Customer Care Specialist Resume Philadelphia, PA - Hire IT People

PROFESSIONAL SUMMARY:

Results - oriented Customer Care Specialist in management and customer service.
Dedicated to providing excellent customer service and making operational and procedural improvements.

SKILLS OBTAINED:

SKILL HIGHLIGHTS:

PROFESSIONAL EXPERIENCE:

Confidential, Philadelphia, PA

Customer Care Specialist

Responsibilities:

Developed, implemented and monitored programs to maximize customer satisfaction.
Improved service quality by developing a strong knowledge of company's products and services.
Addressed negative customer feedback immediately.
Provided detailed monthly departmental reports and updates to senior management.
Effectively communicated with team members to maintain clearly defined expectations.
Performing hardware and software support in the Customer Support Center for Confidential employees.
Effectively managed departmental expenses to stay within allocated budget.
Troubleshooting desktop operating systems, desktop software, hardware issues and installing LAN printers

Confidential, Philadelphia, PA

Business Specialist

Responsibilities:

Routinely prepared and evaluated CRM reports to identify problems and areas for improvement.
Recommended changes to existing methods to increase the accuracy, efficiency and responsiveness of the customer service department.
Lead on and off-site customer support teams across multiple time zones.
Responsible for triaging issues to correct area to assist and resolve for customers including internal and external.
Complete Clean up on various claims suspend issues that cannot be resolved by claims analyst/adjusters.
Identify root cause analysis and ensure claims are seen through to finalization.

Confidential, Philadelphia, PA

Provider Appeals Specialist

Responsibilities:

Verified and logged in deadlines for responding to daily inquiries.
Maintained detailed administrative and procedural processes to improve accuracy and efficiency.
Contacted providers to discuss status of rebilling and reimbursement process to ensure account resolution.
Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.
Successfully established effective systems for record retention by creating database for daily correspondence tracking.

Confidential, Philadelphia, PA

Claims Adjuster

Responsibilities:

Review claims to ensure processes correctly
Research claims for duplicate payment
Worked multiple projects where several claims were impacted to ensure proper payment
Assisted with distribution of work.
Adjusted claims.