Summary
Overview
Work History
Education
Skills
Timeline
Generic

Migdalia Guillonta

Kaneohe,HI

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

3
3
years of professional experience

Work History

Advocate4Me Rep-Telecommute

United Health Care
11.2022 - Current
  • Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
  • Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
  • Initiate proactive outreach to members as needed, which may involve welcoming new members to our health plans, addressing gaps in care, reviewing coverage, and referring & enrolling them to internal specialists and programs based on their needs and eligibility
  • Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
  • Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
  • Applied effective time management techniques to meet tight deadlines.
  • Developed and maintained courteous and effective working relationships.
  • Identified issues, analyzed information and provided solutions to problems.
  • Organized and detail-oriented with a strong work ethic.

Subject Matter Expert Representative-Telelcommute

Optum Serve/LHI
01.2021 - 11.2022
  • Provide warm and friendly customer service and apply problem solving skills to ensure satisfaction
  • Answer incoming phone calls from Veterans and identify the type of assistance the Veteran needs
  • Maintain Veterans confidentiality
  • Work Lead and Resource Q's to de-escalate phone calls
  • Assist with training on my team
  • Work incoming emails
  • Work in our travel reimbursement department.

Customer Service Representative-Telecommute

Optum Serve/LHI
10.2020 - 01.2021
  • Provide warm and friendly customer service and apply problem solving skills to ensure satisfaction
  • Answer incoming phone calls from Veterans and identify the type of assistance the Veteran needs
  • Maintain Veterans confidentiality.

Education

Healthcare Services Management-42 Credits -

Milwaukee Area Technical College
Wisconsin

Skills

  • Customer Service
  • Teamwork and Collaboration
  • Acets, CSR, Genesys, etc
  • Critical Thinking
  • Multitasking Abilities
  • Google Drive
  • Networking
  • Problem-Solving
  • Social Perceptiveness
  • Attention to Detail
  • Friendly, Positive Attitude

Timeline

Advocate4Me Rep-Telecommute

United Health Care
11.2022 - Current

Subject Matter Expert Representative-Telelcommute

Optum Serve/LHI
01.2021 - 11.2022

Customer Service Representative-Telecommute

Optum Serve/LHI
10.2020 - 01.2021

Healthcare Services Management-42 Credits -

Milwaukee Area Technical College

Similar Profiles

CREATE PROFILE
Migdalia Guillonta