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Click here or scroll down to respond to this candidateCandidate's Name
Lakeland, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEDedicated Customer Service Representative backed with more than 12+ years experience in customer relations. Making an effort to help out a coworker, offering feedback to improve processes, taking on tasks outside of your comfort zone, and being a positive presence, Also consistently prioritized customer satisfaction by actively listening to their needs, resolving issues promptly, and providing clear, concise information. To excel in adapting to various communication styles and maintaining a professional, empathetic demeanor.Work ExperienceCustomer Insurance RepresentativeGetixHealth-Lakeland, FLFebruary 2023 to August 2024Remote work arrangement that allows an employee to work from remote location outside of corporate offices. AnswerInbound Callsfrom customers/clients on an average of 40 to 50 calls are expected daily Help members understand how to use their health insurance, including changing primary care physicians, locating urgent care clinics, and getting prescription authorizations Provide 24/7 Triage Support and assign priority for a Registered Nurse to provide health advice Answer inquiries on benefit claims, appeals, and authorizations Customer Service SpecialistPrimo Water-FLDecember 2021 to January 2023Anticipates the customer needs and provides advice in order to deliver appropriate solutions to the customer AnswerInbound Callsfrom customers/clients on an average of 70 to 80 calls are expected daily Remote work arrangement that allows an employee to work from remote location outside of the office Handles and resolves and as a last resort routes inbound calls Provides specific information, updates on delivery, etc. Schedules service requests and appointmentsClaims RepresentativeGC Serivces-Lakeland, FLSeptember 2015 to November 2021 Followed up with customers to offer additional support and check resolution satisfaction. Researches, responds to, or participates in Department of Insurance complaints or investigations Reviews medical reports in preparation for claims settlement evaluation Negotiates and settles claims in accordance with business unit best practices Determines claim valueDirect Support ProfessionalFlorida Mentor-Tampa, FLAugust 2011 to August 2015 Assists with the collection of lab specimens Transports patients to and from operating rooms, laboratories, and examining rooms Helps with bathing and grooming tasks Assists patients who need help walking or standing Communicates a patients needs to nurses and doctors as appropriate Customer Service RepresentativeLakeland Care Center-Lakeland, FLJanuary 2007 to July 2011 Coordinated new intake documentation, HIPAA mandated Set up patient appointments with timely benefits verification Collected payments and updated accounts with current payment information. Answered calls, scheduled appointments and coordinated registrations. Signed eligible patients up for Medicaid and obtained reimbursements for services Taught patients how to use home health equipment. EducationDiplomaLake Gibson High School - Lakeland, FLAugust 2003 to May 2006Skills Hospitality Account updates Google Docs Inbound call management Scheduling Problem solving Customer support Order documentation 10 key typing (6 years) MS Word Communication skills |
