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Click here or scroll down to respond to this candidateCandidate's Name
Customer Service RepresentativeHarrisburg, PA Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEWilling to relocate: AnywhereAuthorized to work in the US for any employerWork ExperienceCustomer Service RepresentativeUnited Concordia Inc-Harrisburg, PAJune 2014 to May 2017ResponsibilitiesProvide dental customer service to our internal customers and providers and the subscriber. My duty is to educate the subscriber of their benefits and to make the AccomplishmentsKnowing that I was able to assist the customers with the dental claims. Skills UsedStrong customer skills.Provider Service RepresentativeNovitas Solutions, Inc-Mechanicsburg, PAJune 2013 to June 2014ResponsibilitiesMaintain the overall integrity of the provider of the Gov to get them enrolled with Medicare and Medicaidprograms. Research additional programs for the provider. AccomplishmentsMaking the provider feel good about the service they received Skills UsedI used the on job training for customer and math for the money they spent out with Medicare DST ADVANCE GOVERNMENT MEDICAL CLAIMS EXAMINERDST HEALTH SOLUTIONS-Harrisburg, PASeptember 2011 to June 2013Processed and readjusted claims to be refunded to provider.Coordinated benefits between two or more insurance companies. Verify Subrogation claim, Work comp claims to determine primacy and fault.Provided excellent internal and external customer service by verifying Medicare, subrogation and DPW claims.Examined forms and other records to determine insurance coverage Liability ExaminerCapital BlueCross-Harrisburg, PAOctober 1989 to April 2011Processed and readjusted claims to be refunded to provider.Coordinated benefits between two or more insurance companies.Provided excellent internal and external customer service by verifying Medicare, subrogation and DPW claims.Examined forms and other records to determine insurance coverage.Collect evidence to support contested claims in court.Communicate with associates to verify employment record and to obtain background information. regarding persons or businesses applyingSr. Data Entry OperatorThe Computer Company-Harrisburg, PASeptember 1980 to October 1989Entered Department of Welfare claims into the system and audited other examiners work to ensure accuracy.Analyzed information gathered by investigation and submitted written report to supervisor.Monitored department workflow and issued batch work according to date received.Compared data with source documents to detect errors. EducationGEDOIC Learning Center-Harrisburg, PAAugust 1979 to November 1979high school diploma in educationHarrisburg High School-Harrisburg, PASeptember 1977 to June 1979Certifications/LicensesCPR/AEDOctober 2020Additional InformationCustomer Service OR Medical Claims Processing 05/10/2017 I'm sending this letter in hopes of gaining employment as a Customer Service Representative or anything that meets my expertise. I worked as a Medical Claims examiner for 22 plus years and I can offer my expertise to any company as well as allowing me to utilize my people skills, while assisting companies to promote sales. My strongest suits are in my ability to work well with people. I enjoy any opportunity to assist others any time the opportunity presents itself, and to go above and beyond so help external and internal customers as well.I look forward to hearing from you in the near future. |
