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Unitedhealth Care International - Senior Customer Service Professional Resume Example

Jacob Jones
XXXX XX XXXXXXX XXX
Tampa, FL 33610
Ph: XXXXX XXXX XXXX
XXXXXXXXXXXXXXXXXXXXXX
Objective

Qualified professional with demonstrated leadership and mentoring skills looking to secure a position within a service environment. Extensive knowledge in managed care and the healthcare field.

Skills
  • Strong leadership skills
  • 9+ years of customer service
  • Prioritizing
  • Excellent oral and written skills
  • PowerPoint
  • Healthcare experience
  • KRONOS
  • MS Office
  • Skilled at staff development
  • Able to handle multiple products
  • Supervisory experience
  • Presentations
  • Employee engagement
  • CMS Avaya
Experience
Senior Customer Service Professional Oct 2012Present Unitedhealth Care International Tampa, FL
  • Negotiate direct pay contracts and billing with international providers.
  • Collaborate with other departments to resolve escalated issues.
  • Create and update spreadsheets and guarantee of payments.
  • Take inbound calls regarding medical, dental, pharmacy and dental plans.
  • Provide decisive personalized service to members, providers and brokers.
Charge Nurse May 2013Sep 2013 Jacaranda Manor St. Petersburg, FL
  • Supervised support staff of 4-5 nursing assistants.
  • Made written and oral recommendations concerning shift activities.
  • Prepared and administered medications as prescribed by physicians.
  • Ordered necessary labs for patients as required.
Team Lead Apr 2009Jun 2012 Aetna Tampa, FL
  • Assisted with management of customer service representatives to enable them to meet and exceed team and office goals by providing direction on how to resolve calls and correspondence.
  • Monitored team and office service levels using supervisory tools which included CMS Avaya and RTA (Real Time Adherence).
  • Assisted with the reporting and compiling of results for the team.
  • Handled escalated calls and executive complaints.
  • Mentored and assisted with the development of new hires and experienced staff which resulted in skills and job promotion.
Senior Customer Service Representative Apr 2006Mar 2009 Aetna Tampa, FL
  • Assisted members with medical benefit inquiries, explanation of claim processing and educated callers on ways to manage healthcare via the website.
  • Performed financial reviews and adjustments.
  • Consistently exceeded team and office metrics.
Technical Support Mar 2002Mar 2006 Citigroup Tampa, FL
  • Assisted employees with P2P (Procure to Pay), Concur and PeopleSoft using Oracle.
  • Assisted with password resets, navigation and accurate utilization reviews.
Education
Practical Nursing Jun 2012 Pinellas Technical St. Petersburg, FL
Bachelor of Science: Business Management Feb 2010 University of Phoenix Tampa, FL
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Resume Details

This is a real resume for a Senior Customer Service Professional in Tampa, Florida with experience working for such companies as Unitedhealth Care International, Jacaranda Manor, Aetna. This is one of the hundreds of Senior Customer Service Professional resumes available on our site for free. Use these resumes as templates to get help creating the best Senior Customer Service Professional resume.

Previous Companies:

  • Unitedhealth Care International
  • Jacaranda Manor
  • Aetna

Previous Job Positions:

  • Senior Customer Service Professional
  • Charge Nurse
  • Team Lead
  • Senior Customer Service Representative
  • Technical Support

Schools:

  • Pinellas Technical
  • University of Phoenix

Level of Education:

  • Bachelor of Science

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