Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Andrea Arredondo

Miami

Summary

Dedicated customer service professional with over five years of experience at Florida Blue providing exceptional support to members and healthcare providers. Extensive experience assisting with insurance claims, prior authorizations, appeal status inquiries, benefits, eligibility, and resolving complex member concerns while delivering compassionate, accurate, and efficient service. Skilled at explaining health insurance policies, navigating multiple systems, and managing a high-volume workload in a fast-paced call center environment. Recognized for strong communication, problem-solving, and attention to detail, with a commitment to delivering excellent customer service and creating positive member experiences. Previous experience in a breast care center further strengthened my patient relations, administrative, and organizational skills. Bilingual in English and Spanish, allowing me to effectively assist a diverse member population.

Overview

9
9
years of professional experience
2
2
Languages

Work History

Customer Service Representative

Florida Blue
REMOTE
07.2021 - Current
  • Assisted members and healthcare providers with insurance claims, prior authorizations, appeal status, benefits, eligibility, and coverage inquiries.
  • Resolved complex customer concerns while providing accurate information with empathy and professionalism.
  • Educated members on health insurance plans, coverage, and available resources.
  • Navigated multiple systems while documenting interactions accurately and ensuring timely resolutions.
  • Maintained productivity and quality standards in a high-volume call center environment.
  • Built positive relationships with members by providing exceptional customer service and effective problem resolution.
  • Managed over 50 calls per day during busy season

Patient Services / Administrative Support

Breast Center
Miami, FL
01.2018 - 08.2020
  • Assisted patients with scheduling appointments and providing excellent customer service.
  • Supported office operations and administrative tasks in a fast-paced healthcare environment.
  • Coordinated with clinical staff to ensure a positive patient experience.
  • Maintained accurate patient records while demonstrating professionalism and attention to detail.

Education

High School Diploma -

Felix Varela Senior High
Miami, FL
06-2016

Skills

  • Bilingual (English & Spanish)
  • Customer Service
  • Health Insurance Support
  • Insurance Claims Assistance
  • Prior Authorizations
  • Appeal Status Support
  • Benefits & Eligibility Verification
  • Member & Provider Support
  • Patient Relations
  • Problem Solving & Conflict Resolution
  • Strong Written & Verbal Communication
  • Time Management & Multitasking
  • Organization & Attention to Detail
  • Microsoft Office (Word, Excel & Outlook)
  • Data Entry
  • Team Collaboration
  • Customer service
  • Active listening
  • Critical thinking
  • Data entry
  • Relationship building
  • Call center experience
  • Appointment scheduling

Languages

English
Spanish

Timeline

Customer Service Representative

Florida Blue
07.2021 - Current

Patient Services / Administrative Support

Breast Center
01.2018 - 08.2020

High School Diploma -

Felix Varela Senior High