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New Orleans, LAEMAIL AVAILABLEPHONE NUMBER AVAILABLESeasoned Customer Service professional with 21 years of experience, seeking a Customer Service Agent role. Excelled in high-volume call environments at Maximus and United Healthcare, resolving inquiries, verifying information, and maintaining data integrity. Skilled in financial transactions and relationship building as demonstrated in banking and healthcare sectors. Work ExperienceWarehouse AssociateAmazon DSP-Houston, TXNovember 2023 to July 2024 Managed inventory through accurate receiving, processing, and storage, ensuring organization and accessibility. Prepared items for shipment, maintaining a focus on detail and efficiency to support fulfillment operations.Customer Service RepresentativeMaximus-Houston, TXOctober 2022 to November 2023 Processed and organized data from various sources, ensuring accuracy and compliance with data integrity and security policies. Digitized and managed documentation, utilizing document management systems for efficient record- keeping and retrieval. Delivered timely responses to information requests, maintaining detailed logs of activities and tasks to support operational efficiency.Customer Service AdvocateBrooksource/ United Healthcare-Houston, TXOctober 2021 to September 2022 Resolved incoming customer inquiries during initial contact, providing assistance with benefits, eligibility, claims, and financial spending account information. Educated customers on health benefit fundamentals, ensuring a clear understanding of their coverage and services. Managed a high volume of daily calls, averaging between 50 and 70, addressing and streamlining customer concerns and questions.Enumerator/ CSRMAXIMUS-Irving, TXFebruary 2020 to September 2021 Conducted detailed telephonic interviews to accurately compile census data. Collected demographic information to contribute to population statistics for specific towns, states, and countries.Member Service RepresentativeTeladoc Health-Lewisville, TXJuly 2018 to February 2020 Managed a high volume of inbound and outbound calls, facilitating member service requests such as registration completion, medical history documentation, and consultation scheduling. Conducted insurance verification to ensure accuracy and member eligibility for services. Provided support to healthcare providers by assisting with account setup and maintaining accurate member records.Member SVC Rep IMolina Healthcare-Irving, TXSeptember 2015 to July 2018 Addressed and resolved billing inquiries and service requests, explaining benefits and verifying details for both providers and members. Handled pre-authorization requests, status updates, and member complaints, ensuring adherence to regulatory requirements and company policies. Delivered product and service information to members, contributing to the retention and strengthening of member relations.Customer ServiceHumana Lifesynch-Irving, TXOctober 2014 to September 2015 Managed outbound communication with members to maintain engagement and facilitated re- enrollment procedures. Processed insurance premium payments via credit card and check, and conducted needs assessments to align members with suitable Medicaid programs.Customer ServiceAegis Communication-Dallas, TXMarch 2013 to October 2014 Addressed and resolved a range of customer inquiries, effectively troubleshooting and resolving complaints to ensure customer satisfaction. Processed insurance verification, handled payment transactions, and facilitated Medicare enrollments, maintaining high accuracy in a fast-paced call environment. Sales AssociateSally Beauty Supply-Grand Prairie, TXJanuary 2011 to February 2013 Delivered exceptional customer service by engaging with clients, addressing inquiries, and enhancing interaction with products. Managed financial transactions efficiently, operated cash registers, and maintained accurate balance records to meet established objectives.Sales AssociateWalmart supercenter-DeSoto, TXMarch 2007 to December 2010 Managed transaction processing and maintained inventory accuracy, ensuring streamlined operations. Provided customer assistance for electronics purchases and facilitated the opening of new credit accounts, enhancing customer satisfaction and engagement. Field RepresentativeU.S. Census Bureau-Dallas, TXOctober 2009 to September 2010 Conducted in-depth interviews and collected data through meticulous door-to-door surveys, ensuring accurate and reliable information for analysis. Managed survey materials and equipment, including the transportation and handling of items up to 30 pounds, to facilitate effective field operations.TellerCLIFFS CHECK CASHING-Dallas, TXMay 2006 to February 2009 Managed financial transactions with precision, ensuring the accuracy of both signatures and numerical data, while diligently verifying customer account balances during check cashing activities. Maintained the integrity of the teller cash drawer, executing end-of-shift balancing and preparing currency, coins, and checks for deposit with a focus on accuracy and attention to detail. Delivered exceptional customer service by processing various transactions including cashier's checks, loan payments, and account deposits, and adeptly resolving account discrepancies. Sales AssociateLord & Taylor-New Orleans, LAOctober 1999 to August 2005 Addressed customer inquiries, aided in purchase decisions, and resolved service issues to ensure a satisfactory shopping experience. Collaborated effectively with team members to maintain service excellence and meet customer needs. Managed point-of-sale transactions and maintained inventory levels to support store operations. EducationHigh School DiplomaJohn F Kennedy Senior High School - New Orleans, LA May 1998 to May 1998Skills CSR CRM Software Medical Scheduling Insurance Verification Microsoft Windows Microsoft Office Microsoft Excel Medicare Data Entry SharePoint (3 Years) Microsoft Powerpoint (4 Years) Computer Literacy Customer Support Windows Salesforce Customer Service Typing Supervising Experience Cash Handling Medical Terminology Medical Records Live Chat Leadership Customer Relationship Management Software Troubleshooting Analysis Skills Icd-9 Icd-10 CRM Software SharePoint Documentation Review Databases Sap Conflict Management Computer Skills Microsoft Office Microsoft Excel Communication Skills Customer Support CPT Coding Technical Support Microsoft Powerpoint EPIC Database (5 Years) Conflict ManagementCertifications and LicensesFood Handler Certification |