A Customer Service Advocate is accountable for providing information to customers about the company’s product and services. A professional Customer Service Advocate Resume mentions duties such as – managing customer account, handling customer transactions, preparing documents, implementing training programs, assessing customer’s and associate departments performance, managing customer experience, resolving complaints, protecting customers from deceptive practices, investigating complaints filed on companies, and providing suitable recommendations. The job description also entails running bureaus for consumers having specific problems, and offering direct assistance to customers through hotlines, classes, and seminars.
Successful resumes depict the following qualifications – knowledge of company’s products, effective communication skills, conflict resolution skills, tact and diplomacy, and customer service orientation. Other resourceful traits include – strong presentation skills, knowledge of organizational communication structures, and effective interpersonal skills. Though a bachelor’s degree is sufficient for entry-level jobs, some areas require professional degrees.
Objective : To obtain a position that will enable me to use my strong organizational skills, educational background, and ability to work well with people with the skills I have obtained in Human development, customer service, and public relations.
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider.
Research complex issues across multiple databases and work with support resources to resolve customer issues and partner with others to resolve escalated issues provide education and status on previously submitted pre-authorizations or pre-determination requests.
Review and research assigned claims by navigating multiple computer systems and platforms and accurately capturing the data/information necessary for processing.
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures.
Claims processing policies and procedures, grievance procedures, state mandates, cms/medicare guidelines, benefit plan documents/ certificates).
Complete on a daily basis all data entry required to document and communicate the status of claims as needed adhering to all reporting requirements.
Communicate and collaborate with members and providers to resolve claims issues, using clear, simple language to ensure understanding.
Experience
2-5 Years
Level
Executive
Education
Diploma
Senior Customer Service Advocate Resume
Summary : Obtain a position that will enable me to use my customer service background and my ability to work well with people. Where I can effectively utilize my expertise in customer relations and staff leadership.
Skills : Microsoft, Customer Service, Computer, Insurance, Medical Terminology, Windows
Description :
Manage customer relationships by performing the full range of customer service functions.
This position provides customer service transactions, including but not limited to; equipment troubleshooting, call handling, billing, service and equipment inquiries, and all other customer transactions.
Review all customer account information while on calls to identify and match customer's need with the appropriate product and service.
Utilize tools and resources on every call to make appropriate recommendations to customers.
Offers and educates on the benefits of products and services and explains how the recommendations will add value to the customer's wireless experience.
Shows personal commitment to work effectively and become a valuable member of the vzw team.
Recipient of multiple positive reviews acknowledging dedication to excellent customer service.
Experience
10+ Years
Level
Senior
Education
Diploma
Customer Service Advocate/National Inbound Sales Resume
Summary : Customer service professional seeking a management role. Skilled in training staff and establishing rapport with clients. Self-motivated with exceptional communication and computer capabilities.
Skills : Microsoft Office, Customer Service, Sales, Call Center Experience, Communication
Description :
Responds to telephone inquiries, providing quality service to customers and associates inquiring about the availability of the status of billing statements.
Retrieve inbound calls and attentively resolve caller mobile devices for damage to ensure a positive customer experience.
Strive for quick complaint resolution; commended by a supervisor for the ability to resolve problems on the first call and avoid escalation of issues.
Excel within a service-oriented company, demonstrating a talent for communicating effectively with customers from diverse backgrounds.
Dynamic customer service professional experienced in a call-center setting.
Excel in listening to customer needs, articulating product benefits and creating solutions that provide value to the customer.
Build and maintain enduring customer relationships to increase sales and generate repeat business.
Experience
7-10 Years
Level
Senior
Education
Bachelor of Science
Customer Service Advocate (Training) Resume
Objective : Motivated customer service professional who exceeds expectations and maintains a strong reputation for customer satisfaction by providing an unmatched customer service experience.
Skills : Customer Service, Cashier
Description :
Respond to and resolve on the first call, customer service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence.
Intervene with care providers on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed.
Assist customers in navigating much. Com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient.
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues.
Provide education and status on previously submitted pre-authorizations or pre-determination requests.
Meet the performance goals established for the position in the areas of efficiency, call quality, customer satisfaction, first call resolution, and attendance.
