Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Edward Gouveia

Edward Gouveia

Las Vegas

Summary

Dedicated individual with a proven track record of exceptional customer service and issue resolution. Skilled in building strong relationships and navigating complex systems. Proficient in customer service, communication, and multitasking across various computer programs. Adept at problem-solving and critical thinking to ensure optimal patient care and satisfaction.

Overview

10
10
years of professional experience
1
1
Certification

Work History

TIER 1 ADVOCATE

United Healthcare
10.2024 - Current

Guided members through healthcare options, enhancing satisfaction and retention.


Resolved complex inquiries, improving service efficiency and member trust.


Advocate for patient needs, streamline healthcare processes, and enhance customer satisfaction at United Healthcare.


Drive positive outcomes through effective communication.


Provide empathetic support to clients, navigate complex healthcare systems, and resolve issues promptly.


Foster trust and build lasting relationships.


Champion patient needs, navigating complex healthcare systems to ensure optimal outcomes and enhance overall member satisfaction at United Healthcare.

PATIENT CARE COORDINATOR

Southwest Medical Associates ( United Healthcare )
10.2022 - 10.2022

Coordinated patient care seamlessly across departments, enhancing overall satisfaction and streamlining healthcare delivery processes


Optimized appointment scheduling, reducing wait times and improving patient flow, resulting in measurable improvements in clinic efficiency


Provided compassionate support to patients, addressing concerns and facilitating smooth communication between healthcare providers and families


Managed patient records meticulously, ensuring accuracy and compliance with healthcare regulations while maintaining strict confidentiality


Implemented new patient engagement strategies, leveraging technology to enhance communication and improve overall care coordination

SENIOR CUSTOMER SERVICE REPRESENTATIVE

Optum Rx ( United Healthcare )
04.2022 - 10.2022

Guided members through healthcare options, enhancing satisfaction and retention


Resolved complex inquiries, improving service efficiency and member trust


Managed high-volume customer inquiries, resolving complex issues and improving customer satisfaction rates


Implemented process improvements, reducing call handling time


Fostered strong relationships with cross-functional teams to streamline customer service processes


Mentored new hires, enhancing team performance and cohesion


Meticulously documented customer interactions, identifying trends to inform service improvements


Maintained accurate records, ensuring compliance with industry regulations


Provided empathetic support to customers, effectively de-escalating challenging situations


Consistently received positive feedback for exceptional service delivery

SENIOR MEDICAL SCREENER

Octapharma Plasma
01.2021 - 04.2022


Conducted thorough medical screenings, ensuring compliance with stringent protocols


Analyzed patient data to identify potential health risks and optimize screening processes


Worked closely with medical staff to streamline screening procedures


Contributed to team efforts in maintaining high standards of patient care and safety


Improved screening efficiency, reducing wait times and enhancing patient satisfaction


Implemented new techniques to increase accuracy of medical assessments


Provided compassionate care to diverse patient populations


Offered clear explanations of screening processes, addressing concerns and ensuring patient comfort

VACCINE ORDERING COORDINATOR

Walgreens
01.2020 - 01.2021


Streamlined vaccine ordering process, optimizing inventory management and reducing waste


Implemented data-driven forecasting, ensuring timely availability of vaccines


Coordinated with healthcare providers and suppliers to maintain vaccine supply chain


Facilitated interdepartmental communication, enhancing overall vaccination program efficiency


Managed vaccine inventory, consistently meeting demand while minimizing overstock


Developed strategies to improve order accuracy, resulting in cost savings and reduced expiration rates

SOLUTIONS SPECIALIST / INBOUND SALES REP

Cox Communications
01.2015 - 01.2020

Drove sales growth through strategic customer engagement, consistently exceeding targets


Implemented innovative upselling techniques, boosting revenue and customer satisfaction


Fostered strong team relationships, sharing best practices to enhance overall performance


Contributed to a positive work environment, improving customer retention rates

Education

Certificate - Cosmetology

Hawaii Institute of Hair Design
01.2008

No Degree - Business Administration And Management

University of Hawaii Maui Campus
Kahului, HI
01.1995

DIPLOMA -

Henry Perine Baldwin High School
Wailuku, Hawaii
01.1994

Skills

  • Project Management
  • Agile Methodologies
  • Risk Management
  • Stakeholder Communication
  • Team Leadership
  • Software Development
  • Budgeting
  • Scheduling
  • Quality Assurance
  • Microsoft Office Suite
  • Conflict Resolution
  • Time Management
  • Customer Engagement
  • Process Improvement
  • Document filing
  • Document review
  • Analytical reasoning
  • Client representation
  • Resource management
  • Research proficiency
  • Benefits administration
  • Active listening
  • Collaboration and teamwork
  • Interpersonal skills
  • Team collaboration
  • Creative and critical thinking
  • Judgement and decision making
  • Attention to detail
  • Effective multitasking
  • Building trust and relationships
  • Time management
  • Administrative support

Certification

  • Basic Life Support Certification (BLS)

Timeline

TIER 1 ADVOCATE

United Healthcare
10.2024 - Current

PATIENT CARE COORDINATOR

Southwest Medical Associates ( United Healthcare )
10.2022 - 10.2022

SENIOR CUSTOMER SERVICE REPRESENTATIVE

Optum Rx ( United Healthcare )
04.2022 - 10.2022

SENIOR MEDICAL SCREENER

Octapharma Plasma
01.2021 - 04.2022

VACCINE ORDERING COORDINATOR

Walgreens
01.2020 - 01.2021

SOLUTIONS SPECIALIST / INBOUND SALES REP

Cox Communications
01.2015 - 01.2020

Certificate - Cosmetology

Hawaii Institute of Hair Design

No Degree - Business Administration And Management

University of Hawaii Maui Campus

DIPLOMA -

Henry Perine Baldwin High School
Edward Gouveia