Maria Ayuso
New Britain,CT
Summary
Bilingual (Spanish) Customer Service Representative with over 20 years of experience in the healthcare and insurance fields. Tech-savvy innovator skilled in identifying opportunities for technological enhancements and implementing effective solutions. Committed to providing exceptional patient service and driving continuous improvement in fast-paced environments.
Overview
25
25
years of professional experience
Work History
Bolt Agency
Farmington, CT
06.2019 - 04.2026
- Processed insurance claims and performed follow-up to ensure timely resolution.
- Provided policy explanations and coverage interpretations to clients.
- Supported underwriting processes by adhering to insurance regulations and compliance.
Network Services Advocate II
Care Centrix
Hartford, CT
06.2016 - 06.2019
- Handled provider claims escalations and complaints, documenting and resolving issues efficiently.
- Conducted proactive outreach to providers, educating them on claims processes to reduce future issues.
- Analyzed claims data to track errors and communicated findings for performance improvement.
Customer Service Specialist/Call Center
FM Facility Maintenance
Hartford, CT
06.2014 - 03.2016
- Managed incoming calls, accurately identifying and documenting customer service needs.
- Promoted service quality and company reputation while maintaining performance standards.
Customer Service Representative/Dispatcher
Safe Home Security Inc.
Cromwell, CT
12.2009 - 06.2014
- Coordinated heavy inbound and outbound calls, scheduling services for customers efficiently.
- Resolved customer complaints and assisted in enforcing company policies to enhance client relations.
Customer Service Rep/Office Manager
Caterino/Casale/Insurance Associates
Rocky Hill, CT
06.2004 - 05.2009
- Coordinated and scheduled appointments for insurance agents, ensuring compliance with regulations.
- Managed billing procedures and engaged directly with clients to discuss their insurance policies.
Service Representative
Care for Kids
New Britain, CT
06.2001 - 06.2004
- Provided information on case details to clients and offered appropriate referrals.
- Maintained accurate data records and ensured compliance with program regulations.
Education
Adult Career Center
Hartford, CTSkills
- Insurance verification
- HIPAA compliance
- Data entry proficiency
- Customer relations
- Stress tolerance
- Appointment scheduling
- Complaint resolution
- Clerical support
- Claims processing
- Patient confidentiality
- Multi-line phone talent
- Follow-up skills
- Empathy and patience
- Policy adherence
- Referral coordination
Languages
Spanish
Native or Bilingual
Timeline
Bolt Agency
06.2019 - 04.2026
Network Services Advocate II
Care Centrix
06.2016 - 06.2019
Customer Service Specialist/Call Center
FM Facility Maintenance
06.2014 - 03.2016
Customer Service Representative/Dispatcher
Safe Home Security Inc.
12.2009 - 06.2014
Customer Service Rep/Office Manager
Caterino/Casale/Insurance Associates
06.2004 - 05.2009
Service Representative
Care for Kids
06.2001 - 06.2004
Adult Career Center