Customer Service Professional with 30+ Years Experience

***** ** **** ** ***** Springs, Florida ***** • 954-***-**** • ************@*******.***

Marie Jocelyn Renaud

To join a growing organization where my skills and knowledge will be I utilized to its maximum in an oriented field

Experience

2001-2025 UnitedHealth Group Eden Prairie, MN

Senior Customer Service Specialist

Receives and responds to calls from members and providers regarding benefits, procedures, claims and protocols. Acts as customer assistance to resolve callers’ issues and problems. Perform claims inquiries and eligibility verification for providers. Resolves inquiries related to authorization, claims, enrollment, pharmacy, and billing.

Assist retiree group members with all their concerns. 1994-2001

Foundation Health

Care Florida Inc

Sunrise, FL

Member Services Representative

Managed member inquiries and concerns. Verified for Medical and Pharmacy issues.

Processed adjustments. --- Trained new associates for knowledge of company policies and procedures. Managed members’ complaints with accuracy and professionalism.

Managed a minimum of eighty calls per day –Knowledgeable in all lines of business: Medicare, Medicaid, Commercial and Individual products.

1992-1994 Physician Corporation of America Miami, FL Community Service Representative

Worked with Medicaid Recipients’ inquiries and concerns.

Processed complaints requests pertaining to the health plan. –Received and processed disenrollment requests. —Promoted health Plan’s Benefits

Dealt with Member Retention programs –managed inconvenient situations of members with accuracy and privacy. ---Evaluated trends in company’ procedures 1991-1992 Manpower Temporary Services Miami, FL

Education

1986-1988 Crown Business School Brooklyn, NY

Degree Obtained

Certificate in Word-processing

References

References are available upon request.

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