Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Maciel Gonzalez

Eligibility Advisor
Pharr,TX

Summary

Dynamic professional with extensive experience at Texas Health and Human Services, excelling in application assessment and client engagement. Proven ability to educate clients on public assistance programs while maintaining confidentiality. Skilled in verbal communication and documentation, consistently achieving high levels of customer satisfaction and resolving complex eligibility issues effectively.

Overview

16
16
years of professional experience

Work History

Texas Works Advisor II

Texas Health and Human Service Commission
05.2022 - Current

*Take incoming calls in a high level remote environment

*Process applications for SNAP, Medicaid, TANF and Medicaid for the Elderly and Disabled

*Interview clients, follow call flow charts and scripts to ensure all required policies are met

*Educate clients on State policy, help them set up profile accounts on Agency website, mobile app

*Treat every single caller with respect & impartialbility

*Make collateral calls to employers to verify employment income

*Make collateral calls to Nursing Homes, Assisted Living Facilities or Rehabilitation Programs to verify coverage dates

*Work on special projects as assigned

*Ensure all inter-agency forms are completed when a case is submitted for special review

*Follow State policy to ensure all applicants are tested for the appropriate programs and are following all required guidelines

*Use all resources to verify identity, Alien Status, employment, Social Security Benefits & Unemployment Benefits as needed on a case by case basis

*Notify Management Team of any & all cases forwarded to the Office of the Inspector General for review

*De-escalate calls & find a resolution that best fits client's needs

*Referred client to the Texas Workforce Commission to avoid denial of their benefits



Contact Representative

Department of the Treasury, Internal Revenue Service
11.2021 - 05.2022

*Reviewed amendments filed by taxpayers on their current or past income tax filings.

*Work with client to find a resolution on past due balances owed to the Agency

*Set up payment plans after sending them for Supervisor approval

*Educate taxpayers on tax law

*Report any and all payment plans set up daily

*Work a hybrid schedule that included time at the office and time working from home

*Report to Supervisor every day if assigned to a different campus for the week

  • Met customer call guidelines for service levels, handle time and productivity.

Direct Customer Service Agent I

Assurance America
09.2021 - 11.2021
  • Helped large volume of customer calls every day with positive attitude and focus on customer satisfaction.
  • Demonstrated high attention to detail, organization and management of multiple tasks and projects simultaneously.
  • Addressed customer account discrepancies and concerns.
  • Responded to customer requests for products, services, and company information.
  • Responded to customer needs through competent customer service and prompt problem-solving.
  • Navigated multiple computer systems and applications to find information.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Called clients who were at risk of losing their insurance coverage and helped them by taking their payments
  • Emailed, mailed and texted policy documents as requested by cients

Texas Works Advisor II

Texas Health and Human Service Commission
04.2019 - 11.2020
  • Processed SNAP and Medicaid applications in an office setting
  • Helped clients who showed up at the lobby to apply for State benefits using Agency computers, written applications or our Agency website
  • Interviewed clients & ensured they applied for all programs that could benefit them
  • Make collateral calls to verify employment, expenses such as rent, mortgage, medical bills, utilities, etc
  • Resolved discrepancies with client applications to verify eligibility.
  • Assisted clients with accurate eligibility form, application and document completion.
  • Issued EBT cards, requested replacements
  • Worked on special projects as assigned

Licensed Senior Underwriter

Infinity Insurance/Kemper Corporation
03.2009 - 04.2019
  • Took a high level of incoming calls from Customer Service Representatives, Agents, Lienholder, Adjusters and Law Enforcements
  • Made outgoing calls to verify license status to different States
  • Used State portals to verify license, insurance status when needed
  • Educated Customer Service Representatives on company & State policies, laws & regulations
  • Processed payments, payment reversals and kept clear log of all transactions related to Agent accounts
  • Issue policy documents as requested by client, Agents or Lienholder
  • Worked on complex policy issues to find a resolution that best fitted company policy & did not adversely affect client
  • Took escalated calls from clients, Agents or Adjusters & focused on finding an acceptable resolution for all parties involved
  • Took accountability for any mistakes done on a policy by our Customer Service Representatives
  • Set up mentoring sessions to avoid any future errors/mistakes from our Customer Service Representatives

Education

Weslaco High School
Weslaco, TX

Skills

  • Resource information
  • Application assessment
  • Recordkeeping and data input
  • Documentation and paperwork
  • Applicant engagement
  • Applicant support and service
  • Income verification
  • Verbal communication
  • Documentation and reporting
  • Public assistance programs
  • Appointment scheduling
  • Policy interpretation
  • Telephone etiquette
  • Interviewing
  • Medicaid
  • Disability awareness
  • Application review
  • Interviewing techniques
  • Confidentiality

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

Texas Works Advisor II

Texas Health and Human Service Commission
05.2022 - Current

Contact Representative

Department of the Treasury, Internal Revenue Service
11.2021 - 05.2022

Direct Customer Service Agent I

Assurance America
09.2021 - 11.2021

Texas Works Advisor II

Texas Health and Human Service Commission
04.2019 - 11.2020

Licensed Senior Underwriter

Infinity Insurance/Kemper Corporation
03.2009 - 04.2019

Weslaco High School
Maciel GonzalezEligibility Advisor