Summary
Overview
Work History
Skills
Timeline
Generic

Esperanza Hernandez

Macungie,PA

Summary

Seasoned Customer Service Representative with a proven track record at Everise, excelling in call center operations and customer communication. Demonstrated expertise in healthcare insurance, enhancing customer satisfaction through effective problem-solving and in-depth product knowledge. Skilled in data verification and workforce management, consistently delivering results beyond expectations.

Overview

4
4
years of professional experience

Work History

Customer Service Representative

Ranstad
08.2024 - Current

• Conducted outbound calls to facilitate annual enrollment processes for clients.

• Provided comprehensive assistance and accurate information regarding in-network and out-of-network healthcare providers.

• Expertly explained and compared various insurance plans to help clients make informed decisions.

• Ensured clear communication of complex insurance concepts to enhance client understanding.

• Maintained up-to-date knowledge of insurance offerings and enrollment procedures.

Customer Service Representative, Broker support

Everise
12.2020 - 10.2023

• Delivered personalized support and tailored recommendations to address diverse customer requests.

• Efficiently managed high volumes of incoming calls with professionalism and expertise. • Provided prompt and accurate responses to customer inquiries via telephone and email.

• Demonstrated in-depth knowledge of health and prescription insurance products, delivery systems, and claims processes.

• Enhanced customer satisfaction ratings through effective issue resolution, and timely follow-up.

Customer Service Representative

Results CX
10.2023 - 08.2023

• Provided comprehensive support to members regarding medication management, healthcare assistance, and provider research.

• Offered guidance on the proper usage of spendable healthcare cards, and resolved related inquiries.

• Coordinated and facilitated transportation arrangements for members, as needed.

• Assisted in obtaining the necessary authorizations for prescribed medications.

• Conducted thorough searches for in-network providers, pharmacies, and other healthcare facilities to ensure optimal member care.

Skills

Customer Service & Communication:

Inbound and outbound call handling

Call Center Operations

Call adherence

Healthcare & Insurance:

Pharmacy Prior Authorization

Financial Services Support

Data Management:

Data Verification

Data Input

Report Preparation

Administrative:

Workforce Management

Office Management

Timeline

Customer Service Representative

Ranstad
08.2024 - Current

Customer Service Representative

Results CX
10.2023 - 08.2023

Customer Service Representative, Broker support

Everise
12.2020 - 10.2023
Esperanza Hernandez