Positive and empathetic with excellent communication and problem-solving skills, consistently producing customer satisfaction and loyalty. Understanding of customer service principles and proficiency with CRM software ensures efficient and effective support. Dedicated to resolving issues swiftly and enhancing overall customer experience. Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.
• Provide guidance to providers of our members during the claims process, assisting them in filing claims accurately and efficiently
• Proficiently use 25+ system applications to assist providers with multiple members’ claims submission , processing, status, review and appeals. I also, assist providers with their patients’ benefits and eligibility verifications.
• Provide exceptional customer service to providers and provider representatives addressing inquiries and resolving issues in a timely and professional manner