Experienced Healthcare Associate
Resume:
CELIA ANITA ROBINSON
Charlotte,NC 28269
CAREER SUMMARY
Customer Service Specialist with 7 years experience in the healthcare insurance industry with special skills in communications, training, and problem-solving. 2 years experience in public school system. A motivated team player whose strengths include:
Knowledge of medical terminology.
Knowledge of all insurance products.
Claim analysis and processing.
Proficient in Word, XP, Microsoft Outlook and Microsoft Excel.
Knowledge of HIPAA, CPT codes, ICD9 codes and state mandates.
PROFESSIONAL EXPERIENCE
CIGNA HEALTHCARE-Charlotte, NC 1999-2007
One of the nation’s leading providers of healthcare, disability, life, and accident insurance benefits provided through employers.
Senior Customer Service Representative
Customer Service Advocate for member inquiries and issues. Consulted with medical providers, members, employers and other insurance carriers about benefits, claims, and eligibility.
Performed on the National Dedicated Accounts team which handles CIGNA's most sensitive accounts.
Met or exceeded Quality and Production performance standards. Quality standard is 95%. Consistently met 98% or above. Production standard is 318. Consistently met 270 or below for the month.
Assisted with escalated issues and analyzed calls referred by customer service representatives for review.
Assisted with training in service center on numerous topics and soft skill enhancement. Provided floor support for new hires and up trained csa’s.
RICHMOND COUNTY SCHOOLS-Hamlet, NC 1997-1999
School system serving Richmond County.
Transportation Monitor (1997-1999)
Supervised mentally challenged individuals being transported to educational facilities.
Substitute Teacher (1998-1999)
Supervised middle schools students at educational facilities.
EDUCATION
Richmond Community College-Hamlet, NC
AAS, Computer Programming
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