Customer Service Representative
Resume:
M
Tamisha
Matthews
mishabrooks***8@gm
ail.com
Las Vegas, NV 89119
SUMMARY
Dynamic Customer Service Representative with proven expertise at Anthem Blue Cross and Blue Shield, excelling in claims investigation and issue resolution. Skilled in fostering strong customer relationships, enhancing retention, and effectively managing disputes. Recognized for leveraging data analysis to drive solutions and improve customer satisfaction ratings significantly.
Customer Service Representative with background in providing exceptional support and resolving customer inquiries. Skilled in communication, problem-solving, and maintaining positive relationships with customers. Demonstrated ability to improve customer satisfaction and loyalty through attentive service and effective issue resolution. Committed to enhancing team performance by sharing knowledge and best practices in customer service operations. SKILLS
Verbal communication
Customer relationship management
Claims investigation
Issue resolution
Record keeping
Billing procedures
Data analysis
Customer retention
Dispute resolution
Policy interpretation
Problem solving
Complaint handling
Verbal and written communication
EXPERIENCE
CSR
Las Vegas, NV
Anthem blue cross and blue sheild/ May 2018 to Mar 2025 Demonstrated excellent verbal communication skills when interacting with customers. Researched required information using available resources. Developed strong customer relationships to encourage repeat business. Investigated and evaluated property and casualty insurance claims to determine coverage and liability.
Communicated effectively with policyholders, providing updates and explaining claim processes.
Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
Leveraged industry trends to shape solutions and approaches. Facilitated dispute resolution between customers and insurance providers when necessary.
Collaborated with health care providers, members, and other stakeholders to resolve issues in a timely manner.
Assessed appeals and grievances to determine eligibility for reconsideration or review. Monitored incoming correspondence from members, providers, employers, state agencies. to ensure timely response to inquiries.
Customer Service Representative
Las Vegas, NV
Sitel Contact Center/ Sep 2016 to May 2018
Conducted regular follow-up calls with customers after resolving their issues. Maintained detailed records of customer interactions, transactions and comments for future reference.
Updated system with order specifics and customer details, preferences, and billing information.
Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
Customer Service Representative
Las Vegas, NV
C3 Customer Contact Channels/ Nov 2015 to May 2016 Conducted regular follow-up calls with customers after resolving their issues. Maintained detailed records of customer interactions, transactions and comments for future reference.
Strengthened customer retention by offering discount options. Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly. Investigated questionable claims to determine payment authorization. Investigated properties, classified damages and created estimates outlining repair costs.
EDUCATION AND TRAINING
High School Diploma
Teltech May 2003
Palmdale, CA
Contact this candidate