
Results-driven professional with extensive experience in customer service, credentialing and claims management. Adept at training staff, managing escalations, and executing special projects. Focused on driving improvements in operational efficiency and enhancing team performance.
• Responsible for handling technical escalations and more advanced inquiries that are beyond the skillsor knowledge of your first level customer service representatives.
• Assist drivers with handling basic troubleshooting with the app
• Help drivers with shop and delivery orders
• Assist with compensation and escalating the issue if it is not resolved
• Explaining to drivers requirements of incentives, tips, and referrals
• Helping drivers understand the rules and regulations of being a driver
• Updated payments that drivers are missing and providing next steps
• Provided next steps of deactivated accounts and filing appeals
• Closed out orders for drivers when they're having an issue doing it themselves.
• Provided phone, chat and email support
• Selected to participate in a special project focused on Trust and Safety within the delivery supportdepartment as part of my current role
• Helped train others in my current role with delivery support
• Selected to help with in a special project focused on Identity Verification within the delivery supportdepartment as part of my current role
• Investigate insurance claim to determine if it qualifies for payment under the policy
• Contact the insurer’s representative to obtain information about the claim
• Obtain all necessary documentation from the claimant and/or witnesses
• Contact third party providers such as doctors or hospitals to verify medical treatment received by the insured person
• Review the entire file to ensure that no additional payments are due
• Prepare an accurate report summarizing the investigation and findings
• Provide any other assistance requested by the insurer’s representatives
• Inform the insurer when the claim has been closed
• Keep records of all work performed in connection with the claim
• Maintain confidentiality regarding information obtained during the course of the investigation
• Follow up on outstanding issues related to the claim
• Make sure all necessary reports are completed and submitted promptly to the appropriate parties
• Evaluate the accuracy of the completed reports
• Correct any errors found in the reports
• Report to the supervisor any problems encountered while performing your duties
• Carry out negotiations of claim settlements with claimants and their attorneys
• Assist in processing new claims.
• Familiarizing yourself with and remaining up-to-date with changes in our plans and tariffs.
• Greeting customers in a friendly, professional manner using the suggested script.
• Answering telephonic and e-mail inquiries in a timely manner.
Deferring queries to your line manager if you are unable to answer them.
• Furnishing members and health care practitioners with details regarding members' benefits.
• Granting pre-authorizations for medical treatment, if covered.
• Advising members of outstanding co-payments.
Providing extant and prospective members with the details of network providers.
Canceling members' plans upon their request, or due to recurrent non-payment, if directed by your line manager.
Ensuring that your workspace remains tidy and that you are equipped with all relevant tools and resources.
Provide outstanding customer service across all boards.
• Cash handling.
• Maintain high levels of food safety and workplace cleanliness.
Well-versed in dealing with customer complaint resolution.
Successfully interact with the public.
Take customer orders and input them into the order machine.
• Notify kitchen staff about orders.
Serve and assemble orders for customers.
Make and serve hot beverages.
Returning and washing of dirty dishes.
• Prepare food items as needed.
Clean and organize the workplace and customer dining room.
• Training of other employees.
Handling the safe and money management.
• Deposit money via bank.
•Set a schedule for employees.
Guard Card