Demonstrated expertise in problem-solving and communication, consistently improving customer experiences and satisfaction levels.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Provider Services Associate
Evolent
2025.02 - 2025.08
Researched and communicated information regarding member eligibility and provider status, ensuring confidentiality and efficient resolution of authorization inquiries.
Addressed and resolved customer complaints as the initial point of contact, minimizing unnecessary clinical or physician phone transfers.
Processed withdrawals and case status changes, and effectively communicated appeal and denial language to providers and members.
Developed relationships with provider groups, recognizing and adapting to sensitivities across various health plans, while staying informed of client and regulatory expectations.
Healthcare Customer Service Representative (Seasonal)
Everside
2024.09 - 2024.11
Analyzed customer inquiries and provided accurate information on medical office procedures and terminology, enhancing customer understanding.
Assisted customers in selecting appropriate insurance policies tailored to their specific needs, improving overall customer satisfaction.
Program Specialist II
Eversana
2022.12 - 2023.07
Provided personalized support via phone and online platforms, enhancing customer satisfaction levels.
Collaborated with patients and healthcare providers to resolve reimbursement issues and facilitate prior authorization processes.
Customer Service Representative
Manpower
2021.03 - 2021.06
Addressed customer inquiries and resolved issues through inbound calls, ensuring a professional and empathetic experience while assisting in the property claims process by accurately documenting interactions and coordinating file management.
Provided clerical support including data entry, email correspondence, and calendar management to enhance overall operational efficiency.
Seasonal Customer Service Representative
Willis Towers Watson
2020.10 - 2021.02
Assisted Medicare-eligible participants by addressing account inquiries and resolving concerns, enhancing overall customer satisfaction through a consultative and empathetic approach.
Collaborated within a professional call center environment to maintain consistent and high-quality service delivery.
Health Concierge (Seasonal)
BSWIFS
2018.10 - 2018.11
Addressed customer inquiries through various channels, delivering solutions to complex issues by adapting standard procedures when necessary.
Provided training and guidance as a subject matter expert to support team development and performance.
Insurance Advocate (Seasonal)
Go Health Insurance
2016.10 - 2018.09
Resolved customer concerns by implementing effective solutions, ensuring a high level of client satisfaction.
Maintained professionalism and responded constructively to feedback in challenging situations, enhancing team dynamics and service quality.
Managed and updated customer accounts to ensure accuracy and reliability of information.
Customer Service Representative
Informis Health Solution
2018.04 - 2018.08
Delivered exceptional customer service by providing accurate information and effective solutions to client inquiries.
Entered and updated customer data with high precision, ensuring the reliability and accuracy of all records.
Computer Technician Intern
South Suburban College
2016.03 - 2016.08
Provided technical support in networking, system maintenance, and programming solutions, resulting in enhanced system reliability and operational efficiency.
Assisted with software installations and conducted troubleshooting of computer systems, ensuring seamless functionality and minimizing downtime.
Customer Service Representative
Bright Star Community Outreach
2014.02 - 2015.03
Managed client inquiries via phone with professionalism, ensuring accurate and confidential responses to enhance customer satisfaction.
Supervised student travel in the neighborhood, ensuring safety and efficiently reporting incidents to maintain a secure environment.
Line Server/Cashier
Old Country Buffet
2013.02 - 2013.11
Ensured cleanliness and organization of the food service area, contributing to enhanced guest satisfaction.
Managed food preparation and efficiently handled cash transactions and customer inquiries.
Education
Core 40 Diploma - General Education
West Side High School
Gary, IN
06.2008
Skills
Facilitated team-building activities focused on strengthening collaboration and boosting overall team performance
Delivered personalized assistance to strengthen customer connections and elevate satisfaction levels
Leveraged analytical expertise to formulate creative solutions addressing multifaceted challenges
Crafted and implemented impactful communication plans aimed at fostering stakeholder understanding
Led cross-functional teams to successfully complete projects by enhancing collaboration and refining planning strategies Advocated for the integration of milestone tracking systems to elevate project oversight Fostered uniformity in project execution through established management methodologies
Utilized comprehensive understanding of IT systems and software to improve operational workflows and user satisfaction
Certification
Cosmetology Certificate, Merrillville Beauty College 2009 – 2010
PC Pro Certification (CompTIA A+), South Suburban College 2015
Network Pro Certification (CompTIA Network+), South Suburban College 2016
Timeline
Provider Services Associate
Evolent
2025.02 - 2025.08
Healthcare Customer Service Representative (Seasonal)