Diana Saucedo

I started in the United Healthcare department with this company. I would assist members in explaining in detail their EOB, set up doctors appointments, set up rides for them to be able to go to their doctors appointments. I would assist members in making payments on their bills, file prior authorizations, and file grievances on their behalf. It was insurances for members that had a disability or were over the age of 65 with medicaid and medicare. From there I was transferred to the OPTUM RX department where I would assist patients with filling their medication and setting up home delivery orders process payments for medications and explain the process of controlled medication and insurance that covers medication. And I am currently now in the NJ transit department. In this department I assist customers with scheduling rides at a lower rate to be able to get to where they need to on time wether it is a transfer trip or one way trip.

• Provided timely assistance to customers via phone, email, and chat channels.
• Resolved customer inquiries by utilizing company knowledge base and resources.
• Documented customer interactions accurately within CRM system for follow-up actions.
• Adapted quickly to new software tools and updates in service protocols.
• Explained in detail EOB for their Blue Shield of California
• Billing and co-pays explanation
• Filed grievances and helped pick PCP, specialists and Dental

• Assist customers with SNAP benefits
• Status of applications
• Renew applications
• File grievances

• Scheduled, reschedule and cancel doctors appointments
• Refill medication for patients
• Would call in referrals
• Explain labs to patients

• Sold school software
• Averaged % conversion rate
• Answered product and service related questions
• Made outbound calls to prospective customers
• provide outstanding customer service

• Attendance reports
• Monitor and submit termination forms
• New hire class orientation
• Prepare and organize files for new employees
• Point of contact for all human resources needs
• Weekly reports, and other tasks assigned to me
• Customer service/ collector representative
• Assist customers on payment arrangements, explain monthly bill in detail
• Set up payment arrangements for Verizon wireless