Customer Service Insurance

Allison Barfield

Po Box ******, Houston, Texas **268 • 832-***-**** / 713-***-**** • ***********@*****.***

CAREER GOAL

To obtain an entry level position in the business field utilizing previous experience in customer service and education in business administration.

TECHNICAL SKILLS

• PeopleSoft

• Siebel

• CMS

• Insurance Verification

• Lotus Notes

• Windows 7

• Microsoft Word

• Isigmia

• Ercot

• Bill Matrix

• Kronos

• Workspace

• Snag It

• Genes Phone System

• Same time

• TBA/GUI

• YBR

• YCR

• Workflow

• Cs Pro

• Mid Market Project

• Microsoft Outlook

• Max Agent

• Easy Print

• Power Point

• Excel

• Plano gram

• CPT Billing

• ICD9 Coding

EDUCATION

Associates of Arts in Business Administration 2011

American InterContinental University Hoffman Estates, IL

EXPERIENCE:

Customer Service Agent

Aon Hewitt-Burnett staffing/Spherion

• Annual enrollment explain what health plans are available to participants

• The type of plans for Retiree benefits, Active benefits, Cobra benefits for employees

• Explaining eligibility for adding dependent to medical, dental, vision, and life benefits

• Troubleshoot issue on the website, reset password, create workflows for manual updates to insurance carriers, Plan Management to make changes to participants benefits, and sending updates to insurance carriers

• Explaining when participants can make other changes to their benefits after annual enrollment, has to be qualified status change- life event occurred

• Explain Retiree at 65 or Post 65 medical benefits

• Explain the three Healthcare spending accounts, HRA, and HSA

Customer Care Agent

Champion Energy- Aerotex

• Answer inbound and outbound calls while multi-task data into the system

• Enroll clients into great rate plans that affordable

• Email escalation issues with rates, deposit, payments, account receivable, switching from another electricity retail provider, re read meters, and other concerns by the customers would be mail to varies department

Mail Clerk

Stewart - Aerotek 2011

• Mailed confidential documents to clients of Bank of America

Medical Enrollment Coordinator Specialist 2006 - 2010

Coventry Health Care Houston, TX

• Processed PT, MT, Dental, Durable Equipment, In/Out Patient Hospital, Rehab Services claims, adjustments for misprinted CPT codes or wrong credential, enrollment and eligibility records, and Medicare Set Aside (MESA) referrals

• CMS guidelines used for Medicare information providers, Healthcare Providers, Partners, FFS Payments reviewing, acknowledging and reporting receipt of client files by using Med soft Billing Software

• Followed departmental guidelines by keeping customers updated on the issue, and resolved customer concerns within a team environment to meet or exceed customer service requirements for handling customers concerns turn around in 2-3 business day.

CSA Customer Service Associate 2005 – 2006

Hewitt Associate Houston, TX

• Communicated with participants who are members of large corporate health benefits pension, health care spending & child care spending account

• Helped participants understand how their coverage will benefit them. How to explain the complex issues like retiree plan and childbirth programs available to the clients.

• Processed annual enrollment for multiple clients and explaining the coverage options available to each clients living in different areas that provides HMO or PPO Plans.

• Responded to inquiries of office co-pays, plan deductibles, and how benefits apply to in-network physicians or out-network to each client whom enrolling in benefits for the first time or regular enrollers. Thoroughly explained how member's current plan works in comparison to other HMO and PPO plans.

• Provided instruction to the clients who assistance in correcting errors. The clients did not select or not wanted at the time of processing enrollment online.

Sales Associate 2005 – 2005

All Shoes $9.99 Houston, TX

• Assisted customers with purchases

• Priced new items on sale

• Changed monthly promotions signs from windows and change displays for new sales for the week

• Helped arrange accessories process weekly shipments shoes, purses, and other items as needed.

Associate Teacher (non-degree) 2004 - 2006

Houston Independent School District Houston, TX

• Assisted students with general detail to Lesson Plan provided by Teacher for Language Art, Math, Science, P.E., Reading and Special Education

• Created activities as needed for classes if no Lesson Planner

• Reinforced rules and regulation

Revenue Auditor 2001 - 2003

United Parcel Service Houston, TX

• Entered audit packages or materials into scanner

• Corrected weight with areas of United Parcel with grounds, air, domestic, and hazardous materials or packages.

CSR Customer Service Representative 2000 – 2003

Central United Health Life Insurance Houston, TX

• Helped clients interested in health care, life, cancer, and short term & long term disability policies.

• Coordinated clients benefits on paid up policies, pay off loans on life policies

• Refunding premiums to clients for electronic draft from checking accounts

• Corrected error payment posting to account of clients

• Researched the terms and conditions of the policies and mass mailed insurance policies to clients at request

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