Customer Service Representative
Resume:
CORILYN HYLAND
*********@*******.*** 801-***-**** Littleton MA 01460
WORK EXPERIENCE
High Dollar Collector
Credit Collections Services
&Enforced strict compliance with collection regulations, safeguarding organizational integrity and minimizing risk.
&Research and verify consumer information is correct
&Call various consumers to gather payment for their outstanding vehicle or banking loans
&Use exceptional customer service and implore empathy to the consumer in their individual situations
&Negotiate and find suitable solutions for the consumer to repay their debts
&Maintain call QM's of 93% or higher
Medical Claims Adjustor
Public Employee Health Program
2013 - 2024 SLC UT
&Process various types of medical claims
&Responsible to know different benefit codes
&Make sure claims are paid correctly/ verify final payment screen
&Maintain an accuracy rating of 97+%
Customer Service Representative
Public Employee Health Program
2012 - 2013 SLC UT
&Handle incoming customer service
&Responsible to know different insurance plans
&Quote benefits from the different insurance plans
&Check status on various claims
Recovery Specialist
Public Employee Health Program
1999 - 2012 SLC UT
&Prepares various reports for department director and/or independent audits of the retirement board.
&Compile date in the quality audit report
&Audit claims from medical, dental, pharmacy, and Medicare supplement plans for accuracy and quality control
CAREER OBJECTIVE
Highly motivated, and creative with thirty years of experience in medical and dental insurance field. Analytical self starter with the ability to research and pay close attention to details.
EDUCATION
Degree not completed Business Management Stevens Henagar College
2010 - 2012
Murray UT
Program not completed Paralegal
Everest College
2007 - 2007
West Valley City UT
Not Completed Business Management University of Phoenix
2006 - 2007
Salt Lake City UT
Associates Degree Business Administration Mountain West Collage
2003 - 2004
West Valley City UT
Business Management
Phillips Jr. College
1992 - 1993
Salt Lake City UT
&Audited customer service telephone calls for performance and accuracy
&Receive and process reimbursement checks
&Send refund requests for overpayment
&Handle incoming calls relating to overpayment letters
& business communication and customer service
SKILLS
&Coordinates training issues with Training Manager
&Research reasons for overpayments
&Worked with closely with manager on issues that have gone to small claims court.
&Handle payment files on members making monthly payments
&Work directly with the subrogation department in the receiving and entering of settlement checks.
&Help to gather information for the subrogation department on Third Party Liability Questionnaires.
Customer Service Representative
Public Employee Health Program
1998 - 1999 SLC UT
&Handled more incoming customer service calls than others in the department
&Responsible to know different insurance plans
&Quoted benefits from the different insurance plans
&Checked status on various claims
&Handled irate customers
&Mentored new customer service representatives
Customer Service Representative / Client Service Coordinator
First Health Corporation
1993 - 1998 West Valley City UT
&Acted as Assistant Supervisor
&Responsible to know different insurance plans
&Quoted benefits from the different insurance plans
&Checked status on various claims
&Handled irate customers
&Mentored new customer service representatives
&Handled more incoming customer service calls than others in the department
&Worked with management to do various research projects
&Traveled with marketing department to a few clients to work out benefits
&Processed and adjusted claims with 100% accuracy
Mailroom Clerk
Arnold Machinery
1992 - 1993 West Valley City UT
&Stamped outgoing mail
Microsoft Exel / Microsoft Office Analytical
Customer service oriented
Problem Solver Teamwork Critical Thinker
&Typed outgoing checks for account payable department and/or other departments that needed a check
&Gathered all the mail in the building and made sure it was ready in a timely basis for pick up
&Organized and typed salesman expense reports for the CEO
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