Maree Cuomo
Goulburn ,NSW
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
30
30
years of professional experience
Work History
Messaging Customer Service Specialist
ahm Health Insurance
Wollongong
08.2012 - Current
- Processed payments from customers and facilitated reimbursement from insurers.
- Assisted members to enhance current plans with supplemental benefits to boost sales.
- Remained current on latest industry trends by gaining comprehensive knowledge of financial and insurance products, services, and best practices.
- Qualified claims for reimbursement by researching medical history, insurance coverage and coding.
- Collaborated with other departments such as marketing, finance, and legal when necessary.
- Researched new products in order to provide more comprehensive coverage options for clients.
- Ensured compliance with state laws governing health insurance coverage.
- Provided guidance and advice to clients regarding their health insurance plans.
- Processed changes in insurance policies and periodically reassessed client needs.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Maintained records of all communications with clients related to health insurance policies.
- Calculated premiums and established payment methods, receiving customer payments and issuing receipts.
- Reviewed claims data to identify areas of potential savings or improvement.
- Responded promptly to inquiries from customers regarding their policies or claims status.
- Participated in weekly training sessions to improve product knowledge and enhance company growth.
- Explained coverage options to potential policyholders, answering questions or concerns.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Identified needs of customers promptly and efficiently.
- Worked with cross-functional teams to achieve goals.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Recognized by management for providing exceptional customer service.
Claims Consultant
NRMA Insurance
Wollongong
07.2010 - 08.2012
- Examined claims, records and procedures to grant approval of coverage.
- Collaborated with fellow team members to manage large volume of claims.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Negotiated settlements between claimants and insurers when necessary to resolve disputes quickly.
- Determined liability, compensability, and benefits due on each claim.
- Assisted new policyholders with processing claims.
- Maintained detailed records of all claim activities including correspondence, decisions, payments.
- Used insurance rate standards to calculate premiums, refunds, commissions and adjustments.
- Processed requests for additional documentation from customers in a timely manner.
- Reviewed customer insurance claims to ensure accuracy and completeness of information.
- Examined automobile policies with third-party liability, accident benefits and collision benefits.
- Investigated suspicious or fraudulent claims and reported findings to management.
- Resolved customer complaints related to insurance claim processing.
- Precisely calculated refunds, premiums, and adjustments.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Clerical Assistant
Carluke Enterprises
Unanderra
03.2008 - 07.2010
- Updated customer contact information in the system database.
- Trained staff members to perform work activities and use computer applications.
- Completed and mailed contracts, invoices or checks.
- Answered phone calls and directed them to the appropriate personnel.
- Troubleshot office equipment, computer hardware and software issues.
- Performed data entry tasks with accuracy and speed.
- Managed incoming and outgoing mail correspondence.
- Copied, sorted and filed records of office activities and business transactions.
- Operated photocopiers and scanners, facsimile machines and personal computers.
- Prepared shipping packages by printing packing labels and verifying orders.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Completed day-to-day duties accurately and efficiently.
Customer Service Assistant
Harvey Norman
Warrawong
02.2007 - 03.2008
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Used computer system to retrieve customer information, part number inventory and status of purchase orders.
- Monitored stock levels to facilitate restocking and replenishment of shelves.
- Replenished merchandise on shelves as needed throughout the day.
- Maintained cleanliness of the sales floor area at all times.
- Helped customers find specific products, answered questions, and offered product advice.
- Described merchandise and explained use, operation and care.
Assistant Manager
Vivien's Jewellers
01.2006 - 01.2007
- Collaborated with store manager to develop strategies for achieving sales and profit goals.
- Assigned work and monitored performance of project personnel.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Organized schedules, workflows and shift coverage to meet expected business demands.
- Analyzed business performance data and forecasted business results for upper management.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Planned and led team meetings to review business results and communicate new and ongoing priorities.
- Managed customer service inquiries and complaints in a timely manner.
- Maintained up-to-date knowledge of company products and services.
- Completed day-to-day duties accurately and efficiently.
Store Manager
Miller's Fashions
Albion Park
03.2003 - 01.2006
- Created weekly work schedules for store personnel.
- Updated and maintained store signage and displays.
