Customer Service Representative Remote Position Candidate
Resume:
Doniele Smith
Columbus, OH *****
***************@*****.***
Authorized to work in the US for any employer
Work Experience
Customer Service Representative
Automated Health Systems-Columbus, OH
October 2023 to Present
• Assist customers with claim status for NCDES, NCUI,
•,Ensuring accuracy and compliance with company guidelines.
• Guide customers through the claims process, filing for unemployment claims, collecting necessary
information
• Educate customers on requirements, claim process and procedures.
• Maintain accurate records of customer interactions, transactions, and inquiries in SCUBI systems.
Customer Service Representative
Independence Blue Cross-Columbus, OH
June 2022 to September 2023
1. Assisted member's with claim inquiries
• Adhere to company policies and procedures
• Communicate member's benefit information and status.
• Research CPT codes and medical policy
• Assist with escalation.
• Advocate for member's to providers and other organizations
• Ensure documentation and route to proper queue
• Follow up as needed to ensure resolution
Customer Service Representative
Klarna-Columbus, OH
September 2021 to March 2022
• Provided online customer support
• Assist member's with online orders
• Research and submitted disputes on members behalf
• Advised and assisted member's of payment plan and other issues
• Maintained 80 percent in CSAT scores
• Managed customer accounts
Customer Service Representative
Automated Health Systems-Columbus, OH
February 2018 to September 2021
• Complete enrollment of member benefit choice
• Conducted renewals for next benefit period
• Assisted member's with inquiries regarding their benefit policy and procedures
• Escalation of calls to supervisor on members request
• Conducted follow up to ensure effective resolution
• Ensure proper documentation
• Resolved customer issues
• Worked in the inbound call center
• Responded to inquiries and issues
Education
High school diploma
Thomas J. Corcoran - Syracuse, NY
September 1989 to June 1993
Skills
• Customer service
• English
• Communication skills
• Phone etiquette
• Customer service
• Customer support
• Communication skills
• Live chat
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