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Competencies
Demonstrated experience with Salesforce.
Demonstrated experience with Zendesk.
Demonstrated experience with QNXT.
Demonstrated experience with VBA.
Demonstrated experience with Microsoft Office Suite.
Education
Languages
Experience
Remote Enrollment Specialist Representative
Provide front-line support to members and providers regarding benefits, eligibility, and claims., Resolve escalated issues while maintaining compliance with HIPAA and company policies., Utilize Salesforce and Zendesk for case management and documentation., Deliver accurate and timely information to ensure customer satisfaction and retention.
Remote Business Developer Representative
Assisted members with inquiries regarding health plan benefits, coverage, and claims status., Processed requests in QNXT system with high attention to accuracy., Collaborated with internal teams to resolve provider and member escalations., Consistently exceeded performance metrics for call resolution and service quality.
Senior Representative
Supported complex claims processing and member issue resolution., Mentored and trained new representatives on QNXT and Salesforce systems., Monitored compliance with regulatory standards and internal guidelines., Recognized for improving resolution turnaround time and enhancing customer satisfaction.