Raul Contreras
Pembroke Pines,FL
Summary
Dynamic and adaptable professional with a strong background in customer service and healthcare support, consistently delivering exceptional results. Recognized for outstanding communication skills and effective problem-solving abilities, with a proven track record of meeting and exceeding departmental goals. Committed to fostering team success through proactive engagement, empathy, and unwavering dedication to excellence. Eager to leverage expertise to enhance client experiences and drive organizational growth.
Overview
10
10
years of professional experience
Work History
Member Engagement Coordinator
BeneLynk
12.2018 - Current
- Provided guidance to members regarding Medicaid and Medicare benefits, enabling informed healthcare decisions.
- Conducted pre-eligibility interviews for Medicaid, Low-Income Subsidy (LIS), and SNAP (Food Assistance) benefits.
- Achieved and exceeded department goals through high-volume inbound calls and proactive outreach.
- Screened members for pre-eligibility with major health plans including United Healthcare, Aetna, and Blue Cross Blue Shield.
- Built trust and rapport with clients by demonstrating empathy and clear communication.
- Assisted members in accessing social support programs to improve their overall well-being.
- Maintained professionalism under pressure while managing a high volume of calls.
- Processed and submitted applications for members through the Social Security Administration (SSA) for the Low-Income Subsidy (LIS) program, which assists with Medicare Part D costs, ensuring accuracy and compliance.
Customer Service Representative
Spirit of Christ Child Development Center
08.2015 - 12.2018
- Resolved customer inquiries and complaints with empathy and efficiency, resulting in improved customer loyalty.
- Utilized multiple systems to deliver timely and accurate information.
- Educated customers on billing procedures and support protocols, ensuring transparency and trust.
Education
High School Diploma -
Miami Norland Senior High
Miami Gardens, FL03.2012
Skills
- Problem Solving
- Technical Proficiency
- Time Management
- Active Listening
- Attention to Detail
- Empathy & Compassion
- Team Collaboration
- Adaptability
- Customer Service Excellence
Accomplishments
- Maintained a 100% Quality Assurance (QA) score from January 2023 through 2025, demonstrating consistent compliance, professionalism, and call excellence.
Timeline
Member Engagement Coordinator
BeneLynk
12.2018 - Current
Customer Service Representative
Spirit of Christ Child Development Center
08.2015 - 12.2018
High School Diploma -
Miami Norland Senior High
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