Elizabeth Nino
San Antonio,TX
Summary
Experienced customer service professional committed to addressing customer concerns with speed, accuracy, and professionalism. Seeking to secure a career opportunity where I can fully utilize my training and ability to gain knowledge, while making a significant contribution to the success of my employer. Fully committed to providing the highest possible standards of customer service and support.
Overview
13
13
years of professional experience
Work History
Fraud Prevention Specialist
Conduent
San Antonio, TX
06.2024 - Current
- Properly authenticate all customers.
- Suspend account when there is suspected fraud on the account.
- Remove suspensions when a customer verifies all transactions are valid and fraud is not suspected.
- Notate all actions taken throughout the call and recap what actions were taken.
Centralized Medical Scheduler
Spindletop Pain Management
San Antonio, TX
02.2024 - 06.2024
- Conduct medication authorizations.
- Answer and route calls to departments.
- Schedule patients for appointments.
- Relay patient messages to the providers.
- Comfort patients by anticipating patient's anxieties and answering patient's questions.
Engagement Specialist
Carenet HealthCare
San Antonio, TX
11.2019 - 02.2024
- Provide excellent customer service by quickly learning any project assigned to me per business need.
- Effectively manage a high volume of inbound and outbound calls.
- Make outbound calls to attempt and schedule routine check-ups.
Customer Service Represnetative
Maximus
San Antonio, TX
04.2015 - 09.2016
- Research all correspondence to ensure all information is received.
- Document all conversations with the clients.
- Handled inbound calls related to Medicaid, SNAP, and TANF benefits.
- Received 80+ inbound calls daily.
Customer Service Representative
United Healthcare
San Antonio, TX
06.2014 - 04.2015
- Received inbound calls and answered any questions members have about their health insurance.
- Documented all conversation details in a timely manner.
- Handled 100+ calls daily
- Communicated prior authorization status, processed changes, assisted in finding providers, claim status, and explained health insurance benefits.
Engagement Specialist
Carenet HealthCare
San Antonio, TX
08.2011 - 06.2014
- Provide excellent customer service by quickly learning any project assigned to me per business need.
- Effectively manage a high volume of inbound and outbound calls.
- Make outbound calls to attempt and schedule routine check-ups.
Education
High School Diploma -
Devine High School
Devine, TX06-1997
Skills
- Great active listening skills
- Great problem solving skills
- Think outside the box to resolve customer's issues
- Excellent negotiating skills
- De-Escalation experience
Timeline
Fraud Prevention Specialist
Conduent
06.2024 - Current
Centralized Medical Scheduler
Spindletop Pain Management
02.2024 - 06.2024
Engagement Specialist
Carenet HealthCare
11.2019 - 02.2024
Customer Service Represnetative
Maximus
04.2015 - 09.2016
Customer Service Representative
United Healthcare
06.2014 - 04.2015
Engagement Specialist
Carenet HealthCare
08.2011 - 06.2014
High School Diploma -
Devine High School
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