Customer Service Claims Representative
Resume:
JERR SMITH
Jackson, MS *****
***********@*****.***
Resourceful Customer Service Representative known for high productivity and efficient task completion. Specialized in communication, problem-solving, and time management skills, ensuring smooth operations in customer service environments. Excel in listening, empathy, and patience, which are crucial for addressing customer needs effectively and building positive relationships.
Creative Problem Solving
Building Customer Trust and Loyalty
Calm and Professional Under Pressure
Efficient and Detail-Oriented
Multitasking and Prioritization
Customer Retention Strategies
Verbal and Written Communication
Data Entry and Maintenance
Claims Investigation
Strong interpersonal skills
Appointment Scheduling
Registration and Admissions
Office Administration
04/2024 to 01/2025
CARENET HEALTH CARE
Jackson, MS
Claims Customer Service Representative
Developed positive relationships with customers by providing accurate information in a professional manner. Gathered and analyzed information from customers, evaluated claim eligibility, and completed necessary paperwork for processing.
Provided customer service to clients regarding their insurance claims inquiries. Processed payments for approved claims within established time frames. Utilized various software programs such as Microsoft Office Suiteand specialized applications used by the organization.
Advised customers on how to submit claims correctly according to policy terms and conditions. 06/2022 to 03/2024
FIVE STAR CALL CENTER
Jackson, MS
Customer Service Specialist
Demonstrated excellent communication skills in resolving product and consumer complaints. Upheld quality control policies and procedures to increase customer satisfaction. Made outbound calls to obtain account information. Improved customer service wait times to mitigate complaints. Relayed customer feedback to cross-functional teams to improve products and services. Consulted with customers to resolve service and billing issues. Answered inbound calls, chats and emails to facilitate customer service. De-escalated problematic customer concerns, maintaining calm, friendly demeanor. 09/2014 to 05/2022
COMFORT INN & SUITES
Jackson, MS
Front Desk Administrator
Cultivated professional relationships with guests, improving customer retention through coordinated service. Reserved guest rooms over phone, in person and via computer for travelers and provided confirmations. Contacted housekeeping services and maintenance personnel regarding problems with guest rooms. Collaborated with staff to meet incoming guest needs, smooth check-in processes and maximize satisfaction. Promoted loyalty by signing customers up for rewards program and encouraged repeat stays through exceptional service.
Facilitated successful front desk operations for high-volume hotel. KROGER
SUMMARY
SKILLS
EXPERIENCE
08/2000 to 04/2014
Byram, MS
Customer Service Manager
Rolled out operational improvements and solutions to deliver top-notch customer service. Conducted training and offered staff development opportunities to decrease process lags. Organized client contracts, records and reports to strengthen traceability. Audited customer account information to identify issues and develop solutions. Created effective business plans to focus strategic decisions on long-term objectives. Reviewed financial statements and sales or activity reports to measure productivity or goal achievement. Maximized profit by coordinating efficient team workflows, minimizing waste and controlling shrinkage. Formed and sustained strategic relationships with clients. HIGH SCHOOL DIPLOMA 05/1989
Lawerence County High School, Monticello, MS
ASSOCIATE OF ARTS: HUMAN RESOURCES MANAGEMENT
Copiah-Lincoln Community College, Wesson, MS
EDUCATION AND TRAINING
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