Category: ADVOCATE

         CUSTOMER CARE ADVOCATE         Experience      Customer Care Advocate     04/2019  
                                to   Current      Company Name   –   City  ,
                              State      Respond to phone calls and correspondence including but not limited too, appeals, corrected claims, timely filing, and claims projects.  Responding to high call volumes of incoming calls and customer inquiries from current and prospective members, providers as well as internal and external business partners and seeing those calls to completion.  Maintaining current knowledge of BMCHP and Wellsense Health Plan benefits, provider network development and contact issues, Mass and New Hampshire Medicaid regulations, as well as industry standards for claims adjudication and other party liability issues.  Meeting performance goals established for the position in the areas of productivity, call quality and customer satisfaction.  Adhere to HIPPA guidelines.  Perform other duties when assigned         Customer Care Representative     03/2017  
                                to   04/2019      Company Name   –   City  ,
                              State      Resolving customer inquiries and problems through effective interaction with both internal and external staff‚ particularly in the areas of marketing‚ enrollment‚ provider relations‚ Customer Care Center and claims.  Responding to a high volume of incoming calls and customer inquiries from current and prospective members‚ providers and both internal and external staff and utilizes appropriate resource materials to effectively and accurately interpret‚ respond and resolve customer inquiries and sees those calls through to completion.  Utilizing appropriate resource materials to effectively and accurately interpret‚ respond and resolve customer inquiries and problems.  Maintaining knowledge of the plan contracts and effectively interpreting information related to the plan's benefits.  Employs strong interpersonal skills in order to handle difficult calls courteously and professionally.  Document calls in accordance with departmental policies.  Work with peers to solve problems and promotes teamwork.          Makeup Artist     03/2013  
                                to   07/2014      Company Name   –   City  ,
                              State      Educated clients about products and performed full service makeup applications   Participated in focus days and promotional events to build client loyalty and to attract new clientele.  Achieved sales goals in accordance with productivity objectives.  Recorded clients purchasing information to communicate and ensure future business.         Server/Waitress     08/2009  
                                to   05/2014      Company Name   –   City  ,
                              State      Presented and explained menus to customers - Answered queries regarding restaurant items and informed them of daily specials.  Provided excellent customer service: Worked closely with restaurant staff to ensure that orders were served in an efficient manner - Orders were assembled properly in the kitchen and delivered to customers in a timely manner.  Dedicated and meticulous - high level of accurateness and attention to detail.  Earned management trust by serving as key holder, responsibly opening and closing Establishment.         Skincare Specialist     07/2006  
                                to   06/2009      Company Name   –   City  ,
                              State      Developed and maintained quality relationships with clients through follow-up practices and event invitations.  Exceeded sales goals and expectations on various skin care brands by using up-selling  Produced weekly brand reports in order to identify which products needed additional assistance for meeting monthly sales goals.  Calculated a daily sales goal to help consultants stay on track.  Attended training and education courses to train peers in various skincare brands.         Beauty Advisor Manager     03/2005  
                                to   05/2006      Company Name   –   City  ,
                              State      Welcomed each guest while offering a superior customer experience.  Supervised Beauty department; hired and developed staff, managed performance and oversaw all departmental functions.  Responsible for proper promotion of products to all clients through professional tutorials and the introduction of new techniques
 to fully maximize use of products.  Attend periodic vendor training seminars and achieve the highest level of product knowledge.         Work History      Server/Waitress     02/2009  
                                to   Current      Company Name   -   City  ,
                              State      Presented and explained menus to customers - Answered queries regarding restaurant items and informed them of daily specials.  Provided excellent customer service: Worked closely with restaurant staff to ensure that orders were served in an efficient
 manner - Orders were assembled properly in the kitchen and delivered to customers in a timely manner.  Dedicated and meticulous - high level of accurateness and attention to detail.  Earned management trust by serving as key holder, responsibly opening and closing Establishment.         Makeup Artist     03/2013  
                                to   07/2014      Company Name   -   City  ,
                              State      Educated clients about products and performed full service makeup applications
 Participated in focus days and promotional events to build client loyalty and to attract new clientele.  Achieved sales goals in accordance with productivity objectives.  Recorded clients purchasing information to communicate and ensure future business.         Skincare Specialist     07/2006  
                                to   06/2009      Company Name   -   City  ,
                              State      Developed and maintained quality relationships with clients through follow-up practices and event invitations.  Exceeded sales goals and expectations on various skin care brands by using up-selling
 Produced weekly brand reports in order to identify which products needed additional assistance for meeting monthly sales goals.  Calculated a daily sales goal to help consultants stay on track.  Attended training and education courses to train peers in various skincare brands.         Beauty Advisor Manager     03/2005  
                                to   05/2006      Company Name   -   City  ,
                              State      Welcomed each guest while offering a superior customer experience.  Supervised Beauty department; hired and developed staff, managed performance and oversaw all departmental functions.  Responsible for proper promotion of products to all clients through professional tutorials and the introduction of new techniques
 to fully maximize use of products.  Attend periodic vendor training seminars and achieve the highest level of product knowledge.         Education      High School Diploma          West Roxbury High School    -
                          City  ,
                          State              Skills     Creative problem solver MS Windows proficient  EExceptional communication skills Trusted key holder  SStrong client relations Mediation capability  SStrategic sales knowledge Proficient in cash management  QQuick learner Floor set design expertise,  Attention to detail, cash management, closing, communication skills, Creative problem solver, clientele, client, clients, client relations, excellent customer service, focus, Mediation, MS Windows, promotion, purchasing, quality, Quick learner, selling, sales, seminars, set design, skin care, Strategic       Professional Summary     I am a motivated individual with exceptional customer service skills looking for professional growth. My experience in various settings have developed my understanding in working with a broad spectrum of customers.