Customer Service Client Services
Resume:
Summary
Skills
Experience
Tamika Franklin
Madera, CA 93637
***********@*****.***
Organized Insurance Clerk with the ability to convey information effectively. Excellent recordkeeping, mathematical and data reporting competencies. Exceptional telephone etiquette with 19 years' track record of success managing health insurance claims and inquiries. Familiar with computerized insurance records systems. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference. Enthusiastic client services professional with strong background directly interfacing with industry customers. Well-versed in products, services and consumer trends. Dependable achiever committed to holding highest ethical standards and maintaining customer trust. Settlement determinations
Documentation review
Coverage assessments
Outstanding clerical abilities
Exceptional recordkeeping abilities
Number-savvy
Organization
People skills
Team management
Supervision
Active listening
Communication
Decision-making
Verbal and Written Communication
Conflict Resolution
Microsoft Office
Data Management
Customer Service
Computer Skills
Allegis Group December 2021 to Current
Benefit Determinations
Madera, CA
Input communication with applicants into computer system to facilitate future clarification and knowledgeable support.
Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
Conducted interviews with applicants, explaining benefits process and which programs were available. Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
Gap, Inc. October 2021 to December 2021
Customer Service Representative
Sacramento, CA
Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service. Demonstrated excellent communication skills in resolving product and consumer complaints. Aetna, a CVS Health October 2002 to July 2021
Senior Claims Benefit Specialist
Fresno, CA
Collaborated with fellow team members to manage large volume of claims Complied with confidentiality regulations in handling customer information Precisely calculated refunds, premiums, and adjustments Education and Training
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines
Juggled multiple projects and tasks to ensure high quality and timely delivery. Madera Adult School September 2002
High School Diploma
Madera, Ca.
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