Customer Service Advocate Resume Abilene Texas - Hire IT People

CUSTOMER SERVICE PROFESSIONAL

I am a dedicated and ambitious individual who seeks new challenges; however, the pressure to succeed will never be an excuse to comprise my integrity and respect for others. I am a customer service professional who believes in a strong work ethic with 10 years of extensive training and work experience in providing service of the highest quality to my employer and to my customers. I am currently seeking a position that will allow me to thrive to my full potential.

Profile

6 years extensive experience in managing large groups within a call center environment with the ability to train and motivate employees.
6 years of experience with case management, eligibility/enrollment, case work experience within the Texas Health Insurance Risk Pool.

10 years human resource experience with superior skills in administrative/clerical including medical terminology, medical claims processing, account maintenance and medical coding and billing.
Possess solid computer skills: 102 WPM, 10-KEY, Lotus 1-2-3, MS Excel, MS Word, MS Excel, MS Access, MS PowerPoint, Siebel, TENMAST, Oracle
Extensive training in complying with contractual benefit agreement with medical providers and hospitals while adhering to state and local regulations and limitations set within the Texas Department of Insurance.

100% quality maintained for 11 months in a row.

Placed 2nd for 3 years in setting annual percentage of highest number of claims released while meeting quality initiative @ 98.6%
Achievement Award for encouraging Diversity in workplace, 2004-2007, 2009

Employment

Confidential Abilene, Texas 1999 – 2003

Customer Service Advocate, I, II

Provided accurate medical benefit information to plan members and medical providers via inbound phone calls and Web Chat
Daily maintenance of membership accounts and updating support files with current information as needed.
Required to maintain high production and continue to meet quality initiative goals.
Superior knowledge in coordinating benefits with multiple insurance carriers with strengths in investigative research.

Confidential Texas 2003 -2009

Assistant Supervisor

6 years of supervising groups of 12-16 employees.
4 years of experience in training new employees to provide prompt service and to adhere to strict work requirements.
Required to maintain accuracy level of 98.6% to hold corporate approval to release claims allowing payment of $100,000+
Liaison between BCBSTX and the Employment Retirement System of Texas and Texas Department of Insurance.
Provided management level assistance to member and provider complaints, problem-solving ending in resolution.

Education: Computer Networking/Programming, Associates Degree

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Customer Service Advocate Resume

Abilene, TexaS

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