Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Languages
Timeline
Generic

Karen Mancilla

Crockett,TX

Summary

Dynamic customer service professional with extensive Medicare knowledge. Proven problem solver skilled in claims processing and account management. Consistently enhanced customer satisfaction by efficiently resolving inquiries and maintaining accurate records. A team oriented individual committed to delivering exceptional support while achieving call volume and quality metrics.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Kaiser Permanente

VXI Global Solutions LLC
Crockett, TX
10.2024 - 04.2025
  • Responded promptly to customer inquiries about coverage options, claims status, and other related topics.
  • Maintained accurate records of customer interactions and transactions.
  • Answered incoming calls from Medicare beneficiaries, providing them with information regarding their benefits.
  • Collected deposits or payments and arranged for billing.
  • Provided beneficiaries with information about plan benefits and eligibility determinations.

Medicare Customer Service Representative

Everise
Crockett, TX
10.2023 - 04.2024
  • Provided exceptional support to Medicare beneficiaries, guiding them through coverage options and plan details.
  • Enhanced customer satisfaction by efficiently addressing and resolving Medicare-related inquiries.
  • Managed a high volume of inbound calls, adeptly navigating multiple systems while maintaining focus on customer needs.
  • Educated customers about billing, payment processing and support policies and procedures.

Customer Service Representative

Inframark
Houston, TX
04.2021 - 08.2023
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Answered constant flow of customer calls with minimal wait times.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards.
  • Updated account information to maintain customer records.

Email Support Representative

Inframark
Houston, Texas
04.2021 - 08.2023
  • Managed a high volume of emails daily, prioritizing tasks to maintain productivity and efficiency.
  • Provided exceptional service under tight deadlines during peak periods, maintaining composure while managing a high workload efficiently.
  • Enhanced customer satisfaction by promptly addressing and resolving email inquiries.
  • Created user accounts and assigned permissions.
  • Maintained a high level of accuracy in all email correspondences, ensuring that customers received clear and concise information to address their inquiries effectively.

Education

High School Diploma -

Crockett High School
Crockett, TX

Skills

  • Problem solver
  • Account management
  • Coaching and mentoring
  • Claims processing
  • Medicare knowledge
  • Record management
  • Billing support
  • Call Documentation
  • Team-Oriented and Cooperative
  • Call Volume and Quality Metrics
  • Computer Proficiency
  • Answering Emails
  • Microsoft PowerPoint

Certification

  • Certified Nurse Assistant (CNA)

Additional Information

. Bilingual

.English

.Spanish

Languages

English
Full Professional
Spanish
Full Professional

Timeline

Kaiser Permanente

VXI Global Solutions LLC
10.2024 - 04.2025

Medicare Customer Service Representative

Everise
10.2023 - 04.2024

Customer Service Representative

Inframark
04.2021 - 08.2023

Email Support Representative

Inframark
04.2021 - 08.2023

High School Diploma -

Crockett High School
Karen Mancilla