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Customer Service Insurance

Location:
Savannah, GA, 31322
Salary:
30,000
Posted:
May 17, 2011

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Resume:

Kelsey J.M. Bass

| **** Shepherd Avenue, Saint Cloud, FL 34771 | ph 407-***-****|

| Email: f7smb6@r.postjobfree.com |

OBJECTIVE:

• I wish to utilize and further my knowledge of the office environment. I wish to contribute to the business needs of the office.

ABILITIES

• 5 years of customer service experience

• Trained in insurance verification and policies

• Excellent soft skills

• Excellent written and verbal communication skills, with an eye for detail

• Extremely productive in a high volume, high stress, environment

• Proficient in the use of Microsoft, Microsoft Word, Excel, Office 2000 Professional, Compass (ESI), DOS Systems, ProServ, ProPBM, etc.

• Security Clearance from Department of Defense

• Trustworthy and Reliable in supervising and maintaining a team up to 20 employees

• Experience and efficient in handling finances

• Reputable in Patient and Customer Satisfaction

• Quick learner, able to retain information and take on new positions or roles

PROFESSIONAL

• Express Scripts, Inc. September 29, 2008- Present

Patient Care Advocate

* Currently assist Doctor offices, Pharmacists, and patients with pharmacy benefits, home delivery services and adjudication processes.

* Trained in determining and interpreting all types of insurance plans with deductibles, co-insurances, and coordination of benefits.

* I continually hold position of top-rated employees in Express Scripts. I was recognized twice in the “Circle of Excellence Awards Ceremony” during the year of 2010, for being one of the Top 10 Advocates in the site.

* I have been trained in multiple systems such as VAX, Compass, SmartCare Mail and Retail, ProServ, ProPBM – All systems used to interpret order status, prescription verification, Doctor information, etc.

* I have held many titles throughout being employed with Express Scripts. I am currently an Advocate Support Center representative, meaning I hold supervision over Patient Care Advocates and fulfill any obligations with the pharmacy or patients and clients. I also reach out to Account Managers of large insurance groups to verify eligibility and benefits. I am trained in adjudicating claims through major insurance providers and how to handle rejected claims.

• Liki Tiki Village, Clermont, FL March 2008-September 2008

Server

* Performed several types of customer service.

* Maintained a well-organized and accurate bank.

* Ensured return of visitors and guests during my reign and received letters of appreciation from families. While supervisors and management was away, took supervisor role and ensured the restaurant maintained professionalism and structure.

• Chili’s, Orlando Int’l Airport, FL June 2007-March 2008

Server

* Worked in a high volume environment. Handled many guests at one time. Maintained a well-organized and accurate bank at all times. Great feedback from travelers and guests in the restaurant. Managers were able to rely on me and trust me to get the job done.

• Pacific Sunwear, Orlando, FL March 2006- September2006

Customer Service, Retail

* Assisted customers in a high volume, and high pressure environment.

* Promoted to Senior Sales for having a positive attitude, handling large amounts of money efficiently, and being prompt and dedicated to work.

* Well-trained in customer service when first hired and continued to carry out customer service duties. Also, performed clerical duties once or twice a month to keep business up-to-date with inventory.

• Jack Long, Florida Family Insurance, FL

Secretary

* Performed clerical duties efficiently.

* Helped the insurance adjuster keep files well organized to make locating claims and clients fast and accurate.

Education

• Graduate of Saint Cloud High School, year 2007

• Valencia Community College, Kissimmee, FL

Associates in progress

• Nursing Program, 2004

Obtained a Certificate for Certified Nursing Assistant in 2006



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