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Sample Customer Service Representative Resume

 

Objective       A position that will allow me to use my extensive benefits background in a human resources environment.

 

Profile

·         Experience in Health & Welfare benefit programs (PPO,POS,HMO & self-insured plans)

·         Knowledgeable of both Federal and State Employment Laws

·         Presentations at Benefit Fairs

·         Expert resolution of claim and policy discrepancies with vendors and employees

 

Accreditations & Education

 

2005          Enrolled in the B.S. Business Administration – Human Resource Management Emphasis, City University, Bellevue, WA

2005          SHRM HR Generalist Certificate Program, Seattle, WA

2004          Human Resource Certificate Program, Bellevue Community College
Bellevue, WA

2001          Washington State Life & Disability Agent’s License (expiration 12/07)       
2000          HIAA, Managed Healthcare Professional designation (MHP)

                  Bentley College, Waltham MA.  Administrative Assistant Program

                  Newbury Junior College, A.S. Medical Secretary/Medical Assistant

 

Employment History

 

Bell-Anderson Insurance Agency, Bellevue, WA

January 2005 – Present Life and Health Customer Service Agent/Human Resource Generalist

 

The Customer Service Agent (CSR) for the alphabetical split of M-Z. Responsible for the general customer service to the group administrators as well as assisting with administrative issues, claims questions and/or issues, and general customer service to group administrators.  Sell individual medical, life and dental policies to the individual market place.  Act as consultant to key employees and brokers on all benefit issues. Analyze and research details of benefit plans and contracts, COBRA administration, administration of medical insurance (including PPO, POS, HMO, and Self-Insured Plans).  Negotiate and resolve claim and policy discrepancies between insurance carriers and health providers.  

 

Create the benefits to be posted on our internal intranet, ongoing revision of the employee manual and answering any other questions related to our company benefits.

 

Zenith Administrators, Seattle, WA (Contracted by Insurance Overload Staffing Systems)

September 2004 – January 2005 Customer Service Representative - Retail Clerks Welfare Trust

 

Responsible for providing health claims customer service to participants, union locals and providers regarding eligibility, benefits and claim status.  Provided telephone customer service support by responding to and documenting telephone and written inquiries.  Set up claims to be re-opened; process check tracers, stop payments, and claim audits.

 

BenefitPort Northwest (formerly The Reppond Company), Bellevue, WA (3.5 years)

 

July 2003 – May 2004 Account Coordinator (Small Group)

July 2002 – July 2003 Acc