Driven and resilient professional with a proven track record at Medicare, adept in handling high-volume call center operations and excelling in client relationship building. Demonstrates a strong technology mindset and exceptional time management skills, ensuring efficient resolution of complex claims and fostering significant stakeholder rapport.
• 1st Point of Contact for all customer queries (including Level 1 Helpdesk/ Troubleshooting)
• Investigate and resolve claims via government legislation whether to reject or grant claims.
• Liaise with senior stakeholder/SMEs to resolve large and complex claims.
• Build strong relationships and rapport with external government agencies to seek an outcome/resolution.
• Multi-task long claim cycles via delegation and group participation.
• Maintain & update confidential & sensitive digital information across all proprietary/inhouse CRMs (paperless databases)
• Provide feedback for appropriate updates in accordance with legislation and guidelines (governance)