Customer Service Human Resources
Resume:
Karisha Grant
**** *********** **. ***. ****
Houston, TX 77082
j9s2wg@r.postjobfree.com
Career Profile:
Motivated to support the activities of the human resources function including payroll, employment, benefits, recruiting, training, and HR administration within a reputable organization.
Academic Background:
University of Houston Downtown August 2012
Major: BAAS in Applied Administration; Concentration in Human Resources Management
Houston Community College, Houston, TX, June 2008 - May 2012; GPA 3.2
Major: Business Administration; Concentration in Human Resources Management
Courses Completed:
Labor Relations, Organizational Behavior, Business Law, Introduction to Humanities, Recruiting, Introduction to Accounting, HR Training and Development, and Strategic Compensation.
Contemporary Learning Center, Houston, TX, May 1998
Professional Background:
September 7, 2010 – Present
AIG; American General Life Companies Houston, TX
Licensing and Commissions Representative
Answer incoming calls from policy owners, agents, claimants, and other clients.
Provide information on state appointment status, commissions paid, policy coverage, billing, premiums paid, claims, and other issues.
Received Star Standout Award within the Licensing Call Center Department; October 2011.
Obtained Certificate of Excellence within the Licensing Call Center Department; April and May 2012.
June 1, 2009 – September 2, 2010
Empyrean Benefits Solutions Inc. Houston, TX
Outsourcing Client Service Representative
Assist clients via telephone, email, and web chat with benefits administration, eligibility, payroll, status change, and demographic updating.
Documented all calls within the case management software application Sales Force.
Processed enrollments and terminations in SAP 710.
Input, updated, and retrieved eligibility, benefits, and employee demographics in SAP 710.
Prepared and reviewed death claims, portable and conversion life enrollment forms and related documents for completeness.
Achieved Quarterly bonuses for consistently meeting established productivity, scheduled adherence and customer service quality standards.
June 9, 2008 – May 29, 2009
Evercare Integrated Care Management – A United Health Group Company
Houston, TX
Clinical Administrative Coordinator
Responded to incoming provider and member calls, emails, and faxes.
Entered pre-certifications for inpatient and outpatient services, and durable medical equipment.
Provided information on available providers, services, and eligibility.
Achieved Quarterly bonuses for consistently meeting established productivity, scheduled adherence and customer service quality standards.
May 30, 2007 - June 4, 2008
United Behavioral Health – A United Health Group Company
Houston, TX
Customer Care Professional
November 6, 2006 – May 29, 2007
Placement Pros Staffing at United Behavioral Health Plymouth, MN
Customer Care Professional
Responded to incoming calls from members and providers regarding mental health benefits, eligibility, and claim status.
Verified and updated member demographics.
Researched claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error.
Achieved Quarterly bonuses for consistently meeting established productivity, scheduled adherence and customer service quality standards.
January 23-2006 - November 2, 2006
Vertrue Inc. Houston, TX
Member Retention Representative
Retained members who expressed interest in discontinuing their membership.
Researched and resolved billing and service issues.
Received 4 hours of PTO for each month perfect attendance was achieved.
September 25, 2000 - October 27, 2001
Risk Management Alternatives Houston, TX
Debt Collector
Negotiated repayment of past due obligations on Capital One accounts utilizing a Davox dialer system.
Maintained an updated knowledge of the Fair Debt Collection Practices Act and State Collections Laws.
Achieved bonuses for consistently meeting established productivity, scheduled adherence and customer service quality standards.
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