Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
5
5
years of professional experience
Work History
Claim Management Officer
Medibank
05.2021 - Current
Providing advice on making a claim and the processes involved.
Processing new insurance claims notifications.
collecting accurate information and documents to proceed with a claim.
Take claims information, log them into system and generate reports.
conduct regular audits of random claims for purposes of quality assurance.
where possible/appropriate obtain. check the validity of the information provided by the claimant, consultants and other sources.
Manage and distribute co-pays, co-insurance maximums and provider settlements.
interpretation of the policy wording and policy schedule to determine the extent of coverage and the application of any warranties,conditions or exclusions.
The identification and collection of any policy excess/ deductibles and analysing the claim made by a policy holder or third party.
Investigate and resolve settlement issues.
Investigation potentially fraudulent claim and identifying reasons why payment may not be made.
Kept record of phone calls.
customer service advisor
vodafone
03.2020 - 04.2021
Enhanced customer satisfaction by addressing and resolving issues in a timely manner.
Streamlined call handling processes for increased efficiency and reduced wait times.
Boosted sales revenue with upselling techniques and comprehensive product knowledge.
Maintained high-quality service standards, ensuring positive customer feedback.
Customer Service
oracle call centre
07.2019 - 03.2020
Greeted incoming customers and provided reliable, friendly customer service.
Delivered superior customer service and handles client requests.
Trained new staff in product knowledge and customer service protocols.
Education
Masters in Business Administration -
Holmes Institute
09.2021
bachelors of science -
pt. Mohan lal sd college.
03.2017
diploma in hospitality -
Spencer college
04.2023
Skills
Information Verification
Decision-Making
Time management abilities
Written Communication
Interpersonal Communication
Organizational Skills
Professionalism
Multitasking
Additional Information
Trained and mentored new team members on company policies and procedures.
Successfully handled escalated customer complaints, ensuring a satisfactory resolution and maintaining customer loyalty.
Managed high call volumes, assisting customers with product inquiries and resolving technical issues.
Won EMPLOYEE OF THE YEAR award.
Professional experience in a fast-paced customer service call center environment, resolving customer inquiries and concerns.
Efficiently managed a high volume of incoming calls, ensuring customer satisfaction and adherence to service level agreements.
Proactively identified and resolved customer issues, resulting in a high rate of customer retention and positive feedback.