OBJECTIVE Seeking opportunities in an environment that will maximize the use of my interactive and problem solving skills.
EXPERIENCE
Sertec Corporation
Marietta, GA
Intake Specialist
Log general disability, auto and general liability claim information for various clients. Requires use of proper English due to reports may be used in court proceedings.
02/2006 - 11/2006
Jacobson Solutions (Wellpoint CA & Wellpoint Anthem IN)
Chicago. Il
Provider Care Representative
Provide benefits and claim information and ongoing feedback as necessary to providers. Verification/updating of demographics, benefits, eligibility and claim information for internal and external clients . research and investigate claim inquiries to determine if claim paid properly.
09/2004 – 08/2005 Cingular Wireless
Atlanta, GA
Specialist/Analyst III
Provide responsive technical support to both consumer and enterprise customers. Present customers with Wireless Data options based upon speed, reliability, security and ease of implementation. Methodically, effectively and accurately troubleshoot Wireless Data issues across multiple interdependent elements. Isolate and escalate undocumented Wireless Data issues for research and correction.
11/2003 – 6/2004 Best Software (Temporary)
Norcross, GA
Software Support Analyst
Receive, analyze, and resolve customer questions and issues regarding Peachtree' software applications and services primarily via direct telephone contact. Identify and respond to customer needs for additional products and services. Accurately update and maintain customer databases. Communicate effectively and efficiently in a fast paced environment.
11/2001- 4/2003 Magellan Health Services
Alpharetta, GA
Customer Service Representative
Assist members in acquiring services for mental health issues by verification/updating of demographics, providing benefits and eligibility information. Cooperate closely with various departments to ensure quality assurance and departmental compliance. Establish cases and obtain authorizations in the Integrated Products system. research and investigate claim inquiries to determine if claim paid properly.
6/1992 - 7/1999 AT&T
Marietta, GA
Customer Care Associate
Assist customers with billing problems through research and investigation. Discuss findings and offer possible resolutions to problems by following guidelines set forth by the company. Through assessment of current calling habits, offer customers products that will optimize the benefits derived from their long distance usage.
12/1989 - 6/1992 AT&T
Atlanta, GA
Rejected Service Order Clerk
Input data pertaining to rejected service orders. Gather and compile data into reports to analyze trends and causes. Convey possible resolutions to headquarters for minimizing rejected service orders.
During any gaps of employment, I held various jobs. I also served in the United States Army from 1983-1985.
EDUCATION
5/1981 Henderson State University Arkansas-Arkadelphia
Received a Bachelor of Science degree in Business Administration/major -Accounting.
Systems used: Aetna Workability System; CSStars; Facets, IVOS, Ultera, Cosmo, Contact Tracking System (CTS), Integrated Products (IP), CARE, Telegence, Clarify, Scopus, CURE, Claims Account Transaction System (CATS), Claims Account Processing System (CAPS), AS400, Windows 2000, Lotus 1-2-3, Microsoft Office, Internet Explorer, Peachtree Accounting software (includes Crystal Reports)
ADDITIONAL INFORMATION
Accomplishments:
Army Achievement Medal - for performance of duty in exemplary manner.
Rejected Service Order Reduction - reduced rejected service orders by 15% in the first year on the job by identifying problem areas and suggesting additional training for representatives.
Customer Commendations - received numerous customer commendations at AT&T for providing outstanding quality service.