• Dynamic Leader who offers a background in Insurance Operations, Member Services, Account Research / Management, and Problem Resolution, as well as talents in Inbound / Outbound Xxxxxxll Center Operations, Customer Service, Process Improvement, and Workflow Prioritization while meeting or exceeding key objectives.
• Top Performer who is dedixxxxxxted to providing exceptional service and contributes experience with XxxxxxlPERS, premier accounts, and Medixxxxxxre supplements, and xxxxxxn work on xxxxxxses on members behalf to achieve overall goals.
• Excellent Communixxxxxxtor who builds and sustains synergistic relationships with senior-level management, insurance providers, peers, members, and customers, and xxxxxxn work well independently and / or in a group setting.

Customer Service Advoxxxxxxte

  Xxxxxxpitalize on the opportunity to lead forward-thinking customer service initiatives within an inbound xxxxxxll center, including assisting members with comparing plans, addressing deductibles and co-payments, and key coverage, as well as supporting provider changes, filing appeals on members behalf, and assisting with premier accounts.

  Apply experience with Argus systems to assist members regarding pharmacy benefits and verify if members medixxxxxxtion is approved and / or the necessary steps members would need to take to resolve critixxxxxxl issues.

  Order ID xxxxxxrds, update addressees, assign member personal providers, and submit emails on member behalf.

  Recognized for job excellence with five customer surveys of World Class Service.

  Introduced a new method for staff to learn information by creating an electronic bubble.

  Exhibited solid knowledge of premier accounts and XxxxxxlPERS and Medixxxxxxre Supplement accounts.

Authorization Agent

  Strategixxxxxxlly steered member assistance within an inbound xxxxxxll center, including supporting members with water heater claims, electrixxxxxxl claims, and appliance claims, as well as assessing if members met servicing requirements.

  Expertly verified information, and further asked relevant questions to determine coverage and availability, along with negotiating pricing with contractors for work orders and authorizing contractors to perform essential work.

  Accurately assessed client coverage of 100% for repair and / or need for out-of-pocket costs, and advised plan holders concerning collection of service feeds, additional costs, and denials or options.

Security Receptionist

  Contributed solid communixxxxxxtion and interpersonal relations proficiencies toward serving as first point-of-contact for individuals within a large-sxxxxxxle secured site, including screening staff and visitors with access control.

  Collected data, organized, and drafted detailed daily access reports for prompt distribution to appropriate parties.

  Proactively responded to site emergencies to ensure seamless operations.

  Personally monitored five xxxxxxmeras within the main building s environment.

Customer Service

  Delivered high-quality service with fleet accounts, including assisting customers with online access within a fast-paced environment, as well as providing accurate account information, inputting data, and facilitating solutions.

  Optimized success by efficiently navigating through diverse screens and computer programs.

Sales Assistant

  Played a vital role in screening high-volume in-bound xxxxxxlls from seniors and Medixxxxxxre-eligible individuals, including providing marketing materials and information about key products and services to company prospects.

  Successfully handled 100 xxxxxxlls per day while optimizing bottom-line soft sales results.

Bachelor of Applied Science in Business Administration

Associate of Applied Science in Sales & Marketing

Certifixxxxxxte in Wedding & Event Planning

Microsoft Office (Word, Excel, PowerPoint, Outlook) ￨ Argus Systems

Date

Hiring Agent Name

Company Name

Address

City/State/Zip Code

Dear__________________:

I am seeking a challenging [ Insert Job Title ] role, and am submitting my resume for your review.

I am excited to build a rewarding xxxxxxreer with your company, and xxxxxxn offer cross-functional experience in Insurance Operations, Member Services, Account Research / Management, and Problem Resolution. I am also well-versed in Inbound / Outbound Xxxxxxll Center Operations, Customer Service, Process Improvement, and Workflow Prioritization.

To complement my background, please note that I attained a Bachelor of Applied Science in Business Administration from Trident University and an Associate of Applied Science in Sales & Marketing from Heald College.

Currently, as a Customer Service Advoxxxxxxte for Blue Shield of Xxxxxx, I expertly lead forward-thinking customer service initiatives within an inbound xxxxxxll center, including assisting members with comparing plans, addressing deductibles and co-payments, and key coverage, as well as supporting provider changes, filing appeals on members behalf, and assisting with premier accounts. Within this role, I demonstrate experience with Argus systems to assist members regarding pharmacy benefits and verify if members medixxxxxxtion is approved and / or the necessary steps members would need to take to resolve critixxxxxxl issues, among other job tasks.

A sampling of my achievements with Blue Shield of Xxxxxx include:

  Introducing a new method for staff to learn information by creating an electronic bubble.

  Achieving recognition for job excellence with five customer surveys of World Class Service.

  Exhibiting solid knowledge of premier accounts and XxxxxxlPERS and Medixxxxxxre Supplement accounts.

[ Suggestion! Address Here Any Skills / Qualifixxxxxxtions / Achievements Relevant to the Job Posting ]. As this is just an example of my job history, please kindly refer to my enclosed resume for additional experience.

I look forward to hearing from you, and thank you in advance for your xxxxxxreful consideration.

Sincerely,

Yyyyyy x. yyyyyy