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Title Customer Service Quality Assurance
Target Location US-GA-Columbus
Email Available with paid plan
Phone Available with paid plan
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J. PughStreet Address  Pinecrest DriveColumbus, GA Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfileProject Coordinator-Customer Care-Claims RepresentativeCertified Customer Service and Quality Assurance Specialist with over 20 years of experience within the clerical field. Possess a high degree of accountability with above average organizational skills. Reliable, dependable, and self-motivated with a keen eye for detail. Processed claims proficiently with minimal supervision, assuring accuracy within a timely manner.TECHNOLOGY SKILLSETWindows 10, Windows 3.1, 95, 98, NT & XP  VISTA Mail - Microsoft Word, Excel, & PowerPoint  SharePoint - WordPerfect  Word  Publisher  Notebook - Pronto E-mail  GroupWise AR MEd next. Alyce, Facets- Claim Processing E-mail  Outlook E-mail - TCP/IP User Mail for PC NFS  BCAS (Base Contracting)  Sperry  WANG - ArcView (software for designing maps)  MUPS (Municipal & Utility Package Software)  BANNER Software Package  STI and OASIS (Student Database)  AS400 (supply ordering/tracking) -EXPERENCESGS, Remote, Columbus, GaIntake Coordinator/Customer Service Representative2/ 2021-PresentAssisted with coordinating pre- authorizations received from physiciansUpdated client information as neededResponded to inquiries related to medical informationDish Network, Remote, Columbus, Ga9/2019-2/2021Customer ServiceManaged policyholder account informationAnswers to inquiries related to pricing and packagingAccepts monetary transactionsEnsures professionalism with each callSykes, Remote, Chicago Illinois6/2017-11/2018Customer ServiceResponded to customer inquiriesAccepted monetary transactionsFollowed up to with researched information via emailAflac, Columbus Ga.6/2011-2/2017Customer Service/ ClaimsManage policyholder insurance policy inquiriesAssists with the managing and processing of claimsAssists with processing paymentsAnalyze and verify proper claim processingIdentify ICD-9 Coding for accurate benefit processingAccounts Receivable administrative dutiesInvestigated and resolved payment discrepanciesCapital One/GreenPoint Mortgage, Columbus, GA5/2005  6/2010Customer Service/Call Center MonitorMaintained quality control/satisfaction records, constantly seeking new ways to improve serviceCollaborated with monitoring team for redundant task resulting in a reduction of costManaged consumers mortgage loansMonitored inbound and outbound calls handling 100 plus accounts dailyAlleviated delicate situations with professionalism and sensitivityEDUCATIONPurdue University GlobalMaster of Science in Health Education  February 2025Master of Science in Human Services  February 2022Bachelor of Science in Human Services in Youth/Family Service Administration  February 2020

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