BS Medical Technology
University of Santo Tomas
Hi Client, You can call me Ai.
I am a passionate individual who likes being a part of a community that helps me grow. I am a reliable and dedicated worker. I am hard working, responsible, and very experienced in the work that I do. I have developed good planning and organizational skills. I always give my best to produce quality work and provide 100% guaranteed satisfaction to all my clients. I can do the work with less supervision. I can speak English fluently. With good training, I can pretty much do anything, and I'm flexible and I like learning new things, I am open for challenges and I can adapt quickly. As a responsible person, I always make sure that a task is completed in a timely manner with professional results. I am flexible regarding working hours and am able to work a range of shifts.
With me as your partner in your business, I can assure you quality service. Hoping to grow and learn more in your business
University of Santo Tomas
-Catered inbound calls for a US-based Healthcare account.
•Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources.
•Provide assistance to members and/or providers regarding website registration and navigation.
•Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application.
•Process written customer correspondence and provide the appropriate level of timely follow up.
•May coordinate member transportation and make referrals to other departments as appropriate.
•Maintain performance and quality standards based on established call center metrics including turn-around times.
•Provide excellent customer service by responding to inquiries and resolving issues in a timely manner.
•Utilize problem solving skills to identify solutions for customer needs.
•Maintain up-to-date knowledge of products, services, policies, and procedures.
•Accurately process orders, payments, returns, exchanges, and other transactions.
•Assist with product activation and troubleshooting technical issues.
•Educate customers on the features and benefits of their devices and services.
•Follow established processes and procedures to ensure compliance with company standards.
•Provide feedback to management regarding customer satisfaction levels.
•Monitor customer accounts for potential fraud or abuse.
•Remain current on industry trends and changes in technology.
•Participate in team meetings and training sessions as required.
•Demonstrate strong communication and interpersonal skills.
-Responsible for the testing phase of the production process to ensure the final products meet the company standards.
•Testing products, systems and software to guarantee they are defect-free and fulfill the quality standards of an organization.
•Developing and executing test plans to ensure that all objectives are met
Implementing and monitoring test scripts to assess functionality, reliability, performance and quality of the service or product.
•Identify and remedy defects within the production process.
•Recommend, implement and monitor preventative and corrective actions to ensure that quality assurance standards are achieved.
•Compile and analyze statistical data.
•Ensure that user expectations are met during the testing process.
•Draft quality assurance policies and procedures.
•Investigate customer complaints and product issues.
Catered inbound calls for a US-based Healthcare account.
Primary Responsibilities:
• Receive requests by mail or telephone regarding insurance claims/policies while operating on multiple computer applications.
• Respond to inquiries from policy holders, providers and/or others for information and assistance
• Perform research to respond to inquiries and interprets policy provisions to determine most effective response. Mail or route claim forms and supporting documentation to various units for final processing
• Independently respond to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity. May seek assistance with complex customer services issues
• Ability to understand and interpret policy provisions
• Performs research to respond to inquiries and interprets policy provisions to determine most effective response using established departmental procedures, HIPAA regulations, and corporate policies.
Create visual concepts to communicate through posters and billboards to packaging, logos and marketing materials.
Help customers with complaints and questions. Give customers information, take orders and process returns.
Quickly assess an account, develop a strategy to improve results and implement strategy over time through testing.
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Search the Internet for information on a wide variety of topics.
Promote companies' products and services by developing copy for websites, social media, marketing materials.