Professional Summary
Overview
Work History
Education
Skills
Languages
Timeline

Joshua Cruz

Prime Therapeutics LLC
1
Language
10
years of professional experience

Dedicated Customer Care Specialist with 5+ years of experience supporting Medi-Cal Rx members and providers in high-volume healthcare contact centers. Maintains a 99.02% Year-to-Date Quality Assurance score while consistently meeting quality, compliance, and documentation standards. Recognized for exceptional customer service, new employee training support, and process improvement contributions through seven approved resource updates. Experienced with Genesys, HIPAA compliance, and delivering accurate customer-focused solutions. Seeking to transition into a Quality Assurance Specialist role.

Work History

Customer Care Specialist

3 Years 6 Months
Prime Therapeutics LLC | 02.2023 - Current
  • Support Medi-Cal Rx members and healthcare providers with pharmacy benefit questions, eligibility concerns, claims inquiries, and prescription-related needs.
  • Provide accurate and professional customer support while following HIPAA regulations, company procedures, and privacy requirements.
  • Manage high-volume customer interactions using Genesys while documenting customer information accurately.
  • Resolve customer concerns by researching information, explaining solutions, and providing appropriate next steps.
  • Maintain accurate records while handling confidential healthcare information.
  • Collaborate with team members and leadership to support a positive customer experience.

ACHIEVEMENTS

  • Maintained a 99.02% Year-to-Date Quality Assurance score by consistently meeting quality, compliance, and documentation expectations.
  • Selected to assist with onboarding and training new Customer Service Representatives.
  • Received multiple customer kudos recognizing professionalism, empathy, and effective issue resolution.
  • Submitted six approved resource updates that improved internal reference materials and supported process efficiency.

Customer Service Representative

2 Years
Motor Club of America | 01.2020 - 01.2022
  • Assisted customers with roadside assistance requests, vehicle service needs, and automotive insurance inquiries to ensure timely resolutions.
  • Resolved customer concerns by researching account details, explaining available services, and providing appropriate next steps.
  • Verified customer information, documented service requests, and coordinated solutions with service providers to enhance customer satisfaction.
  • Maintained strong customer service standards while handling high-volume interactions in a fast-paced environment.
  • Verified customer information, documented service requests, and coordinated solutions with service providers.
  • Enhanced problem-solving and communication skills by addressing time-sensitive service needs for customers.

Saw Operator/QA Inspector

2 Years 11 Months
Weber Metals | 02.2016 - 01.2019
  • Supported quality assurance operations in an aerospace manufacturing environment while following strict quality standards and procedures.
  • Assisted with maintaining accurate quality documentation and records.
  • Reviewed products and processes to help ensure compliance with company and industry requirements.
  • Supported quality control activities by identifying issues and communicating findings to appropriate teams.
  • Maintained attention to detail while working with precision aerospace components and quality requirements.

Education

Quality Assurance (QA) -Techniques And Methodology

Alison | Lynwood, CA | 07-2026

High School Diploma

South East High School | South Gate, CA | 06-2013

Skills

Documentation Accuracy
Quality-Focused Mindset
Process Improvement
Policy & Procedure Adherence
Attention to Detail
New Employee Training & Support
HIPAA Compliance
Customer Experience Improvement
Conflict resolution

Languages

Spanish
Native or Bilingual

Timeline

Customer Care Specialist

Prime Therapeutics LLC
02.2023 - CurrentRead More

Customer Service Representative

Motor Club of America
01.2020 - 01.2022Read More

Saw Operator/QA Inspector

Weber Metals
02.2016 - 01.2019Read More

Alison

Quality Assurance (QA) -Techniques And Methodology
Read More

South East High School

High School Diploma
Read More
Joshua Cruz