Customer Service Representative Resume

PROFESSIONAL EXPERIENCES

Customer Service Representative Level I
Confidential, Mechanicsburg, Pa
July 1 2011 - Present

Provide benefit breakdowns (explanation of coverages) to providers and members
Answer questions regarding claim status including payments made, services rendered, and processing guidelines
Forwarded customer inquiries that require further investigation to higher level representatives or supervisors
Process material requests by members and providers for ID cards, EOBs (explanation of benefits), provider lists
Research claims to verify that they processed correctly

Customer Service Representative Level I
Confidential
April 6 2011 - July 1 2011

Provide benefit breakdowns (explanation of coverages) to providers and members
Answer questions regarding claim status including payments made, services rendered, and processing guidelines
Forwarded customer inquiries that require further investigation to higher level representatives or supervisors
Process material requests by members and providers for ID cards, EOBs (explanation of benefits), provider lists
Research claims to verify that they processed correctly

Customer Service Inquiry Rep
Confidential, King of Prussia, PA
September 27 2010 - February 12 2011

Handled incoming calls fromYellowbook advertising customers regarding their account
Processed payments and entered payment into balancing sheets for daily processing
Faxed and emailed copies of ad proofs to customers for approval
Transferred appropriate calls to correct departments
Answered customer's billing concerns/questions. Review their billing statements for any discrepancies
Escalate any calls that need further research or approval

Professional Training and Education