Customer Support Specialist

Overview

Looking for full-time work (8 hours/day)

at $4.56/hour ($802.56/month)

Bachelors degree

Last Active

February 7th, 2025 (9 days ago)

Member Since

November 16th, 2023

Profile Description

PROFESSIONAL SUMMARY
Dedicated and
results-driven Customer Service Professional with extensive experience
providing exceptional support across multiple channels including phone, chat,
and email. Proven ability to deliver tailored customer service in diverse
industries, such as e-commerce, OTA platforms, and dental insurance. Known for
strong communication skills, problem-solving abilities, and a customer-first
approach to ensure positive and efficient resolutions. Adept at managing
high-volume interactions while maintaining a high level of customer
satisfaction.
 
SKILLS
Customer Service Excellence:
Strong background in delivering high-quality support in fast-paced
environments.
Multi-Channel Support:
Expertise in phone, chat, and email communication platforms.
Industry Experience:
E-commerce, OTA platforms, dental insurance, and more.
Problem-Solving: Ability to handle complex
issues with a calm, solution-oriented approach.
CRM Software: Experience with tools like
Zendesk, Salesforce, Freshdesk, etc.
Time Management:
Skilled in managing multiple inquiries simultaneously while meeting
service level agreements (SLAs).
Communication: Excellent verbal and
written communication skills.


Tools- Zendesk,Shopify,Upgrade to see actual info, TimeDoctor, Trello, SuperHog, AirBnB, Upgrade to see actual info, Slack, Skype, WhatsApp, RingCentral, Amazon, Loom. Google sheets, Dropshippinglite, Microsoft Excel, word and etc.

DENTAL Insurance
1) Eligibility & Benefit Verification
Eligibility & Benefits will be checked via website & phone with insurance.
2) ADA Codes
Verify Dental codes if covered by the insurance
3) Resolving rejected claims
If any claim is rejected then correct it & rebill to insurance.
4)Orthodontics
5) Follow up on claims & denial management
If any claim is denied then call insurance to find out the reason & take the correct action such as any correction in claims data or to send an appeal if required. At the end of the month create a report of denied claims to find out the top denials & to take preventive action to avoid such denials in the future.
6) Billing Dispute
Specialties I have worked
1) Dental-PPO
2) AARP-Supplemental
Medical Insurance verification
Noridian-Medicare
Availity-Anthem Bluecross, Healthnet, Aetna
Blue Shield of CA
UHC, Cigna
Basic Knowledge of appointment scheduling via eCw