Adjudication, Analysis Skills, Avaya Software, Billing, Call Centers, Citrix Product Family, Communication Skills, Customer Support/Service, Establish Priorities, HIPAA (Health Insurance Portability and Accountability Act), Insurance, Kronos Products, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Organizational Skills, Performance Metrics, Plan Meetings, Problem Solving Skills, Regulations, Resolve Customer Issues, Sales, Team Building, Time Management, Vaccination, Work From Home
Jan Roman 06/27/2023 Dear Hiring Manager, I am writing to express my interest in the Insurance Customer Service Representatives position that has recently become available at your remote call center. With over 10 years of experience in customer service, I am confident in my ability to provide exceptional support to your customers and contribute to the success of your organization. During my time working in a call center environment, I have honed my skills in resolving customer inquiries, handling difficult customer situations, and consistently meeting performance metrics. I am also experienced in using a variety of tools and systems, including Kronos, Avaya, Citrix, and internal resources, to efficiently manage my work and provide accurate and timely responses to customers. In addition, I have spent the past 2 years working remotely, giving me a unique perspective on how to effectively communicate and collaborate with team members from a distance. I am highly organized and self-motivated, able to prioritize tasks and meet deadlines without close supervision. I am excited about the opportunity to bring my customer service expertise and strong work ethic to your organization. I am confident that my experience and skills make me a strong fit for the role, and I am eager to use my abilities to help customers and support your team. Thank you for considering my application. Sincerely, Jan Roman Jan Roman Efficient customer service representative with over ten years of call center, and nearly two years of remote work experience. Capable of handling 50+ calls per day while efficiently and quickly resolving client issues. Seeking to help your company as a call center representative by providing excellent customer service and problem-solving abilities. PROFESSIONAL EXPERIENCE June 2022–November 2022 ASTON CARTER, Harrisburg, PA Benefits Enrollment Specialist-Winston Financial • Collected incoming calls from members throughout open enrollment to help with their upcoming benefit elections. • Reviewed the members' information, confirming their acceptance, and maintaining their privacy. Document Verification Specialist-Pearson Education • Examined submitted documents, such as proof of age, vaccination records, evidence of residency, and other documents, if necessary, to assist parents in enrolling their kids in virtual schools. • Data entry and fact-checking to ensure the validation of reports were matching using the obtained documents. October 2013–March 2022 DELTA DENTAL OF PENNSYLVANIA, Mechanicsburg, PA Customer Service Representative/Claims Examiner • Addressed questions over the phone from clients/groups and providers, assessed the subscriber's coverage to determine the benefit's types and levels, responded to any concerns about the status of claims while adhering to Hipaa regulations, received, then processed grievance and appeals over the phone. Showing empathy and compassion to the members and providers. • Inspected, and adjudicated dental claims pertaining to level 1 functions. Sent letters to members, and providers when acquiring additional information. • Offered a strategy for cutting down on call handling time by updating patient records in a way that benefited the organization. July 2011–October 2013 COMCAST, Harrisburg, PA Customer Service Executive • Communicated with the individuals inquiring about their billing statements, repairing accounts when charges were made incorrectly, selling, and setting up appointments for cable, internet, and/or phone services. EDUCATION ADDITIONAL SKILLS 1998 G.E.D KEYSTONE JOB CORP CENTER, Drums, PA • Proficient in MS Office Word, Excel, Outlook, Teams, and Zoom.