Customer Service Rep

Nikia Dejoie

***********@*****.*** 678-***-**** Ellenwood, GA

SUMMARY

Seasoned professional with 15 years of experience, seeking a Customer Service Rep role. Expert in managing high-volume claims, enhancing client satisfaction, and negotiating payment plans. Proven track record in customer service, relationship building, and problem resolution from previous role at Harland Clarke Company. WORK EXPERIENCE

Blue Shield of California TTEC Remote - Atlanta, GA Certified Claims Professional Sep 2023 - May 2024

• Manage a high volume of claims to ensure timely resolution, maintaining accuracy and quality standards.

• Facilitate efficient claim processing by enhancing communication among patients, providers, and insurers.

• Negotiate payment plans for patients with financial challenges, balancing empathy with fiscal responsibility.

• Educate clients on insurance products, promoting informed decision-making regarding coverage options. Nikki's Makeup Lounge Atlanta, GA

Owner/Operator Jun 2018 - Present

• Consult with clients to evaluate individual requirements and recommend tailored cosmetic solutions.

• Train staff members to ensure proficient execution of daily operational tasks and maintain high customer service standards.

Harland Clarke Company

Customer Service Representative Jun 2000 - Jun 2009

• Managed inbound communications, efficiently processing orders across telephone, internet, and mail for business check products, ensuring a streamlined customer experience.

• Enhanced customer satisfaction by effectively resolving concerns and complaints, consistently maintaining high-quality service delivery.

• Contributed to sales growth by successfully promoting additional products to business account holders during service interactions.

CERTIFICATIONS

Certified Claims Specialist, Blue Shield of CA

SKILLS

Claims Management • Claims Analysis • Legal Compliance • Insurance Claims Review • Coverage Determination • Data Analysis • Policy Knowledge • Hipaa • Business Planning • Customer Service • Staff Management • Contract Negotiation Expertise • Financial Management • Staff Training • Customer Relations • Budget Development • Business Development • Quality Management Systems • Hiring and Staffing • Verbal and Written Communication • Investor Relations • Design Coordination • Profit and Loss Analysis • Sales Leadership • Business Administration

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