Suheil Miranda
Xerox/ACS/Humana Medicare
DEBARY,FL
2
Languages
Customer-focused and detail-oriented professional with experience in call center handling high volumes of incoming calls. Strong communication, problem-solving, and organizational skills, with the ability to assist customers with inquiries, and resolve concerns efficiently. Experienced in providing insurance and coverage details, assisting with medication authorizations, and guiding callers through complex service processes. Committed to providing exceptional customer service, maintaining accuracy, and ensuring positive customer experiences. Seeking a remote Health Insurance Customer Service Representative position where I can apply my skills, contribute to team success, and continue growing professionally.
Work History
Customer Service Representative/Inbound Call Center Representative
- Answered inbound calls, resolved benefit inquiries, and provided accurate plan information using scripted procedures.
- Guided callers through enrollment, authorization, and service request processes with clear explanations.
- Verified member eligibility, coverage details, and account information before processing requests.
- Resolved claims and billing issues by researching account history across multiple applications.
- Provided medication authorizations and information.
Customer Service Representative
- Greeted customers promptly and delivered courteous assistance across checkout and service interactions.
- Investigated and resolved customer inquiries and complaints quickly.
- Attended telephone calls resolving product questions or items in store.
- Maintained areas clean and organized.
- Helped customers on selection of products to ensure satisfaction and get price in store systems.
Quality Assurance
- Interacted with customers over the telephone providing information on packages or delivery.
- Performed quality assurance checks and reported issues to management to discuss solutions.
- Established and monitored quality assurance standards to achieve operational excellence by correcting addresses and re-packed packages.
- Keeping area safe by maintaining a clean and organized area.
Customer Service and Cashier
- Greeted customers and provided friendly service at bakery counter.
- Prepared customer orders and verified item accuracy before checkout.
- Processed cash, credit, and debit transactions accurately.
- Balanced register drawer and resolved payment discrepancies promptly.
- Restocked pastry displays and maintained organized front counter presentation.
- Contributed to store success by maintaining high standards of cleanliness throughout the facility.
Education
Bachelor - Office Systems Administration
Skills
Customer service
Bilingual
Data entry
Call center experience
Customer education and support
Account updating
Documentation
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Customer Service Representative/Inbound Call Center Representative
Xerox/ACS/Humana Medicare
2011 - 2013Read More
Customer Service Representative
Burlington
2011 - 2012Read More
Quality Assurance
Federal Ground
2005 - 2006Read More
Customer Service and Cashier
Presto Pan Bakery
2002 - 2012Read More
University of Puerto Rico
Bachelor from Office Systems Administration
Read More