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Lajanese — Senior Medical Customer Service Representative from United States

Lajanese

Senior Medical Customer Service Representative

United States 6+ years
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About

Lajanese H. is an experienced customer service representative from Greenville, NC, boasting over a decade in professional service roles. With a proven track record in the healthcare sector, she excels at managing high-volume calls and provides technical support for both websites and mobile apps, as demonstrated during her tenure with Teledoc Health Support. Her role required her to verify insurance benefits and educate patients about their coverage while maintaining a high level of professionalism and empathy. At Alorica, she expertly handled a demanding queue, swiftly resolving up to 100 calls per minute. Her extensive history in the insurance industry with Pierce Insurance Agency Inc. underscores her adeptness at managing accounts, processing applications, and serving as a primary point of contact for client needs. Additionally, her independent contract work as a beauty specialist at MBL Beauty showcases her ability to train and recommend products, highlighting her versatility in service-based roles. Lajanese's proficiency in MS Office, coupled with her strong problem-solving capabilities and multitasking efficiency, make her a valuable asset in any customer-facing position.

Experience

  • Medical Customer Service Representative

    Teledoc Health Support · 2024 — 2026
    Handled a high volume of inbound calls, assisting members with their healthcare services. Conducted eligibility verification and clarified insurance benefits in a professional manner. Scheduled virtual medical appointments and registered new members in the system. Informed patients about service coverage and enrollment programs. Provided step-by-step technical support for website and mobile app issues, including billing inquiries and refunds. Accurately documented interactions and filed grievances on behalf of members, ensuring proper follow-up while maintaining a professional demeanor.
  • Insurance Customer Service Representative

    Alorica · 2023 — 2023
    Managed a steady influx of customer calls, addressing and resolving product complaints with empathy and professionalism. Ensured accurate documentation, research, and resolution of customer service issues.
  • Independent Contractor / Beauty Specialist

    MBL Beauty · 2017 — 2023
    Applied makeup for clients at special events such as weddings and photoshoots. Provided product recommendations and achieved sales at a significant portion of appointments. Maintained inventory of over 20 cosmetic product types and represented the brand at industry events. Processed appointment requests and deposits while offering private training to aspiring makeup artists.
  • Insurance Customer Service Representative & Account Manager

    Pierce Insurance Agency Inc. · 2003 — 2019
    Provided information about available insurance options and enrolled clients in benefits via phone using designated systems. Collected and updated customer details to ensure correct coverage. Identified and resolved payroll deduction issues, handled refund requests for overcharges, and entered service notes for client records. Acted as the primary contact for insurance companies and agents, supporting field agents during open enrollment by distributing marketing materials and aiding in eligibility issues.

Skills & Expertise

Education

  • Esthetics Program
    Edgecombe Community College · 2018 — 2019
  • High School Diploma
    Farmville Central Highschool · 2001 — 2004