Customer Service Professional with Benefits Experience

Experience

Customer Service Professional (CSP)

Cambia Health Solutions • Lafayette, OR

**/**** - *******

Provided exceptional customer service to Medicare members by assisting with benefit questions, claims, appeals, and prior authorization

Initiated outbound calls to healthcare providers to facilitate member assistance Managed and resolved complaints and grievances in a timely and professional manner Collaborated with team members to ensure seamless customer service delivery Demonstrated strong communication skills in handling sensitive member inquiries Maintained accurate records of interactions and resolutions for quality assurance purposes Customer Service Representative

Premera Blue Cross • McMinnville, OR

10/2023 - 11/2024

Assisted providers by phone with benefit questions. Reviewed claims and prior authorizations. Reviewed appeals. Submitted complaints and grievance.

Customer Service Representative

TotalMed • McMinnville, OR

01/2023 - 09/2023

Assisted customers with applying for state benefits such as SNAP, TANF and OHP. Performed demographic changes when needed and assisted with benefit renewals.

Skills

Customer service, Computer literacy, Time management, Communication skills, Microsoft word Education

General Studies

North Salem High • Salem, OR

06/1998

Ginger Newton

**************@*****.*** / 503-***-**** / Lafayette, OR