Sheron Jones
Philadelphia,PA
Summary
Dynamic Customer Service Representative with a proven track record at Independence Blue Cross Blue Shield, adept in multi-task management and showcasing empathy. Excelled in processing claims efficiently, enhancing customer satisfaction, and mastering healthcare regulations. Collaborated effectively across teams, significantly improving resolution times and service quality. Proficient in industry-specific software, embodying problem-solving prowess and regulatory expertise.
Overview
10
10
years of professional experience
Work History
Customer Service Representative
Independence Blue Cross Blue Shield
Philadelphia
02.2015 - 01.2025
- Maintained accurate records of all insurance transactions using computer software systems
- Prepared documents such as applications, endorsements, renewals, cancellations, or other forms required by law or company procedures
- Participated in continuing education courses to stay current on industry trends and changes in regulations
- Explained complex technical terms related to insurance plans in simple language for easy understanding
- Answered customer inquiries and provided accurate information regarding products and services
- Followed company policies regarding customer service standards
- Provided exceptional customer service to ensure customer satisfaction
- Processed a high volume of claims efficiently while maintaining quality standards
- Identified potential fraud indicators during the review process and reported suspicious activity accordingly
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence
Education
High School Diploma -
Murell Dobbins A.V.T.S
Philadelphia, PA06.1993
General Studies -
Community College of Philadelphia
Philadelphia, PASkills
- Multi-task management
- Empathy and patience
- Enrollment and claims procedures
- Problem-solving capacity
- Healthcare regulations expertise
- Teamwork skills
- Proficient in [software]
- Problem-solving
Timeline
Customer Service Representative
Independence Blue Cross Blue Shield
02.2015 - 01.2025
High School Diploma -
Murell Dobbins A.V.T.S
General Studies -
Community College of Philadelphia
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