine proper funds availability based on regulation requirements

And complete Hold Notices.

• Process savings withdrawals.

• Cash checks: verify endorsement, receive proper identification, and ensure validity.

• Identify counterfeit currency.

• Answer basic customer inquiries regarding interest rates, service charges, and account histories while

Complying with disclosure requirements, regulations and consumer privacy policies.

• Cross-sell bank products and services.

• Refer customers to the proper department for issues that cannot be resolved at the teller line. • Count

And roll loose coins.

• Issue personal money orders and cashier's checks, accept orders and payment for U.S. Savings Bonds,

And sell American Express Travelers Checks (single & multiple signer).

• Accept loan payments: verify payment amount and issue receipts. • Buy and sell currency from the vault

As necessary, ensuring that teller drawer cash limits are not exceeded.

• Ensure teller station is properly supplied.

• Receive FICA payments: verify deposit coupons are properly completed and checks are made payable to

The "Bank".

• Accept county property tax payments.

• Balance and update savings passbooks, and close accounts when requested.

• Follow procedures for removing accounts for dormancy.

• Balance drawer daily, including periodic batching of cashed checks.

• Process cash advances, redeem U.S. Savings Bonds.

• Maintain appropriate currency logs.

• Follow all bank policies and procedures Customer Service

Representative (CSR)

One Touch Direct - Tampa, FL

2010-11 - 2011-04

Deliver world class customer service and build customer satisfaction and loyalty.

* Provide effective and timely resolution of a range of customer inquiries.

* Strive for one-call resolution of customer issues.

* Complete ongoing training to stay abreast of product, service and policy changes.

* Strike a positive and cooperative tone with both customers and coworkers.

* Demonstrate best judgment in the disbursement of adjustments and credits. * Increase the customer

experience by providing information on new products, rate plans, and services through up selling



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