Dedicated customer service professional with three years of experience in providing exceptional support and resolving customer inquiries efficiently. Proven ability to handle high-volume calls, manage customer accounts, and maintain a positive and professional demeanor in fast-paced environments. Strong communication skills, adept at building rapport with clients, and committed to delivering high-quality service. Skilled in problem-solving, multitasking, and utilizing CRM software to enhance customer satisfaction. Seeking to leverage my expertise in a customer service office position to contribute to a dynamic team and improve customer experiences.
Overview
3
3
years of professional experience
Work History
Health Insurance Representative
Sutherland Global Service
08.2021 - 01.2024
Responded to customer requests for products, services, and company information.
Responded proactively and positively to rapid change.
Sought ways to improve processes and services provided.
Delivered prompt service to prioritize customer needs.
Monitored changes in health insurance laws and regulations to verify continuous compliance.
Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
Developed relationships with providers and networks to achieve favorable client coverage.
Assisted clients with filing and tracking health insurance claims to facilitate swift settlements.
Developed and maintained client databases to track customer service interactions and evaluate service quality.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Paid or denied medical claims based upon established claims processing criteria.
Reviewed provider coding information to report services and verify correctness.
Used administrative guidelines as resource or to answer questions when processing medical claims.
Researched and resolved complex medical claims issues to support timely processing.
Followed up on denied claims to verify timely patient payment and resolution.
Assessed medical claims for compliance with regulations and corrected discrepancies.
Analyzed information gathered by investigation and reported findings and recommendations.
Responded to customer inquiries regarding health insurance coverage and policies to assist with informed decision-making.
Senior Banking Associate
Sutherland Global Service
01.2024 - Current
Opened, closed, and updated accounts for customers.
Developed and maintained strong customer relationships, providing exceptional service and advice.
Educated customers on features and benefits of banking products and services.
Established rapport with new clients to increase satisfaction and loyalty.
Maintained excellent financial standings by working closely with bookkeeper to process business transactions.
Handled day-to-day accounting processes to drive financial accuracy.
Reduced financial discrepancies, effectively reconciling bank accounts and organizing information into accounting software.
Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
Promoted high level of customer satisfaction using strong relationship-building skills, consistent follow-up and prompt issue resolution.
Education
High School Diploma -
Spanish Town High Scholl
Corner Of Young & Ellis Streets Spanish Town P.O
07.2018
Skills
Strong analytical skills
Goal-Oriented
Data Interpretation
Account Management
Communication skills
Problem solving
Being flexible within a team
Electronic medical records handling
Adaptability
Great Interpersonal communication skills
Timeline
Senior Banking Associate
Sutherland Global Service
01.2024 - Current
Health Insurance Representative
Sutherland Global Service
08.2021 - 01.2024
High School Diploma -
Spanish Town High Scholl
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