Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Elizabeth Martinez

Rhome,TX

Summary

Service advocate with over ten years of experience in customer service and conflict resolution. Expertise in member advocacy, issue resolution, and compliance monitoring. Proven ability to enhance member satisfaction through effective communication and teamwork. Skilled in collaborating with teams to resolve complex issues while ensuring adherence to policies and improving service quality.

Overview

1
1
Language
21
21
years of professional experience

Work History

Service Advocate

Aetna
Arlington, Texas
10.2014 - Current
  • Educated members on policy options and coverage details, enhancing their ability to make informed decisions.
  • Collaborated with internal teams to resolve complex member issues efficiently, improving overall member satisfaction.
  • Informed customers about preventive care services and available wellness programs.
  • Researched and analyzed member concerns, identifying resolutions that addressed root issues and improved service quality.
  • Escalated complex issues to senior staff and relevant departments for specialized support.
  • Documented key details from member calls to ensure accurate record-keeping.
  • Ensured compliance with company policies, procedures, and Medicare guidelines.
  • Operated independently under moderate supervision, consistently meeting department expectations.

Supervisor

MetroPCS
Dallas, Texas
03.2006 - 06.2008
  • Supervised daily operations of high-volume retail store, ensuring effective team collaboration and customer service.
  • Trained staff on product knowledge and sales techniques to enhance customer engagement and drive sales.
  • Managed inventory levels to maintain optimal stock availability, supporting sales and minimizing stockouts.
  • Implemented scheduling processes to align workforce availability with peak business hours, optimizing service delivery.
  • Acted as store manager during absence, maintaining operational continuity and team performance.

Prepared, reviewed, analyzed, and responded to operational reports for informed decision-making.

  • Addressed customer concerns and resolved complex service and sales issues promptly.
  • Supervised customer service operations while managing projects, resources, risks, and operational changes.

Education

GED -

Cypress College
Cypress, CA
06-1981

Skills

  • Claims processing
  • Coverage analysis
  • Policy interpretation
  • Member advocacy
  • Compliance monitoring
  • Customer service
  • Issue resolution
  • Conflict resolution
  • Active listening
  • Effective communication
  • Time management
  • Call handling
  • Customer relationship management
  • Microsoft Word - Microsoft Excel - Microsoft PowerPoint

Languages

Spanish
Full Professional

Timeline

Service Advocate

Aetna
10.2014 - Current

Supervisor

MetroPCS
03.2006 - 06.2008

GED -

Cypress College
Elizabeth Martinez