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Title Customer Service Representative
Target Location US-SC-Columbia
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Customer Service Representative Columbia, SC

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Candidate's Name
Columbia, SCProfessional Summary:Worked in Customer service with 5+ years experience.Phone Representative with 3 years of experience.Claim Representative with 3 years experience.Management with 10+ years experience.Skills:SAPMS ExcelMS PowerPointMS OutlookMS WordEducation:High School Diploma  Airport High School (Completed) Certifications:Rutledge College - Columbia, SC, March 1988 to November 1988Licensed EKG TechMidlands Technical College - Columbia, SC, August 1984 to December 1984Certified in NursingProfessional Experience:Blue Cross Blue Shield, Columbia, SC Aug 2022  Feb 2023 (6 months) Customer Service AdvocateDetermines whether to return, deny or pay claims following organizational policies and procedures.Ensured claims are processing according to established quality and production standards.Took customers calls regarding denial of claims.Searched whether the customers need IV cards or not.Provided information related to the coverage of claims. Prosper - Finance Company May 2022  Aug 2022 (3 months) Customer Service AssociateResponsible for doing Paramount staffing.Responsible for pulling credit reports.Answered customer queries on the phone.HGS Health Care Sep 2021  Jul 2022 (10 months)Customer Service RepresentativeAssisted customers with policy.Processed Claims on policy.Provided access to a doctor.Took payments.Checked authorization for patients procedures.Managed things on policy.Blue Cross Blue Shield Of South Carolina Jan 2021  Jun 2021 (5 months) Customer Service AdvocateDetermines whether to return, deny or pay claims following organizational policies and procedures.Ensured claims are processing according to established quality and production standards.Took customers calls regarding denial of claims.Searched whether the customers need IV cards or not.Provided information related to the coverage of claims. HGS Sept 2021  Jul 2022Health Care Customer Service RepresentativeAssisted Customer with policy.Processed Claims on policy.Accessed a doctor.Took payments.Checked Authorization for patients' procedures.Managed things on policyProsper finance company Feb 2021May 2021Customer Service AssociateParamount staffingPulled credit reports.Reason for Gap: Health issues April 2003 to January 2021 Blue Cross Blue Shield of SC - Columbia, SC Feb 2001Mar 2003 I S PurchasingOrdered equipment for new employees to start work. Such as computers, telephones, files, and software for computers.USC OBGYN - Columbia, SC Nov 1995Jul 1999Customer Service RepresentativeScheduled appointments.Pulled charts.Filled information.Garris insurance - Columbia, SC Nov 1995  Jul 1999 Insurance SpecialistFront end Customer serviceTook payments.Pulled driving records.Gave quote on auto policy.

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