Julissa Rivera
Delanson
Summary
Dynamic Customer Service Representative with a proven track record at Emblem Health Insurance, excelling in complaint resolution and project management. Adept at swiftly addressing customer concerns and implementing effective solutions, ensuring satisfaction. Proficient in Microsoft Excel, I thrive in high-pressure environments, consistently delivering results and enhancing operational efficiency.
Overview
14
14
years of professional experience
Work History
Customer Service Representative
Emblem Health Insurance
11.2019 - Current
- Effectively answered a high influx of inbound service calls
- Identified and resolved discrepancies and errors in customer accounts.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Actively addressed and resolved customer concerns and complaints, managed inquires, took corrective action in a timely responsive manner to ensure customer satisfaction.
- Escalated customer issues to management for appropriate action to be taken.
- Handled creating verbal Grievance and Appeals with members and providers.
- Have been assigned high level projects with specific resolution time frames.
Operations Administrator
Waste Connections Inc.
04.2016 - 03.2019
- Directed physical or technical operations.
- Ensured that methods are safe, effective and efficient.
- Coordinated project and operation audits, inventories and shipments.
- Ability to understand and follow Federal, State and local laws, codes and regulations related to disposal site and transfer station operations.
- Maintained accurate records of transactions.
- Operated automated platform scales utilizing a computer system to make readings.
Scale Master
Waste Connections Inc.
03.2012 - 04.2016
- Performed a variety of tasks related to the receiving of refuse material from the general public, commercial businesses and private waste haulers.
- Assessed the collection of disposal fees and recording of solid waste statistical information at the disposal site and transfer station.
- Ensure that incoming debris and municipal waste are safe and do no contain any hazardous material.
- Operated weigh scales and issued tickets when necessary.
- Identified issues and developed solutions to improve quality control.
Education
High School Diploma -
Valley Central High School
Montgomery, NYNo Degree -
Dutchess Community College
Poughkeepsie, NYSkills
- Complaint resolution
- Verbal and written communication
- Problem resolution
- Project management
- Computer proficiency
- Research
- Data collection
- Customer service
- Microsoft Excel
- Multi-task management
Timeline
Customer Service Representative
Emblem Health Insurance
11.2019 - Current
Operations Administrator
Waste Connections Inc.
04.2016 - 03.2019
Scale Master
Waste Connections Inc.
03.2012 - 04.2016
High School Diploma -
Valley Central High School
No Degree -
Dutchess Community College