Summary
Overview
Work History
Education
Skills
Additional Information
Languages
Certification
Accomplishments
Timeline
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KATHERINE GISETTE CLARKE

Tampa,USA

Summary

Highly skilled Customer Service Representative with 10+ years of experience in handling customer inquiries, resolving issues, and providing exceptional service. Excellent communication and problem-solving abilities. Committed to ensuring customer satisfaction and building strong relationships. Passionate and professional Representative leads outreach efforts, strategic direction and day-to-day function management. Proven talent at building relationships and influencing others to gain support and commitment. Excellent presentation and communication skills and comfort working in fast-paced environment. Motivated individual with business acumen and willingness to take on challenging roles. Tech-savvy and quick learning with technical know-how, social media expertise and sales abilities to support and drive substantial growth.

Overview

6
6
years of professional experience
1
1
Certification

Work History

BILINGUAL CUSTOMER REPRESENTATIVE

Florida Orthopedic Institute
Tampa, USA
01.2023 - Current
  • Two years of experience as a Bilingual Customer Representative handling customer inquiries and resolving issues
  • I have demonstrated ability to provide exceptional customer service and exceed customer satisfaction targets
  • Proficient in using customer service software and tools to manage customer interactions and requests efficiently.
  • Greeted customers and responded to inquiries in a timely manner.
  • Answered phone calls and directed them to appropriate personnel.

BILINGUAL CLAIMS REPRESENTATIVE ASSOCIATE

Simply Healthcare
Tampa, USA
11.2020 - 12.2022
  • Experience handling insurance claims, ensuring accurate documentation and timely resolution
  • Fluent in English and Spanish; effectively communicate with clients in both languages
  • Customer service skills, providing efficient and empathetic support to policyholders during claim processing.
  • Provided customers with information regarding plan features, pricing, and availability.
  • Resolved customer complaints in a timely manner to maintain high satisfaction levels.
  • Monitored market conditions to ensure that existing policies remain competitively priced.
  • Processed payments received from clients promptly according to established procedures.

BILINGUAL MEDICAID INBOUND CUSTOMER SERVICE AND LTC SPECIALIST II

Amerigroup
Tampa, Florida
04.2018 - 01.2022
  • Collaborated with cross-functional teams to investigate and resolve complex claims cases
  • Cross Trained in benefits, authorizations, claims and pharmacy
  • Fluent in English and Spanish, providing exceptional customer service to Medicaid beneficiaries.
  • Assisted with other clerical duties such as photocopying, scanning, faxing, sorting mail.
  • Reviewed discrepancies in data received and identified potential issues or errors.

Education

AS BUSINESS MANAGEMENT -

Hillsborough community College
01.2024

FASHION DESIGNER - Fashion Design

Carlota Alfaro College
San Juan, Puerto Rico
07-2012

Microsoft Course - Computer And Information Sciences

Inter American University of Puerto Rico Fajardo
Fajardo, PR
09-2011

High School Diploma -

Ana Delia Flores Santana
PUERTO RICO
05-2010

Skills

  • LANGUAGES
  • Spanish Native
  • English Advanced
  • Communication Skills
  • Telephone reception
  • Market Research
  • Sales Reporting
  • Staff Training
  • Problem-solving aptitude
  • Team building
  • Self Motivation
  • Experience in leadership
  • Creative And Artistic
  • Creative Positioning
  • Digital Marketing

