Customer Service Representative

PAMELA D. LUNSFORD


716 Red Carriage Ave.


Durham, NC 27704


 919-519-3133


plunsford38@gmail.com


 


OBJECTIVE


To secure a challenging position, that provides an opportunity to demonstrate hard working skills and ongoing commitment to customer excellence.


 


EMPLOYMENT HISTORY


 


Xerox/Cressent Green Dr.     06/16- 08/16


Customer Care Assistant


 


First point of contact for Indivdual Medicare members with Humana health insurance


 


.  Assist Medicare members with questions about their premium bill, eligbility, pharmacy claims, and enrollment over the phone


 


 


Blue Cross and Blue Shield of North Carolina/Ivy Creek Drive     6/05- 12/15


Customer Solutions Expert


. Utilize Ebenefitsnow to enroll state health plan retirees


. Serve as first point of contact for incoming calls from members and medical providers using Siebel, Power MHS, IPD, Max Mc, Magic, Blue2, Ebenefits, Claims Inquiry Tool and Mobius Web


. Document and process inquiries pertaining to medical benefits and claims processing through data entry on up to seven programs per call


. Research and analyze medical records, medical history, benefits details, and company policy to aid medical providers and members in efficient medical insurance utilization


Compose and submit correspondence faxes to members and providers


Qualex, Stirrup Creek, RTP                                                         9/99 – 6/05


Tele-maintenance / Customer Service



  • Answer all incoming calls in the call center

  • Return customer calls

  • Provide technical support for 1hour photo machine

  • Problem solve/ trouble shoot

  • Take inventory on computers

  • Polling – call stores to check modem inside 1 hour photo machines for billing purposes


 


 


EDUCATION


 


Graduated from Northern High School in 1996                                 Durham, NC


 


SKILLS


 


Cashiering, Keyboarding 45 wpm, Photo Copying, Word Processing,


Alpha/Numeric Data Entry, Word Perfect, Microsoft Word


 


 


 


REFERENCES FURNISHED UPON REQUEST

  • ID#: 130783
  • Location: Durham, NC , 27704

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