Virginia L Ross
Rockford
Summary
To apply my excellent personality, good listening and communication skills along with the knowledge obtained in my previous position, to carryout the necessary duties to provide concierge customer service internally and externally.
Qualified Customer Advocate with outstanding written and oral communication skills. Highly proficient in consumer research. Offering many years of experience in balancing the interests of the consumer as well as the company.
Driven professional with several years of delivering outstanding customer service. Adept at troubleshooting and conflict resolution. Seeking to apply skills in research and data analysis in a position as a Customer Advocate for an established company.
Overview
28
28
years of professional experience
Work History
Customer Advocate II
Blue Cross Blue Shield of IL
Rockford
11.2000 - 06.2017
- Handled calls for Performance Guarantee Gate and Membership Gate
- Assisted on the help line
- Trained on Fraud Inquiries
- Advocated for members by resolving inquiries and providing clear information.
- Assisted members in understanding their health benefits and coverage options.
Claims Examiner
Blue Cross Blue Shield of IL
Rockford
01.1995 - 11.2000
- Reviewed and processed insurance claims for accuracy and compliance.
- Analyzed documentation to determine claim eligibility and coverage.
- Communicated with providers to resolve discrepancies in claim submissions.
- Collaborated with team members to streamline claims processing workflows.
Claims Processor
Blue Cross Blue Shield of IL
Rockford
09.1989 - 01.1995
- Participated in the Salvation Army paint a thon.
- Back up for appeals
- Processing of written inquiries
- Collaborated with healthcare providers to resolve claims-related inquiries.
- Communicated with clients to gather necessary information for claims processing.
- Trained new team members on claims processing procedures and systems.
Education
Diploma -
Freeport High School
Freeport, ILCertificate -
Highland Community College
Freeport, ILSkills
- Claims processing
- Fraud investigation
- Customer relationship management
- Inquiry resolution
- Effective communication
Volunteer Experience
Salvation Army, Participant, Paint a thon
Timeline
Customer Advocate II
Blue Cross Blue Shield of IL
11.2000 - 06.2017
Claims Examiner
Blue Cross Blue Shield of IL
01.1995 - 11.2000
Claims Processor
Blue Cross Blue Shield of IL
09.1989 - 01.1995
Diploma -
Freeport High School
Certificate -
Highland Community College