Customer Service Representative

Fort Oglethorpe, GA ***** 423-***-**** ************@*****.*** WWW: Bold Profile

KIM RIDDLE

Dynamic Customer Service Representative with a proven track record at Family Medical Care Plan, excelling in problem-solving and critical thinking. Demonstrated expertise in data entry and customer relations, significantly enhancing customer satisfaction. Skilled in handling complex issues, ensuring resolutions that benefit all parties. Committed to excellence, with extensive call center experience.

Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively. PROFESSIONAL

SUMMARY

SKILLS ● Customer Service ● Problem-solving abilities

● Active Listening ● Critical Thinking

● Data Entry ● Customer Relations

● Call center experience ● Computer Proficiency

CUSTOMER SERVICE REPRESENTATIVE 01/2021 to 08/2024 Family Medical Care Plan, Rossville, GA

CUSTOMER SERVICE REPRESENTATIVE 03/2020 to 09/2020 BCBST, Chattanooga, TN

WORK HISTORY

● Eligibility and benefits

● Claims processing

● Assist members incoming calls

● Manged voice mails and returned calls

Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.

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Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.

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Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.

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● Communicated via telephone to members,vendors,and medical providers

● Provided excellent customer service

Verified that claims processed and paid correctly for members and providers pre the request

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● Assist with processing claims for Medicare Advantage and Supplemental Plans

● Assist with all overtime requested to assure that members were taken care of

● Assist providers and members with appeals.

● Worked weekends and nights when needed

Georgia Northwestern Technical College, Rome, GA

Associate of Science, Business, 06/2018

EDUCATION

REFERENCES Angela Bridges- Customer Service Manager Family Medical Care Plan 423-***-****

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