Santiago Rodriguez
Kissimmee,FL
Summary
Customer service professional with 4+ years of experience supporting healthcare members and patients. Strong background in call handling, claims adjudication, and CRM documentation. Known for resolving complex issues, escalating cases effectively, and following up to ensure timely outcomes. Customer service professional with 4+ years of experience supporting healthcare and retail clients. Skilled in eligibility checking, claims support, and careful documentation. Consistent focus on resolving member concerns, handling complex cases, and maintaining accurate CRM records.
Overview
2
2
Languages
6
6
years of professional experience
Work History
Call Center Representative
Oscar Health Insurance
Kissimmee, Florida
02.2024 - 10.2026
- Resolved member calls about claims, billing, and explanation of benefits.
- Assisted Oscar Health members with plan benefits, eligibility, and coverage questions.
- Escalated complex issues to specialized teams and followed up on case status.
Walmart Associate
Walmart
Kissimmee, Florida
06.2023 - 02.2024
- Assisted Walmart customers with product questions and provided aisle directions to enhance shopping experience.
- Greeted customers at entrance to foster welcoming atmosphere and identify needs.
- Maintained up-to-date knowledge of sales, promotions, return policies, and security practices to support customer inquiries.
- Computed purchases and received and processed cash or credit payment.
Customer Service Representative
Quest Diagnostics
Kissimmee, Florida
02.2021 - 06.2023
- Resolved customer complaints promptly, ensuring satisfaction and retention through professional service.
- Responded to customer questions with accurate product and service information.
- Recorded service requests, call notes, and follow-up actions in CRM to maintain accurate customer interactions.
- Assisted patients with Quest Diagnostics test details and scheduled appointments to ensure timely service.
Education
High School Diploma -
San Jose De Cagua
Venezuela 06-2015
Skills
- Healthcare call management
- Benefits verification
- Claim resolution
- Claims support
- CRM documentation
- Case escalation
- Customer relations
- Eligibility checking
- Customer service
- Call routing
- Payment processing
- Account resolution
- Clear communication
- Active listening
- Attention to detail
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Call Center Representative
Oscar Health Insurance
02.2024 - 10.2026
Walmart Associate
Walmart
06.2023 - 02.2024
Customer Service Representative
Quest Diagnostics
02.2021 - 06.2023
High School Diploma -
San Jose De Cagua