Customer Service Insurance

Zena Walker

***** ***** **** **** ********, TX **407 281-***-**** – Home 281-***-**** – Cell

********@***.***

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OBJECTIVE:

I have an understanding of the sales cycle, customer account management and service philosophy. I’ve establish a rapport with the customer using interpersonal skills. I’m multi-task and have excellent time-management, planning and organizational skills.

Exceeded customer expectations whenever possible.

Maintained effective relationships with customers and gain their trust and respect.

Identified ways to meet customer’s expectation cost-effectively and efficiently.

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EXPERIENCE

McNeill Elementary School

7300 S Mason Rd. Richmond TX, 77407

Paraprofessional 10/2009 – 6/2011

Served on the Executive Administration Board for McNeill Elementary

Principal of 2010-2011.

Modify Required Curriculum with teacher assistance

Communicate / documented academic and development progress

Develop / implement developmentally appreciate activities

Assist with implementation of State and District required curriculum

Buckner & Buckner Solutions 8/2004 – 3/2006

3900 Hollywood Blvd. Hollywood, FL 33021

Customer Account Representative

I’m Responsible for counseling and assisting clients with their inquiries or concerns. Assist and serve as the backup for Account Managers during their absences or unavailability. Share responsibilities for handling the service calls from those assigned groups. My client list is consists of: Broward County Government, School Board of Broward County. I am also responsible for the facilitation of resolutions for problems such as member eligibility, claims, insurance verification, pharmacies and service concerns.

Make field visits to different schools to assist employees with claims, pharmacy and insurance issues.

Work permanently on site at the Schools Board of Broward County benefits office.

Act as a liaison with internal and external contacts (e.g., members, providers, Benefits Administrators, etc) Assist in meeting with members in person

Develop new relationships with healthcare providers

Knowledgeable in Medicare guidelines, Claims Processor/Examiner/Adjuster and Explanation of Benefits (EOB)

Prepares proposals, quotes and recommends coverage based on customer needs.

Ran events at various venues to promote Vista Health Plan.

Customer Development Representative

Prepares proposals, quotes and recommends coverage based on customer needs.

Create and maintains computer files and suspect files for follow-up action

Build relationships with key decision makers

Conduct seminars, presentations, and meeting with key customers

Provide answers to questions and resolutions to issues from customers including but not limited to Contractual Benefits; benefit eligibility and benefit explanation.

Provide general customer information (i.e. ID cards; brochure; policies and procedures, enrollment issues by phone and onsite.

Insurance Verification and Claims Processor/Examiner/Adjuster

Vista Health Plans (Formerly HIP Health Plan)

1340 Concord Terrace Sunrise, Florida 33323

Account Service Rep/Customer Account Representative 4/1996 – 8/20040

I’m Responsible for counseling and assisting clients with their inquiries or concerns. Assist and serve as the backup for Account Managers during their absences or unavailability. Share responsibilities for handling the service calls from those assigned groups. My client list is consists of: Broward County Government, School Board of Broward County. I am also responsible for the facilitation of resolutions for problems such as member eligibility, claims, insurance verification, pharmacies and service concerns

Sales presentations where 4 out of 5 employees choose Vista

Work permanently on site at the Broward School Board’s benefits office

Act as a liaison with internal and external contracts (e.g., Members, Providers, benefit Administrators etc)

Provide answers questions and resolutions to issue members have including, but not limited to Contractual benefits, benefits eligibility and benefits explanation, general services.

Knowledgeable in all enrollments process

Hosted training workshops for customer service department for new employees.

Explanation of Benefits (EOB) Prepare itemized statements, bills, or invoices; and record amounts due for service rendered Insurance Verification and Claims Processor/Examiner/Adjuster

Ran events at various Venues to promote Vista Health Plan.

Education

Sheepshead Bay High School

3000 Avenue X

Brooklyn, NY

Stenography Institute

848 Broadway

Manhattan, NY

Beacon Career Institute

2900 NW 183rd Street

Miami, FL

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