- Resolved customer complaints in a timely manner.
- Established store tactics and strategies to achieve operational performance and sales goals.
- Ensured compliance with safety regulations and company policies.
- Oversaw storewide merchandising benchmarks to maintain operational excellence.
- Managed daily banking activities such as deposits and withdrawals.
- Reviewed financial statements and sales or activity reports to measure productivity or goal achievement.
- Preserved product quality by maintaining stockrooms and disposing of damaged items.
- Delegated work to staff, setting priorities and goals.
- Recruited, trained and supervised new employees.
- Assisted with customer requests and answered questions to improve satisfaction.
- Displayed strong telephone etiquette, effectively handling difficult calls.
Business Owner
Casa Dei Fiori
Corrimal
04.2001 - 02.2003
- Provided advice and assistance to customers regarding selection of flowers and plants.
- Recruited and trained new employees to meet job requirements.
- Identified needs of customers promptly and efficiently.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Completed day-to-day duties accurately and efficiently.
- Delivered products to customer locations on time.
- Created floral arrangements for special occasions such as weddings and funerals.
- Maintained records of purchases, sales, refunds, discounts, and other transactions.
- Directed the daily operations of a florist shop, including ordering, pricing, and merchandising.
Cash Office Assistant
Woolworths
Caringbah
08.1998 - 02.2001
- Kept up-to-date on current banking regulations pertaining to cash handling procedures.
- Responsible for counting down the register drawers at the end of each shift.
- Investigated any overages and shortages that occurred during shift operations.
- Performed daily opening and closing procedures for the cash office.
- Adhered to safety protocols when handling large amounts of money.
- Conducted regular audits of the cash register drawer to ensure accuracy.
- Maintained accurate records of all cash transactions in accordance with company policy.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Completed day-to-day duties accurately and efficiently.
Retail/Clerical Assistant
Cucina Lattela
Balmain
01.1994 - 08.1997
- Delivered messages and ran errands.
- Sorted and distributed incoming mail, dispersing to appropriate departments and personnel.
- Answered telephones, directed calls, and took messages.
- Prepared shipping packages by printing packing labels and verifying orders.
- Kept office records organized and supplies well-stocked for optimal team performance.
- Communicated with customers, employees and vendors to answer questions and address complaints.
- Greeted visitors and customers in a friendly, professional manner.
- Created product lines and marketed through retail venues, boutiques or mail-order catalogs.
- Created product designs in alignment with specifications.
- Delivered designs to diverse clients on time and within budget.
Education
High School Diploma -
Dapto High School
Dapto, NSW11-1993
Some College (No Degree) - Office Skills
Shellharbour Tafe
Shellharbour Some College (No Degree) - Certificate 3 Retail
Australian Business Centre
Wollongong, NSWSome College (No Degree) - Certificate 2 in Business
Australian Business Skills Centre
Wollongong, NSWSome College (No Degree) - Certificate 3 in Business
Australian Business Centre
Wollongong, NSWSkills
- Complaint Resolution
- Customer Service
- Good Communication Skills
- Telephone Etiquette
Affiliations
- Enjoy cooking
- Gardening
- Travel
References
References available upon request.
Timeline
Messaging Customer Service Specialist
ahm Health Insurance
08.2012 - Current
Claims Consultant
NRMA Insurance
07.2010 - 08.2012
Clerical Assistant
Carluke Enterprises
03.2008 - 07.2010
Customer Service Assistant
Harvey Norman
02.2007 - 03.2008
Assistant Manager
Vivien's Jewellers
01.2006 - 01.2007
Store Manager
Miller's Fashions
03.2003 - 01.2006
Business Owner
Casa Dei Fiori
04.2001 - 02.2003
Cash Office Assistant
Woolworths
08.1998 - 02.2001
Retail/Clerical Assistant
Cucina Lattela
01.1994 - 08.1997
High School Diploma -
Dapto High School
Some College (No Degree) - Office Skills
Shellharbour Tafe
Some College (No Degree) - Certificate 3 Retail
Australian Business Centre
Some College (No Degree) - Certificate 2 in Business
Australian Business Skills Centre
Some College (No Degree) - Certificate 3 in Business
Australian Business Centre
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