Summary
Work History
Education
Skills
Timeline
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Carlos Pagán

Deltona

Summary

Dynamic bilingual professional with 10+ years of experience in customer service, claims management, and employee support across corporate, medical and retail environments. Recognized for improving process efficiency, reducing claim resolution times, and delivering exceptional client experiences. Adept at managing complex cases, translating between English and Spanish for diverse teams, and leveraging technology platforms to ensure compliance and accuracy. Proven ability to adapt in fast-paced environments while maintaining a customer-first approach.

Work History

Walmart Care Team Representative

Sedgwick Claims Management
2023 - 2025

• Coordinated associate leave and benefits cases, ensuring timely and compliant processing in accordance with policy and state regulations.
• Provided empathetic support and clear communication to employees regarding benefit eligibility and return-to-work planning.
• Served as bilingual liaison to ensure accurate understanding of care and leave policies among English and Spanish speaking employees.

Claims Specialist

NuVision Auto Glass
2022 - 2023

• Coordinated service scheduling and claim validation, ensuring seamless communication between customers, insurers, and service teams.
• Provided compassionate customer assistance while maintaining accuracy in claim records and compliance documentation.
• Handled high-volume inbound and outbound communications with attention to service quality and timely resolution.

Customer Service Representative

Bio Shack
2014 - 2022
  • Responded to customer requests for products, services, and company information.
  • Enhanced productivity levels by anticipating needs and delivering outstanding support.
  • Increased efficiency and performance by monitoring team member productivity and providing feedback.
  • Recommended, selected and helped locate and obtain out-of-stock product based on customer requests.

Education

Bachelor of Arts - Photography

Atlantic University College
Guaynabo PR
01-2014

High School Diploma -

Miguel Such Vocational Training Institute
Rio Piedras PR
01-2010

Skills

  • Care Coordination & Case Management
  • Patient/Client Communication (Bilingual EN/ES)
  • Benefits & Claims Processing
  • Healthcare Policy & Compliance
  • Documentation & Data Accuracy
  • Cross-Functional Collaboration
  • EMR / Salesforce / MS Office

Timeline

Walmart Care Team Representative

Sedgwick Claims Management
2023 - 2025

Claims Specialist

NuVision Auto Glass
2022 - 2023

Customer Service Representative

Bio Shack
2014 - 2022

Bachelor of Arts - Photography

Atlantic University College

High School Diploma -

Miguel Such Vocational Training Institute