Answered customer questions with a friendly and knowledgeable approach, investigated and resolved customer concerns related to delivery and account information, maximized satisfaction by anticipating needs and consistently offering expert support, built a trusting relationship with customers to better understand needs, enhanced customer satisfaction with fast, knowledgeable service, handled customer inquiries, collaborated with colleagues and co-workers to deliver quality customer experience, met personal, team and company goals in customer service environment, escalated issues that could not be resolved independently to supervisors or managers for further assistance, answered customer inquiries via phone, email, and chat, followed up on unresolved cases to keep customers informed of progress towards solution, managed difficult customer situations with professionalism and empathy, conducted outbound calls to follow up on previous purchases or provide additional support if necessary, completed administrative tasks such as filing paperwork or organizing digital documents related to customer interactions.

Customer Service Representative

Overseas Claims Processor

Sent submitted claims for translation, reviewed claims for benefits coverage, coded, priced, and processed approved claims, requested additional information as needed from providers and customers, communicated with customers and providers via telephone, written correspondence, and email, navigated multiple computer systems and utilized search tools to find information, maximized customer and provider satisfaction by anticipating needs and consistently offering expert support, collaborated with colleagues and co-workers to deliver quality customer and provider experience, delivered fast and friendly service to handle customer and provider questions and complaints, met personal, team and company goals in claims processing environment, utilized various software programs such as CRM systems, order management tools, and communication platforms effectively, followed up on unresolved cases to keep customers and providers informed of progress towards solution, managed difficult situations with professionalism and empathy, resolved any issues by clarifying complaints and offering appropriate solutions, completed administrative tasks such as filing paperwork or organizing digital documents related to customer and provider interactions, maintained customer records by updating account information in the database.

Customer Service Representative

Audit and Recoupment Specialist

Researched claims for overpayment and fraud, collaborated with various outside entities to collect supporting information and documentation, communicated to all parties involved via telephone and written correspondence, requested refunds from medical providers and customers when necessary, sent affected claims for adjustment, communicated effectively with staff members of operations, finance and clinical departments, proved successful working within tight deadlines and a fast-paced environment, used critical thinking to break down problems, evaluate solutions and make decisions, learned and adapted quickly to new technology and software applications, worked effectively in fast-paced environments, demonstrated a high level of initiative and creativity while tackling difficult tasks, managed time efficiently in order to complete all tasks within deadlines, excellent communication skills, both verbal and written, demonstrated respect, friendliness and willingness to help wherever needed.

Answered customer questions about policies and procedures with a friendly and knowledgeable approach, navigated multiple computer systems and utilized search tools to find information, maximized satisfaction by anticipating needs and consistently offering expert support, collaborated with colleagues and co-workers to deliver quality customer experience, delivered fast and friendly service to handle questions and service complaints, met personal, team and company goals in customer service environment, utilized various software programs such as CRM systems, order management tools, and communication platforms effectively, followed up on unresolved cases to keep customers informed of progress towards solution, managed difficult customer situations with professionalism and empathy, resolved product or service issues by clarifying customer complaints and offering appropriate solutions, completed administrative tasks such as filing paperwork or organizing digital documents related to customer interactions, maintained customer records by updating account information in the database.