• Assist Medicare provider with general claim questions, claim denials, appeals and member eligibility for Medicare Part B.• Responded to inbound customer calls in a professional manner, addressing provider issues, assuring that company standards are met.• Researched and resolved a wide variety of provider questions and issues.• Ensures information communicated to the provider is timely and accurate usingproper grammar and articulation.• Initiate callbacks with updates regarding claims and eligibility.• Utilizes multiple systems to research necessary information to resolve the providerquestions.• Responded to an average of 50 to 90 calls per day in an inbound call center environment.

• Responded to inbound customer calls in a professional manner, addressing customer issues, assuring that company standards are met.• Explain explanation of benefits thoroughly to ensure customer understanding.• Researched and resolved a wide variety of customer questions and issues.• Ensures information communicated to the customer is timely and accurate usingproper grammar and articulation.• Utilizes multiple systems to research necessary information to resolve the customer'squestions or issues.• Responded to an average of 60 to 100 calls per day in an inbound call center environment.

• Review, verify and/or identify customer transactions to detect/prevent financial crimes activity, policy violations and suspicious situations in order to mitigate losses.• Monitor moderate to complex account activity which requires research that may involve multiple transaction channels.• Perform general account handling functions such as close account determination,holds, restraints, etc.• Determine the nature of customer problems and gather facts.• Explain sensitive or confidential information to a diverse group of individuals.• Research, interpret, and apply rules for fraudulent and/or unlawful acts.• Provide outstanding customer service, problem solving and listening skills, includingmultitasking in a fast-paced call center environment.• Comply with government and Wells Fargo guidelines to meet specific timeframes. • Advise customers of dispute timeframes and Regulation E timeframes to completefraud and non-fraud investigations.• Respond to merchant re-presentments and pre-arbitration per Visa guidelines.• Review and investigate chargeback and retrieval cases on behalf of our customers. • Develop a chargeback case by requesting the proper documentation and additional