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Click here or scroll down to respond to this candidateCandidate's Name
Cedar Hill, TX Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEExceptional attention to detailStrong Communication skillsPersonable and friendly when interacting with customers Self motivated and able to work independentlyExcellent problem -solving skillsPrevious call center,customer and supervisor experience Authorized to work in the US for any employerExperience working with health care companies and prior authorizations. Work ExperienceMember Service /Pharmacy Help DeskIKS Health - Coppell, TXJune 2023 to July 2023My daily job duties consisted of receiving inbound calls from patients,providers,health insurance companies,lawyers,long term care facilities.Rehabs,pharmacies regarding patients copays,deductibles,and prior authorization statuses.Also providing their health insurance companies with information regarding the patient's account status.Updated patient's information and HIPPA regulations also.Explained to patient's what they were reponsible for paying per their visits to their provider's office for visits and surgeries.Member Service RepresentativePRIME - Irving, TXJanuary 2023 to March 2023My job duties consist of answering inbound calls from members who currently have different Health Insurance Plans.Also calls from doctors offices and specialist who are requesting information regarding Prior Authorization status before the patients procedure or prescriptions can be filled by their in- network pharmacies.Responsible for providing accurate information to members requesting information to see if there plans are still active.Making sure that I also provide members with the correct co-pay,deductible and out of pocket information.Customer Service Representative RemoteChime Solutions - Dallas, TXOctober 2022 to December 2022My daily job duties will consist of receiving incoming calls from patients, pharmacies, and clinics regarding the status of patients refills for prescriptions.Also updating patients information in the system such as addresses and telephone numbers.Business Operations AssociateCollabera (Wells Fargo) - Irving, TXAugust 2022 to September 2022My job responsibilities consisted of processing checks daily.Making sure that all payee information is correct.Imaging and scanning checks.Processing of correspondence letters. Vault TellerGarda World - Dallas, TXJune 2022 to July 2022My daily job duties consist of balancing of Bank of America,Wells Fargo,and Loomis and Fargo cash deposits daily.Entering of all cash into computer system. Customer Service Representative(Remote)Addison Group (Globe Life Insurance) - McKinney, TX April 2022 to April 2022My daily job duties consisted of answering inbound calls from policy holders, who were needing to make payments for their policies. Also updating their information that was provided to us such as new addresses, telephone numbers, add ons,transferred calls to correct departments. Customer Service Representative (Remote)Avantive Solutions (IPACESETERS)LLC - Tulsa, OKFebruary 2022 to April 2022I was responsible for answering inbound calls and placing outbound calls to customers who, were receiving certain health insurance plans,such as United Healthcare, Aetna,AARP,Wellcare,Mom's Meals,Medicare.I also placed orders for members healthy foods and over the counter products using the Wal-Mart online website.Verified their available credit amounts provided from their health care plans. Customer Response Specialist (Remote)Toyota Lexus Plano (Concentrix) - Plano, TXSeptember 2021 to October 2021My daily job duties consisted of answering calls for both Toyota and Lexus vehicle owners.Also helping customer's who's vehicle were needing towing service,sos assistance,also helped register their vehicles for all services offered by the dealerships.Customer Service Representative II (Remote)Omnicare365 (Maximus) Contract - Irving, TXMay 2021 to July 2021My daily job duties consisted of answering inbound calls,from patients needing information as to where they could go to receive Covid-19 vaccines.Updating information daily. Located vaccine sites by the zip codes that were given to us over the phone for service. Operations AgentMasTec Advanced Technologies - Coppell, TXNovember 2020 to November 2020My job responsibilities consisted of answering inbound and outbound calls from ADT customers. I worked in the scheduling department. Scheduling customers who's alarm service required upgrades. Claims Desk Adjuster (Remote)State Farm (Wardlaw Claims Services) - Irving, TXJuly 2020 to September 2020Responsible for the processing of Policy Holders Fire, Hurricane, Personal Articles