Gabriela A. Maldonado Torres
Port Richey
Summary
Client-focused professional with expertise in customer relationship management and effective communication in fast-paced environments. Skilled in actively listening and addressing beneficiary needs while ensuring accurate support. Aiming to enhance team success and drive continuous improvement through in-depth knowledge of products and consumer trends.
Overview
5
5
years of professional experience
1
1
Certification
Work History
CSR Claims Tier 2
Maximus
05.2023 - Current
- Delivered customer service to Medicare beneficiaries, effectively answering inquiries and resolving issues to enhance satisfaction.
- Engaged beneficiaries professionally and empathetically, actively listening to concerns to provide tailored support.
- Assisted beneficiaries with inquiries about coverage and personal records, ensuring clarity and understanding.
- Provided support and solutions to beneficiaries following company policies and call guidelines.
- Receive transfer calls to help answer additional questions about medical claims from beneficiaries.
- Follow compliance and adherence requirements.
- Handle high-volume calls.
CSR
Maximus
08.2022 - Current
- Provided comprehensive customer service support to Medicare beneficiaries, effectively addressing inquiries and concerns.
- Engaged with beneficiaries in a professional, friendly manner, actively listening to and resolving their concerns.
- Assisted beneficiaries with inquiries regarding coverage and personal records, ensuring clear understanding of options.
- Offer support and solutions to beneficiaries in accordance with the company policies and call guidelines.
- Follow compliance and adherence requirements.
- Handle high-volume calls.
Infant Teacher
All Aboard Christian Academy
11.2020 - 08.2022
- Plan, oversee, and implement daily preschool or infant/toddler instructional activities according to established policies.
- Revise and enhance daily classroom and playground activities to support child development.
- Prepare daily reports detailing developmental progress and activities of assigned children to inform parents and staff.
- Assist in physical care of preschool and infant/toddler children, while managing meal preparation and serving to ensure nutritional needs are met.
Education
Some College (No Degree) - Massage Therapy
Florida Massage And Beauty Institute
Tampa, FL05-2025
Some College (No Degree) - B.S. in Psychology
Ana G Méndez University
Tampa, FL08-2020
High School Diploma -
Academia Bautista De Puerto Nuevo
Puerto Rico05-2016
Skills
- Claims processing
- Customer feedback analysis
- Satisfaction measurement
- Compliance adherence
- Products knowledge
- Process optimization
- Effective communication
- Team collaboration
- Time management
- Multitask management
- Critical thinking
- Conflict resolution
- Active listening
- Relationship management
References
Available upon request.
Key Qualifications
- Swedish massage modality
- Deep tissue massage
- Proficiency in English and Spanish; translation skills from one language to another both written and oral.
- Able to create a positive impression about my company through efficient and professional interactions.
- A self-motivated and disciplined individual with a strong work ethic.
- Leadership, patience and understanding in decision-making.
- Dependable, personable, and dedicated to great customer engagements.
- Planning and managing resources to consistently meet production, quality and cost goals.
- Superior knowledge of Windows data field entry.
- Flexible team player who prospers in a fast-paced work environment based on past experience.
- Evaluate adequacy of quality assurance standards.
Languages
Spanish
Professional
English
Professional
Certification
Licensed massage therapist
Timeline
CSR Claims Tier 2
Maximus
05.2023 - Current
CSR
Maximus
08.2022 - Current
Infant Teacher
All Aboard Christian Academy
11.2020 - 08.2022
Some College (No Degree) - Massage Therapy
Florida Massage And Beauty Institute
Some College (No Degree) - B.S. in Psychology
Ana G Méndez University
High School Diploma -
Academia Bautista De Puerto Nuevo