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Customer Service Representative

Wickliffe, OH
September 30, 2023

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Qineica Hagwood


Spectraforce Technologies – Amerisource 11/2022 – 07/2023

Benefits Verification Specialists

Responsible for verifying all patient benefits

Answered incoming calls from providers, carrier groups regarding insurance coverage

Researched eligibility information

Acted as the liaison between parties to ensure information is collected and procedures are followed

Utilized Citrix software

MetLife 01/2020 - 05/2021

Customer Service Representative

Contacted customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.

Reviewed claims adjustments with dealers, examining parts claimed to be defective, and approving or disapproving dealers claims.

Referred unresolved customer grievances to designated departments for further investigation.

Conferred with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.

Reviewed insurance policy terms to determine whether a particular loss is covered by insurance.

Amtrust Financial Services, Inc. 04/2018 - 11/2019

Customer Service Representative

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

Kept records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.

Determined charges for services requested, collect deposits or payments, or arrange for billing.

Resolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.


Shaker Hts High School

High School Diploma in General Studies

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