Christina Lopez-Rogina
Denton,TX
Summary
Dedicated professional with a focus on quality management and customer relations. Experienced in problem-solving and effective communication, consistently achieving operational excellence and fostering team collaboration.
Overview
13
13
years of professional experience
Work History
Provider Relations Quality Analyst
Careington
Frisco, TX
09.2025 - Current
- Conducted comprehensive quality audits to ensure compliance with industry standards and regulations.
- Developed and implemented testing procedures to enhance product reliability and performance.
- Analyzed defect data to identify trends, providing actionable insights for process improvements.
- Collaborated cross-functionally with teams to establish best practices in quality management systems.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Developed and maintained quality assurance procedure documentation.
- Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
- Identified process inefficiencies through meticulous data analysis, leading to streamlined operations and increased productivity.
Claims Representative
Progressive
Remote, TX
01.2023 - 02.2025
- Processed insurance claims efficiently, ensuring compliance with company standards and regulations.
- Evaluated claim documentation for accuracy, identifying discrepancies and resolving issues promptly.
- Collaborated with cross-functional teams to streamline claims processing workflows, enhancing overall efficiency.
- Trained new staff on claims procedures and best practices, fostering a knowledge-sharing environment.
- Led initiatives to improve customer communication strategies, resulting in enhanced client satisfaction scores.
- Analyzed trends in claim submissions to identify areas for process improvement and risk mitigation.
- Mentored junior representatives in complex claim assessments, promoting professional growth within the team.
Specialty Pharmacy Coordinator
McKesson Specialty Health
Remote, TX
12.2022 - 01.2024
- Coordinated medication distribution processes, ensuring compliance with regulatory standards and organizational policies.
- Managed pharmacy inventory systems, optimizing stock levels to reduce waste and enhance availability.
- Led training sessions for new staff on pharmacy protocols and best practices, improving team performance.
- Streamlined patient communication workflows, enhancing service efficiency and satisfaction rates.
- Collaborated with healthcare providers to ensure accurate medication management for specialty patients.
- Implemented process improvements that increased operational efficiency within pharmacy operations team.
Customer Service Specialist
Alorica
El Paso, TX
06.2013 - 06.2018
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Assisted in training new team members on customer service protocols and best practices.
- Facilitated escalations to ensure timely resolution of complex customer issues.
- Maintained accurate records of customer interactions using CRM software for tracking purposes.
- Implemented feedback mechanisms to identify areas for improvement in service quality.
- Analyzed customer feedback data to develop actionable insights for service enhancement initiatives.
- Processed billing adjustments efficiently using company-specific software to maintain accurate customer accounts.
Education
Associate of Arts - Liberal Arts And Sciences
Southern New Hampshire University
Hooksett, NH06-2026
GED -
Commonwealth Military Academy
Virginia Beach, VA12-2011
Skills
- Audit processes
- Quality improvement
- Quality processes
- Data analysis
- Data validation
- Insurance billing
- Prescription verification
- De-escalation techniques
- CRM software
- Computer proficiency
- Data entry
- Insurance claims review
- Claims investigation
- Microsoft office
- Coverage determination
Timeline
Provider Relations Quality Analyst
Careington
09.2025 - Current
Claims Representative
Progressive
01.2023 - 02.2025
Specialty Pharmacy Coordinator
McKesson Specialty Health
12.2022 - 01.2024
Customer Service Specialist
Alorica
06.2013 - 06.2018
Associate of Arts - Liberal Arts And Sciences
Southern New Hampshire University
GED -
Commonwealth Military Academy