With over 20 years of customer service experience, honed skills in remote job roles and providing comprehensive client assistance. Remote Customer Service Representative, excelled in managing inbound and outbound calls and maintaining client records with precision. Seeking a Call Center Representative position to leverage extensive communication skills and in-depth knowledge of health plans for delivering exceptional service.
Overview
25
25
years of professional experience
Work History
Engagement Specialist
Carenet Health
08.2024 - 12.2024
Successfully retained high-value clients by implementing targeted action plans focused on re-engagement efforts tailored specifically to their needs.
Utilized electronic health record systems effectively managed and organized patient data securelyss.
Answered incoming calls, scheduled appointments and filed medical records.
Followed document protocols to safeguard confidentiality of patient records.
Health Advocate
Bloom Insurance
06.2023 - 05.2024
Facilitate health screenings by coordinating appointments with primary care providers and arranging necessary transportation services
Conduct over 75 daily outbound calls to educate and inform health plan customers on details including copayments, premiums, and pre-approval processes
Increased client trust through consistent support, advocacy, and proactive problem-solving during their healthcare journey.
Developed targeted wellness programs addressing specific health concerns, resulting in improved client outcomes and overall quality of life.
Remote Customer Service Representative
Sagility
11.2022 - 04.2023
Conducted comprehensive health assessments for clients through outbound calls, ensuring the accurate scheduling of necessary appointments
Documented client situations and updated personal information in the database to facilitate immediate assistance from case workers as required
Provided meticulous follow-up and record management post-call, maintaining detailed notes on client discussions and effectively addressing scheduling inquiries
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Guest Service Representative
Hyatt Hotels
09.2021 - 10.2022
Addressed guest inquiries, processed reservation bookings, and cancellations, ensuring a seamless customer experience
Provided detailed billing information, handled payment transactions, and updated guest profiles with current contact information
Administered loyalty program benefits, applying appropriate discounts to enhance guest satisfaction and encourage repeat business
Assisted guests with reservation modifications, resolving any issues promptly and professionally.
Resolved guest complaints diplomatically to maintain a positive property reputation and high customer satisfaction rates.
Customer Service Representative Member Advocate
Aetna, a CVS Health Company
08.2021 - 06.2022
Informed members about Medicaid benefits, plan details, and enhanced services, improving their understanding and experience
Reached out to members during the Dual Eligible Special Needs Plan (DSNP) grace period to guide them through Medicaid and LIS recertification processes
Provided assistance to members seeking resources for Medicaid application and recertification, facilitating continued access to benefits
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Verified patient insurance coverage and benefits for medical claims.
Increased client satisfaction by providing personalized insurance recommendations and comprehensive policy explanations.
Updated patient records with accurate, current insurance policy information.
Work From Home Customer Service Representative
STARTEK
06.2020 - 08.2021
Company Overview: Greenwood Village, CO
Provided customer support by handling inbound calls, addressing inquiries about Economic Impact Payments, and ensuring accurate dissemination of general information to taxpayers
Assisted callers with status updates and processing details of their Stimulus Payments, adhering to strict guidelines on information sharing
Executed protocol for transferring calls requiring detailed account access to specialized IRS agents, maintaining customer privacy and service efficiency
Greenwood Village, CO
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
Plant Security Guard
Shintech
04.2012 - 02.2017
Company Overview: Plaquemine, LA
Conducted thorough security badge scans for employees to ensure secure access control at entry and exit points
Distributed respirators to truck drivers as part of safety compliance measures prior to plant entry
Maintained detailed logs of delivery and truck driver credentials and visitation details to uphold plant security protocols
Plaquemine, LA
Private Caregiver
Ms. Juanita
11.2002 - 03.2012
Provided comprehensive personal care, including assistance with dressing, bathing, and grooming, to support client's daily living needs
Managed medication schedules and ensured timely administration to maintain client health and wellness
Performed household tasks such as meal preparation, laundry, and light cleaning, contributing to a safe and organized living environment
Customer Service Representative
Westaff
03.2002 - 09.2002
Company Overview: Baton Rouge, LA
Provided comprehensive customer support by responding to inquiries and assisting clients with the completion of home loan applications via telephone
Accessed and navigated mortgage systems to retrieve and supply detailed loan application information, ensuring client confidentiality and personalized service
Baton Rouge, LA
Medical Records File Clerk
Baton Rouge Clinic
11.1999 - 12.2001
Company Overview: Baton Rouge, LA
Managed comprehensive filing and organization of patient charts post-consultation, ensuring accurate numerical order for efficient retrieval and continuity of care
Updated patient appointment schedules in the clinic's database, maintaining an up-to-date and accessible record system