Additional Information

Excellent communication, Problem-solving, Patience, Conflict resolution, Strong phone skills, Time management, Positive attitude, Multitasking, Experience handling insurance claims, ensuring accurate documentation and timely resolution., Fluent in English and Spanish; effectively communicate with clients in both languages., Customer service skills, providing efficient and empathetic support to policyholders during claim processing., Collaborated with cross-functional teams to investigate and resolve complex claims cases., Cross Trained in benefits, authorizations, claims and pharmacy., Fluent in English and Spanish, providing exceptional customer service to Medicaid beneficiaries., Effectively communicated with individuals with limited English proficiency, ensuring accurate interpretation and understanding., Assisted with resolving complex Medicaid issues and navigating eligibility requirements., Utilized in-depth knowledge of long-term care policies to guide clients through the enrollment process., Two years of experience as a Bilingual Customer Representative handling customer inquiries and resolving issues., I have demonstrated ability to provide exceptional customer service and exceed customer satisfaction targets., Proficient in using customer service software and tools to manage customer interactions and requests efficiently., Utilized advanced diagnostic tools and software to identify and resolve technical issues accurately and efficiently., Managed a high volume of customer calls and inquiries, providing exceptional support and troubleshooting assistance.

Languages

English
Full Professional
Spanish
Native/ Bilingual

Certification

  • Real Estate License 2021

Accomplishments

Amerigroup

Issued by Celebrating Katherine Clarke · Jul 2021Issued by Celebrating Katherine Clarke · Jul 2021Visit the IMPACT homepage to view your the IMPACT homepage to view your recognition

  • Associated with Simply Healthcare with Simply Healthcare Plans
  • Associate received a compliment call from one of our providers. The provider
    stated "Katherine was the first person who was able to help me! She
    went above and beyond by explaining how the process works. Katherine
    did not rush me and instead took her time to help me!Cabanasecognized by: Fernando Casanas

Issued by Anm Senior Leadership Team · Apr 2021Issued by Anm Senior Leadership Team · Apr 2021100-point IMPACT Award-100-point IMPACT Award-

  • Associated with Simply Healthcare with Simply Healthcare Plans
  • To: Katherine Clarke

    Thank you and congratulations! We’ve been named a Fortune 100 Best Companies to Work For™ in addition to our 2020 certification as a Great Place to Work®, which was based on a representative sample of associate feedback regarding work experiences at Anthem.

    We are pleased to present all associates with a 100-point IMPACT award in recognition of how we came together during this unprecedented year going above and beyond to rise to the challenge and support each other, our members and the communities we serve. With your points, you can choose from more than 400 gift items – including many Anthem-branded mementos.

    Since we are unable to gather in person, we are pleased to offer this virtual celebration of our collective achievement. We hope you enjoy your gift selection as a reminder of how you are appreciated and valued here at Anthem.

    Thank you for helping to make this a great place to work.

Issued by Anthem, IncCabanasernando Casanas · Mar 2021Issued by Anthem, IncCabanasernando Casanas · Mar 2021Do the Right Thing’ Recognition Award -Impact Celebration AbNomination'snd NominationDo the Right Thing’ Recognition Award -Impact Celebration Above and Beyond Nomination

  • Associated with Simply Healthcare with Simply Healthcare Plans
  • The “Do the Right Thing” award program, sponsored by the Ethics department, recognizes associates who have acted in extraordinary ways with integrity, doing the right thing with a spirit of excellence. These associates bring our Code of Conduct to life by how they live our Mission and Values. This Award was made by my manager for my innovative suggestion in the golden wall, I was promoted to a high performer on our team. I am so grateful for this recognition, and thank you to Fernando Cabanas (manager) to recognize all my effort to improve our service.

Timeline

BILINGUAL CUSTOMER REPRESENTATIVE

Florida Orthopedic Institute
01.2023 - Current

BILINGUAL CLAIMS REPRESENTATIVE ASSOCIATE

Simply Healthcare
11.2020 - 12.2022

BILINGUAL MEDICAID INBOUND CUSTOMER SERVICE AND LTC SPECIALIST II

Amerigroup
04.2018 - 01.2022

AS BUSINESS MANAGEMENT -

Hillsborough community College

FASHION DESIGNER - Fashion Design

Carlota Alfaro College

Microsoft Course - Computer And Information Sciences

Inter American University of Puerto Rico Fajardo

High School Diploma -

Ana Delia Flores Santana
KATHERINE GISETTE CLARKE