Background in training, and customer service. Friendly, knowledgeable and hard-working team player. Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Robert Half
05.2021 - Current
Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status matters
Provide assistance to members and/or providers regarding website registration and navigation
Educate members and/or providers on health plan initiatives
Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiries
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
Process written customer correspondence and provide the appropriate level of follow-up in a timely manner
Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustment
Identify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standards
Work with other departments on cross functional tasks and projects
Maintain performance and quality standards based on established call center metrics including turnaround times.
Office Manager
502 lawn and maintenance
03.2021 - 04.2022
Resolving conflicts or complaints from customers and employees
Monitoring store activity and ensuring it is properly provisioned and staffed
Analyzing information and processes and developing more effective or efficient processes and strategies
Establishing and achieving business and profit objectives
Maintaining a clean, tidy business, ensuring that signage and displays are attractive
Generating reports and presenting information to upper-level managers or other parties
Ensuring staff members follow company policies and procedures
Other duties to ensure the overall health and success of the business.
Manager
Sazón centroamericano
06.2020 - 03.2021
Delegating responsibilities and supervising business operations
Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities
Resolving conflicts or complaints from customers and employees
Monitoring store activity and ensuring it is properly provisioned and staffed
Analyzing information and processes and developing more effective or efficient processes and strategies
Establishing and achieving business and profit objectives
Maintaining a clean, tidy business, ensuring that signage and displays are attractive
Generating reports and presenting information to upper-level managers or other parties
Ensuring staff members follow company policies and procedures
Other duties to ensure the overall health and success of the business.
Lead Youth Care Worker
CHSI Comprehensive Health Services
04.2019 - 10.2019
Provides direct supervision to youth caseworkers and ensure they maintain line-of-sight at all times
Provides documentation of supervision by completing a supervisory log for all staff supervised
Completes all required documentation that pertains to the assigned department in a timely fashion that may include daily reports
Ensures appropriate shelter care and line of sight supervision of unaccompanied minors by assigned location to another depending on department assigned
Participates in ongoing meetings, conferences, training programs as required
Provides coverage for assigned staff when needed
Responsible for adhering to all CHS, contract agency, and other state regulations
Other duties as assigned by supervisor
Managed 30-45 Employees.
Manager, Administrator of properties
Distribution Molina
01.2016 - 01.2018
Qualifying applicants / Registering on system
Organizing contractors to attend to maintenance issues and liaising with landlords where applicable
Property File upkeep
Putting together, printing and sending out property lists
Handling day to day operations
Diary management
Filing office general office paperwork, sales paperwork
Updating banking, pipeline and weekly spreadsheets
Updating window display
Preparing reports when needed
Maintain office supplies
Keep a handle on all invoices/accounts/chasing completion monies
File chasing
To provide administrative support
To create brochures, flyers, marketing material, window cards, organize EPCs, place properties on the internet
To create invoices for fees and disbursements
To help in providing an aftercare service to our clients
Answering phone as required and dealing with queries where possible, and/or taking accurate messages
Expense claim's
Arranging property viewing and survey.
Manager
Riconcito Salvadoreño Restaurant
01.2012 - 01.2016
Engage with customers in a friendly manner
Schedule, payments and issues with the restaurant.
Education
College preparatory program -
College Credit Certificate - Business Industry Certificate
Miami Dade Collegue
Miami, FL
07.2024
Bachelor's - Supervision and Management
MDC
Miami, FL
12.2019
Bachelor's - College Credit Certificate: Business specialist
Miami-Dade Community College
Miami, FL
12.2019
AA - Business Administration
Miami Dade College
01.2017
Skills
Excel
Time Management
SharePoint
Sales Experience
Microsoft Word
Visio
Microsoft Powerpoint
Microsoft Outlook
Accounting
Financial Report Writing
Financial Statement Preparation
Restaurant Management
General Ledger Accounting
Journal Entries
Financial Analysis
Pricing
Financial Modeling
Accounts Payable
Front-End Development
Office Management
Patient monitoring
Spanish
Typing
Customer Service
Problem-solving abilities
Active Listening
Critical Thinking
Additionalinformation
True, True
Certification
Sales Manager Certificate
Languages
English
Professional Working
Spanish
Native or Bilingual
Timeline
Customer Service Representative
Robert Half
05.2021 - Current
Office Manager
502 lawn and maintenance
03.2021 - 04.2022
Manager
Sazón centroamericano
06.2020 - 03.2021
Lead Youth Care Worker
CHSI Comprehensive Health Services
04.2019 - 10.2019
Manager, Administrator of properties
Distribution Molina
01.2016 - 01.2018
Manager
Riconcito Salvadoreño Restaurant
01.2012 - 01.2016
College preparatory program -
College Credit Certificate - Business Industry Certificate
Miami Dade Collegue
Bachelor's - Supervision and Management
MDC
Bachelor's - College Credit Certificate: Business specialist
Client Services Director at Robert Half Japan, Robert Half Management Resources, FMP ConsultingClient Services Director at Robert Half Japan, Robert Half Management Resources, FMP Consulting