Customer Service Entry-Level
Resume:
Jvaughn Lee
*******.***@*****.***
Summary of Qualifications
- 8+ years of customer service experience, including remote positions.
- Strong professional phone etiquette with excellent attention to detail.
- Entry-level claims processing experience.
- Ability to self-motivate and work independently; knowledgeable in claims processing rules and guidelines.
- Demonstrates exceptional work ethic; positive and professional demeanor.
- Quick learner, effective under pressure.
Professional Experience
BCBS–Medicare Resolution Specialist/Claims Representative (Remote)
April 2022 – Present
- Entered and processed medical and dental claims for reprocessing.
- Provided claim status updates and handled 20-30 inbound calls daily, addressing customer service inquiries and prior authorization submissions.
Western Alliance Bank– Warehouse Mortgage Specialist (Remote)
March 2021 – January 2022
- Processed loan collateral, including promissory notes, security instruments, deeds of trust, and title policies.
- Performed clerical duties such as printing, scanning, and labeling loan documents.
- Managed loan files for sales and payoffs, ensuring compliance with Borrowing Base Certificate requirements.
Macy's– Credit Customer Service Representative (Remote)
August 2017 – February 2020
- Managed an average of 60 calls per day, providing support for account maintenance, address changes, lost/stolen reports, and credit inquiries.
- Analyzed and verified credit bureau information, employment, and income, ensuring compliance with adverse action requirements.
- Approved or denied new credit accounts, managed mail/phone queues, and participated in special projects.
Aetna– Insurance Specialist & Patient Counselor
March 2014 – February 2016
- Responded to an average of 35 calls per day, addressing customer service inquiries and providing patient insurance benefit options.
- Entered patient and healthcare provider demographics into the database, submitted clinical pharmacy overrides, and facilitated prior authorizations with physicians' offices.
Education
- High School Diploma
Skills
- Microsoft Office (Word, Outlook, Excel)
- Gmail and Google Applications
References available upon request.
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