Organized, detail-oriented, dependable, dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
22
22
years of professional experience
Work History
Sr. Member Service Advocate
Blue Cross Blue Shield of Massachusetts
03.2024 - Current
Assisted members with insurance inquiries, claims, payments and benefit explanations.
Educated members on plan options and enrollment processes.
Utilized CRM software to track interactions and manage cases efficiently.
Provided training support to new staff on service protocols and procedures.
Helped members resolve account problems and navigate internal systems to handle needs.
Managed customer conflicts and challenging situations by staying calm and accessing internal knowledgebases to develop strategic solutions.
Personal Injury Protection & Medpay Sr. Adjuster
GEICO
09.2018 - 06.2023
Evaluated insurance policies and analyzed damages to determine coverage.
Prepared summaries of damage, payments, and policy coverage.
Established relationships with clients and insurance companies to foster timely claims resolution.
Member and Provider Service – CORR I Team at Blue Cross Blue Shield of MassachusettsMember and Provider Service – CORR I Team at Blue Cross Blue Shield of Massachusetts