Briana Medina
Sealy,TX
Summary
Successful customer care representative with 10 years of experience addressing customer requests and concerns. Expert at providing relevant information and options to successfully resolve issues. Upbeat and energetic handling difficult situations through resourcefulness and adaptability. Known for teamwork, adaptability, and achieving results under changing conditions. Capable of multitasking across various programs.
Overview
6
6
years of professional experience
Work History
Customer Care Representative
Elevance Health
10.2022 - Current
- Worked with a variety of healthcare plans under Medicaid, including WellPoint, Amerigroup, Healthy Blue, Anthem Blue Cross and Blue shield
- Assisted members through chat for one year with inquires regarding their benefits
- Assisted members via phone in locating providers within their network for appointment scheduling
- Communicated with healthcare providers to ascertain patient eligibility and verify CPT codes to secure prior authorization if necessary.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Utilized NPI numbers to verify the network status of providers to determine eligibility for services.
Customer Service Representative
Fred Loya Insurance
09.2019 - 09.2022
- Licensed to sell car insurance through one company
- Provided guidance and training to new employees
- Utilizing AS400 software to generate optimal quotes for our clientele.
- Marketed through social media, in stores and assisted in person events to promote our business
- Uploaded pictures into the Fred Loya’s portal of damaged vehicles for claims department to review
Education
High School Diploma -
Cypress Lakes High School
5750 Greenhouse Rd Katy, TX 7744906.2017
Skills
- Bilingual
- Data entry
- Call center experience
- Microsoft office
- First call resolution
- Multitasking and organization
- Active listening
- Call logging
- Writing
Timeline
Customer Care Representative
Elevance Health
10.2022 - Current
Customer Service Representative
Fred Loya Insurance
09.2019 - 09.2022
High School Diploma -
Cypress Lakes High School