Diligent and hardworking professional with over 4 years of experience in customer service. Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service practices and adept at exploring different solutions to address customer needs effectively.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Bilingual Customer Service Representative
Resutls-CX
Remote
08.2023 - 03.2024
Handled 30+ calls daily, taking inbound calls and making outbound calls to members, clinics, and billing departments.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Identified and responded to customer requests and concerns through email, online chat, and phone for both English and Spanish-speaking members.
Responded to customer requests for products, services, and company information.
Answered constant flow of customer calls with minimal wait times.
Assisted with requests such as claims, appeals, authorization status, material requests, scheduling appointments, and clarifying Evidence of Coverage for different health plans to member.
Navigated through multiple system applications like Market Prominence, TrueCare Cloud, OMNI Citrix, CMS portal, Portico, and Central Point to fulfill and resolve member requests, research inquiries, and update member information.
Received an average of 92% customer satisfaction rate to date.
Safety Team Associate
Newell Brands
Gastonia, North Carolina
02.2023 - 08.2023
Received, processed, labeled, and stored incoming stock.
Worked varied hours to meet seasonal and business needs.
Maintained clear records on all inventory and stock
Inspected all stock for damages and kept records of damages.
Organized and sanitized warehouse areas.
Prepared orders for shipment.
Recorded exact arrival and departure times for shipments.
Operated stock management tools.
Finalized work order and updated database.
Ensured that associates maintained safe work environment and followed standard procedures.
Student Services Liaison
Lancaster County School District
Lancaster, South Carolina
08.2021 - 01.2023
Assisted with preparing printed letters for outgoing mail.
Translated letters for teachers to hand out for Spanish speaking parents and students.
Escalated specific student issues to appropriate personnel when necessary.
Assisted in pleasant and professional manner.
Actively listened to callers and communicated information in a clear and concise manner.
Maintained accurate working knowledge of admissions, registration, payment fees and other areas of schools in order to answer questions accurately.
Helped with process of school applications, transportation and transfers.
Trained team personnel on liaison activities and protocols, mentoring and coaching to improve skills.
Education
Bachelor of Science - Biology
UNIVERSITY OF PUERTO RICO, RIO PIEDRAS
San Juan, Puerto Rico
12.2016
Skills
Customer Service
Sales
Excellent verbal and written communication
Excellent work ethic
Product Knowledge
Followed HIPAA guidelines
Data Entry
Bi-lingual (Spanish and English)
Scheduling
Complaint resolution
Certification
Life and Health Insurance Producer; NPN #21110683 -2024