customer service advocate robert smith phone 123 456 78 99 email infoqwikresumecom website wwwqwikresumecom linkedin linkedincomqwikresume address 1737 marshville road alabama objective obtain position enable use strong organizational skills educational background ability work well people skills obtained human development customer service public relations skills communication multitasking phone time management interpersonal customer service organization planning adaptability work experience customer service advocate abc corporation january 2016 present help guide educate customers fundamentals benefits consumerdriven health care topics include managing health wellbeing selecting best benefit plan options maximizing value health plan benefits choosing quality care provider research complex issues across multiple databases work support resources resolve customer issues partner others resolve escalated issues provide education status previously submitted preauthorizations predetermination requests review research assigned claims navigating multiple computer systems platforms accurately capturing datainformation necessary processing ensure proper benefits applied claim using appropriate processes procedures claims processing policies procedures grievance procedures state mandates cmsmedicare guidelines benefit plan documents certificates complete daily basis data entry required document communicate status claims needed adhering reporting requirements communicate collaborate members providers resolve claims issues using clear simple language ensure understanding customer service representative abc corporation december 2014 april 2015 researches benefits claims inquiries claims processing system informational sources responds customers groups provider questions telephone contact written communication using proper grammar punctuation etiquette etc enters modifies adjusts claims eligibility information system reviews prepares orthodontics complex service claims processing makes benefit determinations using renaissancesdelta dental processing guidelines reviews subscribers coverage determine type level benefits well compare radiographs treatment plans free resume template copyright qwikresumecom usage guidelines