Insurance Customer Service Resume

Many businesses functioning as of now including the insurance industry require customer service professionals to solve doubts and answer queries of their customers in limited time. The insurance customer service individuals working in the healthcare domain act as a mediator between the company that provides the policy, and the customers. These representatives are entrusted with the responsibility of answering queries and resolving complaints that the customers have with respective policies. Representatives in the healthcare domain are often required to make tough judgments particularly involving illnesses of family members of the policy members. They must demonstrate ability to keep calm in stressful situations, have exceptional understanding of the various policies offered and must be able to multiple tasks simultaneously. They even inform the customers about the upcoming premiums and address any queries related to the policy a potential customer is interested in. Also, these representatives must reflect outstanding communication skills, proficiency in preparing reports and maintaining accurate databases in their resume.

Insurance Customer Service Resume Sample

Julius M. Calvert
4969 Dennison Street
Stockton, CA 95202
Phone: 209-863-4781
Email: julius.calvert@anymail.com

Job Objective:

Customer-oriented and dedicated professional with exceptional knowledge of healthcare insurance principles, and a talent for resolving complex cases, is seeking a challenging role in a reputed organization.

Summary of Skills:

Well-versed with different types of health insurance policies
Capable of handling meticulous paperwork, and data entry tasks to maintain updated database
Proficient in solving customer queries, and performing well under pressure to give appropriate responses on mail or call
Ability to perform multiple tasks according to supervisor's instructions
Expertise in working with Microsoft Office Suite, Google Spreadsheets, and performing data-entry operations
Ability to maintain consistently high customer satisfaction ratings to ensure profitable business for the company by exceeding monthly targets
Excellent people skills and a good communicator

Work Experience:

Insurance Customer Service Representative
AmTrust Insurance Services, Stockton, CA
December 2016 – Present

Handling 20+ calls per day related to pre-authorization requests for various types of medical treatments
Assisting new customers understand the terms mentioned in paperwork, and informing them about the procedures followed for monthly, quarterly, or annual insurance premium
Maintaining updated database for 10K policyholders, and informing them about the latest health insurance policies over the mail
Answering customer queries related to deductibles, service charges, and combined payments for accidental cases, etc.
Consulting with senior representatives to answer questions related to customers seeking insurance benefits outside the coverage in critical cases

Insurance Customer Service Representative
Alliant Insurance Corporation, Stockton, CA
April 2014 – November 2016

Handled calls from potential customers to evaluate their needs, and recommended merits of various plans to help them select the best option
Provided answers to doubts concerning medical issues or a particular hospital covered under the policy
Described the benefits and coverage associated with different types of healthcare policies as well as non-covered treatment approaches
Gave appropriate responses to mail concerning minor doubts about premium, and forwarded complex medical issues with immediate approval to supervisor for fast decisions
Informed existing customers about the policy changes, and ensured clients took necessary steps for renewal by sending reminder messages on phone or mail

Associate Insurance Customer Service Representative
Alliant Insurance Corporation, Stockton, CA
September 2012 – March 2014

Developed and maintained working knowledge of the various health insurance policies provided by the company
Retrieved accurate data while answering calls related to claims to differentiate between policy holders, and fraudulent calls
Provided excellent customer service by explaining features, advantages of various insurance plans to prospective clients, and achieved a 25% conversion rate
Interacted with customers to understand the requirements and type of policy needed, and offered best suitable ones
Replied to telephone inquiries and policy holder complaints in a prompt, accurate, and courteous manner by following appropriate procedures

Customer Service Representative
B&B Marketing Services, Stockton, CA
July 2011 – August 2012

Managed 50+ incoming calls to inform customers about the status of their orders after the product has been shipped from the store
Addressed customer complaints, and allotted complaint number for further processing in the department to solve in minimal time
Coordinated with supervisor to determine solutions for complex cases involving faulty products, and processed dispatch of replacements within week of the complaint
Maintained a record of the handled calls to prepare reports about customer interaction, and submitted weekly reports to the supervisor
Participated in training sessions to understand communication procedures, company guidelines, and policies to solve customer grievances

Education:

Bachelor's Degree in Arts
University of the Pacific, Stockton, CA
2008

Associate Degree in Insurance Services
University of the Pacific, Stockton, CA
2011

Reference:

On request.