Knowledgeable and dedicated customer service professional with extensive experience in working remotely. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed, and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and meeting metrics.
Answer constant flow of customer calls with minimal wait time
• Provide excellent customer service as well as maintain a professional manner with all provers and customers
• Create authorizations for members receiving treatment at authorized urgent care medical facilities
• Verify HIPPA in regard to issuing any information regarding a member
• Assist medical providers to check claim status and denial reason
• Maintain a balanced call handle time, including quality scores for an overall good call matrix performance
• Assist veterans with pharmacy benefit and activation as needed.