Nilsa Ramirez
Tampa
Summary
Experienced Customer Service Representative brings 10+ years of applying exceptional customer service, conflict mediation and communication skills to address diverse needs. Smoothly mitigate customer conflicts through calm, level-headed strategies. Responsive and resilient team player with adaptable and resourceful mindset.
Overview
16
16
years of professional experience
Work History
Customer Care Representative/Claims Representative
Elevance
07.2023 - Current
- Navigated multiple computer systems and applications to find information.
- Responded to customer needs through competent customer service and prompt problem-solving.
- Helped large volume of customers every day with positive attitude and focus on customer/provider satisfaction.
- Responsible for assisting providers and members with claim inquiries and disputes
- Knowledge of basic Medicaid programs and policies
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Member Service Representative
LIBERTY Dental Plan
07.2021 - 07.2023
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Verified customer identification and documentation for compliant transactions.
- Dental/Medical terminology
- Assisted members with their dental coverage, transfers and inquiries
- Proficient with Outlook, CRM and Meditrac programs
- Met customer call guidelines for service levels, handle time and productivity.
Sales Representative/Kitchen Designer
Eastern Construction Supplies
10.2016 - 05.2021
- Conducted client consultations to understand requirements and preferences.
- Presented design proposals to clients to establish clear project expectations and goals.
- Utilized 20/20 design software to create plans and mockups of room layouts.
- Developed key client relationships, providing design solutions that met needs and budgets without compromising quality or design intent.
- Designed floor plans, elevations, 3D perspective views, and material boards for review and presentation.
- Knowledge of Quickbooks
Community Advocate
REACH
06.2015 - 10.2016
- Worked as team with family services and education staff throughout program.
- Taught adults with developmental disabilities basic life skills and independence
- Organized group outings and holidays
- Built relationships with care managers for the enhancement of each consumer
Cashier/Assistant Manager
Pepes Mexican Food
09.2009 - 06.2015
- Built positive relationships with customers to increase repeat business.
- Fostered positive work environment by consistently treating all employees and customers with respect and consideration.
- Quickly and accurately counted drawers at start and end of each shift.
- Monitored areas for security issues and safety hazards.
- Trained cashiers on organizational policies, cash handling and customer service to maintain highly skilled team.
- Implemented daily operating procedures to keep store clean, adequately stocked, and well-organized.
Education
ARDMS Registry - Ultrasound Technology
National Polytechnic College
Commerce10-2014
High School Diploma -
Downey High School
Downey, CA09-2006
Skills
- Bilingual
- Problem resolution
- Medical terminology
- Blueprint knowledge
- Sales
- Experience in Medicaid, Medicare and commercial lines of business
Languages
Spanish
Native or Bilingual
Timeline
Customer Care Representative/Claims Representative
Elevance
07.2023 - Current
Member Service Representative
LIBERTY Dental Plan
07.2021 - 07.2023
Sales Representative/Kitchen Designer
Eastern Construction Supplies
10.2016 - 05.2021
Community Advocate
REACH
06.2015 - 10.2016
Cashier/Assistant Manager
Pepes Mexican Food
09.2009 - 06.2015
ARDMS Registry - Ultrasound Technology
National Polytechnic College
High School Diploma -
Downey High School
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