Miryam Carbajal
Mesa,Az
Summary
Personable and dedicated Customer Service Representative with extensive 10+ years of experience. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Customer Advocate Specialist
Cigna
10.2021 - 10.2022
- Handled more than 50+ inbounds calls/accounts on average daily, under HIPAA regulations.
- Proficiency in Microsoft Word, Excel, Outlook. Communication via phone, email, fax, chat.
- Assisted clients in a timely and professional manner regarding their dental (PPO/EPO) benefit coverages. Assisted with EOBs questions/concerns.
- Advocated and mediated for clients through office personnel regarding claims, appointments, complaints, payments.
- Checked documentation for appropriate coding, catching errors and making revisions towards dental claims for claim processing and completeness.
- Developed strong customer relationships to encourage repeat business.
- Followed-through on all critical inter-departmental escalations to increase customer retention rates.
Auto Insurance Agent
Fred Loya Insurance Co
05.2018 - 10.2021
- Explained coverage options to potential policyholders, answering questions or concerns. Sought out clients and developed clientele by networking.
- Exceeded company sales goals for new policies, averaging 30+ new business leads monthly. Strategized long-term business objectives in weekly meetings by assessing customer feedback for direction on process improvements.
- Monitored clients insurance coverages to ensure changing needs were met. Rewrote and reinstated insurance policies, following underwriting and business rules. Running MVR reports.
- Calculated premiums and established payment methods, receiving customer payments and issuing receipts.
- Assisted clients with FNOLS, documented and took photos of damages on vehicles and submitted to claims adjusters.
- Ran office alone throughout varies times of my employment with Fred Loya. Basic knowledge of an office setting.
- Mentored new trainees on procedures and policies to maximize team performance. Assisted with study guide sessions with new employees to help with test passing.
Skills
- Strong Written and Verbal Communication Skills
- Excellent Attention to Detail
- Customer Account Management
- Auto Insurance Industry Knowledge
- Adaptability Skills
- Time Management
- Customer Support
Certification
- Personal Lines Licensed (2018- August 2025) including Cont'd Education
Timeline
Customer Advocate Specialist
Cigna
10.2021 - 10.2022
Auto Insurance Agent
Fred Loya Insurance Co
05.2018 - 10.2021
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