Hi, I’m
Michelle Castro Caraballo
Waxahachie,TX
Summary
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results. Quality-driven Compliance Analyst familiar with tracking, documentation and reporting requirements. Assesses work, materials and procedures and recommends adjustments to maintain compliance. Highly ethical and focused team player with productive, diligent approach. Over 4 years of experience and motivated, energetic mindset.
Overview
4
years of professional experience
Work History
Omnilife USA
Compliance Analyst
09.2021 - Current
Job overview
- Make sure that the ethic code alignments and regulations are being fulfilled by all distributors and company staff through trainings.
- Monitor distributors social media to identify any irregularities that could interfere with the regulations of the DSA & FTC
- Provide detailed weekly report of all the reports and status of each one of them
- Systems: AXUR / FIELD WATCH / KIMERA / CORBIZ / Excel / WORD
- Stayed current with latest changes to applicable regulatory standards and company procedures.
- Reviewed audit and monitoring reports related to consumer and client activities.
- Assisted investigation and risk management teams with fraud investigations and risk identification.
- DSA Member.
Omnilife USA
Bilingual customer service representative
03.2021 - 08.2021
Job overview
- Processed orders, credits, affiliate new members and inform them about compensation plan and products.
- Support members on how to navigate web page of company and let them know about trips and incentives that are running at moment and how they could win them.
- Being up to date with new trips, incentives, new products and changes.
- Initiated over 50 outbound calls per day to give new members welcome, respond to inquiries that they had.
Conduent - HUMANA Health Insurance
Bilingual Customer service specialist
07.2019 - 09.2020
Job overview
- T4
- Support all Medicare individual & Medicare Dual Eligible (Medicare & Medicaid) members with benefits, billing, medical authorizations, claims, prescribed medications, DESU & EOB
- Search for providers either for medical attention or medical equipment
- Being up to date with new changes that the plans could have through the year
- Utilized databases, logs and Excel, CAS, CI, MENTOR, PFP, LITTON, OTC Network, ARGUS, RXNOVA, RX LOOK UP, RX CONNECT, GCP, CCP and more sources to locate and verify information.
- Communicated with management when customer issues escalated and worked to find resolutions.
Education
Universidad Del Sagrado Corazón, Santurce, Puerto Rico
Bachelor degree from Theater Arts
06.2017
Universidad Del Sagrado Corazon, Santurce, Puerto Rico
Certification from Education
06.2017
Universidad Del Sagrado Corazon, Santurce, Puerto Rico
Associate of Arts from Plastic Arts
06.2017
Skills
- Bilingual (Spanish and English)
- Risk Identification
- Detail oriented
- Compliance Understanding
- Organized
- Due Diligence
- Research Proficiency
- Consumer-Related Reporting
- Technical proficiencies: Microsoft Word, Excel, PowerPoint, Outlook & e-signature
Timeline
Compliance Analyst
Omnilife USA
09.2021 - Current
Bilingual customer service representative
Omnilife USA
03.2021 - 08.2021
Bilingual Customer service specialist
Conduent - HUMANA Health Insurance
07.2019 - 09.2020
Universidad Del Sagrado Corazón
Bachelor degree from Theater Arts
Universidad Del Sagrado Corazon
Certification from Education
Universidad Del Sagrado Corazon
Associate of Arts from Plastic Arts
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