Service Representative Customer
Resume:
July **** - Present
Rosemary Ortiz
469-***-**** • *********@*********.***
Objective
Dedicated and personable Customer Service Representative with a proven ability to resolve issues quickly, build strong client relationships, and deliver exceptional support. Seeking to leverage strong communication skills, problem- solving abilities, and a customer-first mindset to contribute to your companies reputation for outstanding service.
Customer Service Representative
Customer Service Representative
Imagine 360, Dallas,TX
Answer inbound calls and respond to emails regarding medical insurance coverage, benefits, and claims.
Explain policy details, coverage limitations, and plan options in clear, understandable terms.
Assist members with filing claims, submitting required documentation, and tracking claim status.
Verify patient eligibility and coverage information using internal systems. Resolve billing issues, premium payment questions, and account discrepancies.
Communicate with healthcare providers to confirm services, authorizations, and pre-certifications.
Escalate complex or urgent inquiries to specialized departments or supervisors.
Maintain accurate records of all customer interactions and transactions in compliance with HIPAA and company policies.
Provide compassionate and professional service while handling sensitive medical and personal information.
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