Hilary M Reyes
Philadelphia,PA
Summary
Dynamic professional with strong analytical skills and a proven track record in customer service, adept at resolving customer inquiries. Recognized for effective negotiation and problem-solving abilities, consistently delivering high-quality service while maintaining compliance with regulations. Committed to fostering positive client relationships and driving operational improvement.
Overview
10
10
years of professional experience
Work History
Customer Credit Representative
Navicore Solutions
04.2023 - 10.2025
- Processed customer credit applications, ensuring compliance with company policies and regulations.
- Assisted clients in understanding credit terms, fostering positive communication and trust.
- Resolved discrepancies in customer accounts through detailed investigation and analysis.
- Collaborated with internal departments to streamline credit processing workflows, enhancing efficiency.
- Resolved customer inquiries through phone and email communication, ensuring prompt and accurate responses.
- Escalated complex issues to appropriate departments, ensuring timely resolution of customer concerns.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Claims Examiner
Fortegra
02.2021 - 12.2022
- Analyzed claims for accuracy, ensuring compliance with regulatory standards and company policies.
- Reviewed documentation to determine coverage eligibility and processed claims efficiently.
- Collaborated with internal teams to resolve discrepancies and improve claims processing workflows.
- Conducted thorough investigations on complex claims, identifying fraudulent activity and mitigating risks.
- Evaluated liability claims to determine coverage and assess potential exposure.
- Conducted thorough investigations, gathering evidence to support claim decisions.
- Reviewed and interpreted insurance policies to ensure compliance and accuracy.
Pharmacy Technician
Smart Pharmacy
05.2018 - 01.2021
- Dispensed medications accurately while ensuring compliance with pharmacy regulations.
- Assisted pharmacists in managing inventory and ordering pharmaceutical supplies.
- Educated patients on medication usage, side effects, and storage requirements.
- Operated pharmacy management software to maintain patient records and prescription processing.
- Implemented workflow improvements to enhance prescription fulfillment efficiency and accuracy.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
Quality Control Specialist
Zara Logistics
03.2016 - 01.2018
- Conducted thorough inspections of incoming and outgoing shipments to ensure compliance with quality standards.
- Developed and implemented quality control procedures to enhance operational efficiency across logistics processes.
- Analyzed product defects and collaborated with teams to identify root causes and corrective actions.
- Trained staff on quality assurance best practices, improving overall team performance and adherence to guidelines.
- Monitored inventory levels and maintained accurate records for quality assessment purposes.
- Documented findings and prepared detailed reports for management review, supporting strategic decision-making processes.
- Collaborated with cross-functional teams to ensure consistent adherence to quality standards across all products.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
Education
High School Diploma -
Colegio Saint Raphael
San Cristobal, Dominican Republic Associate of Arts - Business General
Community College of Philadelphia
Philadelphia, PA03-2027
Skills
- Strong analytical skills
- Effective negotiation
- Financial literacy
- Teamwork
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Multitasking
- Reliability
- Critical thinking
- Organizational skills
Languages
Spanish
Native or Bilingual
Timeline
Customer Credit Representative
Navicore Solutions
04.2023 - 10.2025
Claims Examiner
Fortegra
02.2021 - 12.2022
Pharmacy Technician
Smart Pharmacy
05.2018 - 01.2021
Quality Control Specialist
Zara Logistics
03.2016 - 01.2018
High School Diploma -
Colegio Saint Raphael
Associate of Arts - Business General
Community College of Philadelphia