Empowered to solve problems independently and make decisions that promote and encourage brand loyalty.
Experience
2-5 Years
Level
Executive
Education
Bachelor of Arts
Customer Service Advocate II Resume
Summary : Extensive customer, provider, and member service experience. Received, resolved complex complaints/inquiries from irate or dissatisfied customers concerning enrollment, eligibility, contract benefits, and claim issues utilizing all tools necessary to access information and determine course of action.
Skills : Fast Learner, Good Communication, Well Organized, Mechanically Inclined, Customer Service, Customer Relations, Computer, Efficient With Hand Tools, Sales
Description :
Assisted members by answering their questions when they would call in to inquire about services covered by their insurance plan.
Direct phone-based customer interaction to answer and resolve a wide variety of inquiries, questions related to pharmacy benefits, mail order and pharmacy assistance.
Worked various shifts and overtime hours to accommodate the needs of the company.
Manage a wide variety of customer service and administrative tasks to resolve customer issues quickly and effectively.
Locating in-network physicians, hospitals and urgent care facilities for the members.
Check to ensure that appropriate changes were made to resolve customers' problems.
Update account information such as billing options and changes of address or phone numbers.
Follow up with provider to provide resolution to telephone inquiries not resolved as first contact call.
Experience
7-10 Years
Level
Senior
Education
Associate of Science
Lead Customer Service Advocate Resume
Objective : Qualified Customer Service Representative with 4 years in fast-paced customer service and call center environments. Personable and professional under pressure. Customer service driven to exceed sales goals and build long term relationships with customers. Delivers positive experiences through high-quality customer care. Excellent communicator with 4 years in a demanding call center environment as a Customer Service Representative.
Skills : Profient In Microsoft Word, Power Point And Excel
Description :
Maintains and improves quality results by adhering to standards and guidelines.
Updates job knowledge by studying new product descriptions and participating in educational opportunities.
Resolves problems by clarifying issues, researching and exploring answers and alternative solutions, implementing solutions, escalating unresolved problems.
Fulfills requests by clarifying desired information, completing transactions, forwarding requests.
Sells additional services by recognizing opportunities to up-sell accounts and explaining new features.
Enhances organization reputation by accepting ownership for accomplishing new and different requests, and exploring opportunities to add value to job accomplishments.
Provided remote support to consumers with account inquiries, focusing on complaint resolution and customer satisfaction.
Experience
2-5 Years
Level
Executive
Education
Diploma
Customer Service Advocate Resume
Objective : Customer Service Advocate with extensive experience in information and communication. Passionate about building client relationships and problem solving. Proficient with proven success in effecting positive outcomes.
Skills : Microsoft Office, Customer Service, Management, Billing & Payments
Description :
Provided information about products and services, to take orders or cancel accounts, or to obtain details of complaints.
Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions, are taken.
Resolve customers service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills.
Contact customers in order to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
Unresolved customer grievances to designated departments for further investigation.
Review customer accounts to identify and match customer needs with products.
Educates customers on benefits, use of the plan, formulary, premiums, and status of orders, claims or inquiries.
Experience
0-2 Years
Level
Entry Level
Education
Associate of Science
Customer Service Advocate Resume
Summary : Experience performing data entry, and working in a hotel environment. Proficient with Microsoft word, Excel, Power Point, and Internet. Strong customer service focus. Provide enthusiastic, friendly, professional personality. Organized, leadership, communications abilities. Demonstrated ability to multitask. Cashiering and sales receipting experience.
Skills : Microsoft Office, Troubleshooting, Over The Phone Customer Service, Customer Relationship Management, Billing, Call Center, Customer Service, Computer Repair
Description :
Retain the existing customers by building rapport and providing customer satisfaction.
Provided timely solutions of the customer queries, and ensure that the problem does not occur again.
Verified member demographics, mailed out forms when requested by a member, documented reason for member's call.
Follow up with customers to ensure first call resolution and deliver a positive experience.
Balance customer expectations with company policies process transactions credit/debit/check position resolutions that best suits the inquiry.
Performed claim interpretation in addition to claiming adjustments with card transactions.
Answers telephones by screening and directing patients to the appropriate person.
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