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Click here or scroll down to respond to this candidateCandidate's Name
Location: Virginia Beach, VaEmail: EMAIL AVAILABLEDedicated Customer Service and Claims Representative with over 5 years of experience in the insurance sector, adept at resolving complex claims and enhancing customer satisfaction throughmeticulous attention to detail and innovative problem-solving strategies. Proficient in technical andnetwork support, showcasing a strong foundation in MS Office, computer networking, upselling, and exceptional organizational and help desk skills. Eager to apply a detail-oriented approach and technical expertise to drive efficiency and accuracy in future roles, aiming to leverage visionarystrategies to transform customer service standards. WORK EXPERIENCE Customer Service Representative Maximus - Remote November 2023 to Present Updated PCPs and DCPs Searched for Doctors and Dentists in-network with different plans Provided empathetic support to members improving trust and loyalty. Implemented new strategies for handling incoming calls, and streamlining the claim reporting process. Streamlined claim process, enhancing accuracy & customer trust. Managed accurate enrollment in Dental/Medical plans & updated healthcare providers, enhancing service quality. Introduced new call-handling strategies, cutting response times and elevating member satisfaction. Offered compassionate assistance to members, ensuring their needs were met with the right medical professionals. Claims Representative GEICO Virginia Beach, VA July 2022 to September 2023 Claims Representative investigated and settled claims Verified insurance coverages Handled incoming calls from insured, attorneys, insurance agents and claimants regarding first noticeof claims or any other claim-related questions Streamlined claim investigation processes, enhancing efficiency and customer satisfaction. Efficiently managed a high volume of claims, ensuring timely settlements. Provided empathetic support to clients during the claims process, improving client relations. Implemented innovative strategies for verifying insurance coverages, reducing claim discrepancies. Maintained meticulous records for all claims handled, ensuring accuracy and accountability. Enhanced claim process efficiency, boosting customer satisfaction and reducing discrepancies. Insurance Agent Conduent Humana - Remote Efficiently resolved member tech issues, enhancing their online experience. Ensured accurate bill payment assistance, improving financial management for members. Provided comprehensive benefits guidance, fostering member satisfaction and loyalty. Streamlined doctor search process, making healthcare access easier for members. Proactively addressed future benefits inquiries, preparing members for long-term healthcare needs. Sales Representative IMA - Virginia Beach, VA February 2020 to May 2021 Sold life alert systems to the elderly. Answered any questions they had about the system. Sold car insurance policies. Gathered information on the customer's vehicles to know what exact car insurance they needed.Education High school diploma 2015-2019 Ocean Lakes High School College Borough Manhattan Community College Associate degree BA Hunter College - did not finishSkills MS OFFICE (Less than 1 year) (10+ years) Microsoft Windows (4+ years) Customer support Upselling Remote access software Software troubleshooting Proficient in MS Office: Excel, Word, PowerPoint Filing Detail-oriented Network Support WORD (Less than 1 year) (10+ years) Help Desk Troubleshooting Customer service Medicare Sales (2 years) Order entry Telecommunication Technical Support Computer Networking |
