Summary
Overview
Work History
Education
Skills
Languages
References
Timeline
Generic

Nataly Perez

Edinburg,TX

Summary

Dynamic Member Service Representative with proven expertise in database maintenance and a strong ability to empathize with customers. At UnitedHealthcare, significantly improved customer satisfaction by swiftly resolving complaints and inquiries. Skilled in healthcare policy guidance and adept at active listening, ensuring high-quality service in fast-paced environments.

Overview

4
4
years of professional experience

Work History

Member Service Representative

UnitedHealthcare
Edinburg, TX
08.2017 - 08.2020
  • Updated databases with new and modified customer data.
  • Adjusted bills and refunded money to resolve customers' service or billing complaints.
  • Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
  • Resolved customer complaints and concerns in a timely manner.
  • Provided technical assistance when necessary by troubleshooting any problems with online accounts or applications.
  • Answered incoming calls from Medicare beneficiaries, providing them with information regarding their benefits.
  • Provided beneficiaries with information about plan benefits and eligibility determinations.
  • Provided guidance and support to customers regarding billing issues and payment plans.
  • Collected deposits or payments and arranged for billing.
  • Processed enrollments for new Medicare members according to established procedures and guidelines.
  • Responded promptly to customer inquiries about coverage options, claims status, and other related topics.

Member Service Representative

Care First BCBS
Edinburg, Texas
09.2016 - 07.2017
  • Assisted customers with inquiries about health insurance policies and coverage options.
  • Provided guidance to customers regarding eligibility criteria for various health plans.
  • Processed changes in insurance policies and periodically reassessed client needs.
  • Contacted underwriters and submitted forms to obtain binder coverage.
  • Resolved customer complaints or escalated them as necessary in a timely manner.

Education

Bachelor of Arts - Psychology

Southern New Hampshire University
Hooksett, NH
12-2025

Skills

  • Database maintenance
  • Call center experience
  • Multichannel communication
  • Workflow optimization
  • Healthcare
  • Problem-Solving
  • Empathy
  • Active Listener

Languages

English
Professional
Spanish
Professional

References

References available upon request.

Timeline

Member Service Representative

UnitedHealthcare
08.2017 - 08.2020

Member Service Representative

Care First BCBS
09.2016 - 07.2017

Bachelor of Arts - Psychology

Southern New Hampshire University

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