High School Diploma:

Business Administration

American River College

Sacramento, Ca, United State of

America

Courseware in Business, Marketing

and Communications Continuing

education in General

Education, Courseware in

Business Administration and

Organizational Development,

Accounting and Business Math

2004

Certified Trained Phlebotomist:

Phlebotomy

National Career Education

Citrus Heights, CA, United States

Courseware in Phlebotomy, EKG

trained, CPR trained

Office Technician Certified:

Office Technician

Lincoln LCC

Sacramento, CA, United States

Trained in general office

technique, customer service,

telephone courteous skills,

business office organization skills,

adxfxy@r.postjobfree.com

Skills

• Strong organizational skills

• Active listening skills

• Seasoned in conflict resolution

• Sharp problem solver

• Courteous demeanor

• Energetic work attitude

• Fashion knowledge

• Opening/closing procedures

• Telephone inquiries specialist

• Customer service expert

• Telecommunication skills

• Adaptive team player

• Visual merchandising proficiency

• Inventory control familiarity

• Energetic work attitude

Education And Training

I am a highly qualified, detailed-oriented and hardworking customer service representative with more than 30 years of experience. Proficient in my knowledge of insurance related issues. Proficient in resolving issues with coverage, research, writing, case management and client relations. Expert computing and technology skills including competence in multiple software applications. Centene Corp. - Customer Service Health Representative Rancho Cordova, CA

08/2017 - 05/2022

TeleDirect - Answering Service Operator

Sacramento, CA

03/2014 - 06/2015

Rachel Martinez

Summary

Experience

• Reviewed account and service histories to identify trends and issues. Greeted customers to facilitate services, determine service needs and accurately input members information to aide in claim issue and members needs.

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• Assisted members each time they called with various health questions.

• Escalated customer concerns, issue and claim matter to supervisors.

• Worked with managers to develop service improvement initiatives. Resolved members inquiries per week to consistently meet performance benchmarks, accuracy and volume.

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Answered various inbound calls per day and directed to designated individuals or departments.

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Cultivated impactful relationships with customers and drove business development by delivering superior knowledge of health plans.

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• Assisted with locating physicians, urgent cares and hospital for members. Updates member information to assist in their inquiries about the health insurance.

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Adapted to changes with in the industry by keeping with changes with the corporate continuous changes.

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• Used PCP to log, manage, and record calls.

Transcribed and forwarded customer messages to various business and physician offices.

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• Maintained excellent customer satisfaction through polite, calm demeanor.

• Fielded incoming calls, answered questions, and transferred calls internally.

• Researched and quickly resolved customer issues. Communicated general company information to inquiring customers in a professional and pleasant manner to project a positive company image.

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Handled incoming calls with friendly and cheerful attitude for organization using numerous phone-line system.

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office skills

GAP INC DIRECT - CUSTOMER CONSULTANT I, II

Rocklin, CA

08/2009 - 01/2014

Created new processes and systems for increasing customer service satisfaction. Developed highly empathetic client relationships and earned reputation for exceeding sales goals. Computed accurate sales prices for purchase transactions. Prepared and sold broad range of customized merchandise to individuals and commercial accounts. Interacted with customers and retail buyers to follow-up on shipping statuses and expedited orders. Promptly responded to general inquiries from members, staff, and clients via mail, e-mail and fax. Accurately logged all daily shipping and receiving orders. Executed outbound calls to existing customer base resulting in 75 % increase in sales. Guaranteed positive customer experiences and resolved all customer complaints. Assisted customers with store and product complaints. Successfully interacted with customers and retail buyers to expedite orders.

CALPers - HEALTH CARE SPECIALIST

Sacramento, CA

01/1995 - 10/1996

Assisted state employees with enrolling in health and dental care. Assisted with enrollment issues in health care. Resolved benefit issues and dependent coverage issue with the state. Assisted with open enrollment with State of CA health care coverage.

Licensed Insurance Sales Specialist with State of California 2008-09 Answered calls with friendly and polite approach to engage callers and deliver exceptional customer service.

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Answered up to 40 calls per day in fast-paced environment, transferring callers to appropriate personnel.

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• Completed connections between callers, departments and professionals. Managed corporate phone services for bustling business with numerous employees by routing calls quickly and accurately.

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• Paged employees over the PA system to ensure prompt connection with callers.

• Computed accurate sales prices for purchase transactions.

• Logged all daily shipping and receiving orders.

Answered customers' questions and addressed problems and complaints in person and via phone.

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Activities And Honors

Contact this candidate