
Communicative customer service professional motivated to maintain customer satisfaction and contribute to company success. History managing large amounts of inbound calls and sustaining satisfactory relationships with customers. Offers skill with CRM systems paired with outstanding active listening and multitasking abilities.
Educated members on policy details, claims processes, and coverage options.
• Maintained accurate documentation of member interactions, ensuring HIPAA compliance and confidentiality to protect member information.
• Researched complex account issues across multiple systems and provided effective resolutions that improved member satisfaction.
• Processed and reviewed healthcare documentation, ensuring accuracy, completeness, and compliance with organizational guidelines.
• Achieved productivity and quality goals while managing high-volume workload in fast-paced, service-driven environment, supporting operational efficiency.