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Customer Support & Healthcare Specialist with 10+ years in Insurance and Medical Sectors
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Competencies
Provided comprehensive support in healthcare, insurance, and banking sectors, handling complex inquiries.
Assisted with processing medical claims, explaining benefits, and ensuring compliance with healthcare regulations.
Utilized Salesforce to manage customer interactions, track cases, and improve service workflow.
Trained customer support teams across multiple accounts, focusing on quality, process adherence, and onboarding.
Effectively communicated complex information and resolved issues empathetically in sensitive healthcare environments.
Education
Languages
Summary
Dedicated customer support professional with over 10 years of experience in healthcare, insurance, and banking sectors. Skilled in handling complex medical claims, mentoring teams, and ensuring compliance with regulations. Proven ability to improve service quality, resolve challenging inquiries,...
Key Achievements
- Supported US healthcare members with medical and billing inquiries, ensuring accuracy and compliance under HIPAA.
- Trained and mentored customer service teams across multiple medical accounts, enhancing service quality.
- Streamlined customer support operations for banking and healthcare clients, improving response times and satisfaction.
Experience
Solutions Manager / Senior Customer Support Specialist
Provided customer support for US healthcare insurance members, handling complex medical and billing inquiries., Assisted customers with medical claims exceeding high-value thresholds, ensuring accuracy and compliance., Explained benefits, coverage, and claim resolutions using clear, empathetic...
Senior Customer Representative (Healthcare & Insurance)
Trained and coached customer service representatives across two medical accounts, focusing on service quality and process adherence., Supported agents in handling medical claims, appeals, and benefit explanations based on national medical codes., Delivered guidance on customer communication...
Trainer / Customer Support Specialist (Medical Accounts)
Provided customer service support for banking products, resolving inquiries efficiently and accurately., Assisted customers through digital and direct-to-direct (D2D) service channels., Participated in mentorship programs, supporting onboarding and performance improvement of new hires., Ensured...
Customer Care Advisor / Mentor
Supervised customer support operations related to US business services (LLCs and incorporations)., Guided teams to deliver tailored solutions based on client requirements and business needs., Improved response times and service quality through structured workflows and team support.