Summary Customer Service Representative Experience 2005- Health Network America, Eatontown, New Jersey Insurance Enrollment Coordinator and Switchboard Operator Responsible for all aspects of establishment and ongoing support of insurance services: Provide telephone-based customer service to a variety of callers: patients, employers, sales representatives, brokers, and prospective clients. Perform all additions, deletions and updates to member data, including demographics, financial details, sensitive health information, statistics and trends, insurance claims and personal contact preferences. Operate a switchboard on an as-needed basis: Greet and appropriately route callers in a high-throughput call queue manned solely by live operators. Document activities in accordance with company policies, industry requirements, and legal obligations. Experience 2002-2004 Health Net of the Northeast, Incorporated, Neptune, New Jersey Provider Services Call Unit Representative Assisted and served health care providers, employer clients, and patients: Explained and detailed medical claims and patient benefits, and advised on billing procedures and company policy to assure satisfaction for both health care providers and customers. Researched complex contractual and financial issues; took initiative to resolve problems and complaints. Provided information and materials on request and offered relevant materials to facilitate doctors and patients in understanding reimbursements and making informed decisions. Aided management in maintaining and strengthening business processes: Reported daily to management on callers' current issues and concerns and offered long-term solutions. Documented activities in accordance with company policies, industry requirements, and legal obligations. Experience 2001-2002 ImClone Systems Incorporated, Branchburg, New Jersey Document Control Administrative Assistant Performed mission critical functions in an FDA regulated environment: Supported various departments company-wide by providing internal customer service in a vital area. Created and implemented documentation and archival systems. Responsible for safety and security of proprietary information. Prepared for audits by FDA and similar agencies and answered regulatory requests for information. Education Microsoft Office 2000 Specialist, Word and Excel, 2004 Computer literate with current knowledge; proficient in software and systems including: Microsoft Windows; Word, Excel, PowerPoint, Access, and Exchange; Lotus Notes; call management software Personal American citizen, entitled to work and fluent in English Currently pursuing college degree in Social Sciences Avid cartoonist, sculptor and writer References References are available upon request