claims. Updated all claimants information into computer system.Answered incoming calls. Call Center Agent (Remote)Navient (Duncan Solutions) - Irving, TXJune 2020 to July 2020My daily job duties consisted of answering inbound and outbound calls to assist with the claims for unemployment benefits for the state of Indiana residents.I was filing the claims for the people who had not received their benefits.Also entering information from the claimants into the computer system daily. SupervisorHms Host - Grapevine, TXMarch 2019 to March 2020I am responsible for supervising staff, helping prepare entrees, providing customer service, ordering of food and other items for the restaurant in the airport. Total Loss ProcessorAllstate Insurance - Coppell, TXJanuary 2019 to March 2019Performs clerical duties, including data entry, filing paper documents, email, calendar management, and word processing, handles claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.) Retrieves, prints, faxes, or mails supporting documentation to vendors or others as directed. Provides back-up for any support functions in the office. Receives, screens and routes incoming telephone calls and other electronic correspondence, Contacts or receives contact from customers or other claim related third parties to obtain and/or provide necessary file information to comply with quality and process standards, generates and sends appropriate forms to insured/claimant for completion, processes claims payments, completes all necessary forms, logs documents into the system, and routes them to the appropriate parties. Customer Service RepresentativeValeroJanuary 2018 to December 2018Resolve customer complaints via phone, email, mail or social media. Use telephones to reach out to customers and verify account information. Greet customers warmly and ascertain problem or reason for calling. Cancel or upgrade accounts. Assist with placement of orders, refunds, or exchanges. Processing TellerGarda World - Dallas, TXJune 2017 to October 2017Responsible for the accurate and timely verification of all customer deposits and orders delivered by armored carriers. Other responsibilities include the counting of currency, coin, and checks, the preparation of customer change orders, entering transactions into a computer, and balancing funds. SupervisorLa Madeleine - Dallas, TXApril 2015 to June 2017Interviewing, hiring, training, scheduling and managing employees, as well as overseeing inventory, including food and beverages, supplies and other restaurant equipment. Call Center RepresentativePFS Web - Dallas, TXDecember 2014 to March 2015Manage large amounts of inbound and outbound calls in a timely manner. Follow communication "scripts" when handling different topics. Identify customers' needs, clarify information, research every issue and provide solutions and/or alternatives. Seize opportunities to upsell products when they arise. Cash AdministratorDD'S Discount - Dallas, TXJune 2010 to November 2014Directs cash management operations to include daily cash administration, management of current accounts and bank relations. Monitors cash transactions to ensure that bank account balances to the report and any unusual items are investigated.TellerTexans Credit Union - Richardson, TXJune 2000 to December 2004My job responsibilities consisted of balancing cash drawer daily, balancing vault,providing customer service, balancing ATM deposits, cashed check,disbursed money orders,cashier's checks.Sold travelers checks.Processed wires,posted payments to members loans and lines of credit. EducationHigh school diplomaWest Mesquite High School - Mesquite, TXSeptember 1989 to May 1992El Centro College - Dallas, TXSkills Fluent ently perform above standards and expectations Administrative experience Bookkeeping Word Processing Customer service 10 Key Data Entry Over 15 years of experience Supervisor and Customer Service Industry Diligently strive to make workplace a pleasant experience for entire team MS Word/Excel/PowerPoint/Access, Windows XP-2000-Vista, Conflict Resolution, Scheduling, FNOL Customer Service; Call Center; Telephone Management Calendar Management English Excel in customer service; consist Accounts Payable/Receivable, Alphanumeric Filing; Data Entry/Keyboarding; Ten Key Data entry Intake Typing Manual and Electronic Records Management, Managerial ethics Microsoft Office Excellent impersonal relationship skills and oral/written communication Highly motivated and trained to produce optimum results; dedicated to excellence Typing Customer service Clerical experience Help desk Windows Cash handling Cash register Microsoft Access HIPAACertifications and LicensesTABC CertifiedFood Handler Certification |
