Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
Educate customers about the fundamentals and benefits of consumer-driven health care, guiding them on topics such as selecting the best benefit plan options, maximizing the value of their health plan benefits nd choosing a quality care provider
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
Assist customers in navigating myuhc.com and other UnitedHealth Group websites while encouraging and guiding them towards becoming self-sufficient in using these tools.
CSR - Customer Service Representative
5 Months
Loomis lIOS Staffing | 10.2021 - 03.2022
Customer service
Provided complete details for insurance and benefits of their plans
Educated members and provides on the benefits available to their plans
Offered assistance with claims, reward
Offered assistance benefits and services.
Customer Service Representative/Tech II(VERIZON)
1 Year 7 Months
Conduit Global | 11.2019 - 06.2021
Provide excellent customers service and frontline technical support for Verizon wireless customers
Everything from taking payments to resetting devices and providing minor trouble shooting solutions
Technical issues to resolve
All while delivering the best customer service experience possible.
Collections Representative(USAA)
1 Month
SARMA | 10.2019 - 11.2019
Provided customer service, established repor with customer to facilitate the collections and recovery of charged off accounts
FDCPA certification along with bankruptcy knowledge.
Specialty Phone Unit Representative(USAA)
3 Months
Strategic Staffing Solutions | 06.2019 - 09.2019
Assisted members with estate, bankruptcy, and charge off accounts by providing agency information, taking payments for charge off accounts and contributions for bankruptcy accounts using payment methods such as clear-tarn and clear-commerce, used MLA and Pacer search engines for verifying purposes
FDCPA training compliant
Project completed.
Bilingual Payment Check Specialist/Customer Service(Bank of America)
1 Year 3 Months
Harland Clarke Holdings | 03.2018 - 06.2019
Provides customized inbound communications that assist client's acquisition, growth, and retention initiatives.
Bilingual Customer Service Representative (FEMA)
Randstad US | 11.2017 - 11.2017
As a bilingual- customer service representative (Assignment completed @ TRANSCOM) was responsible for product knowledge, profitability, quality, and effectiveness for team
Daily activities primarily focus on effective meeting CSR company objectives in all areas of employee, client and shareholder satisfaction in alignment with the Trans Vision goals
Duties were to understand and meet production targets for different clients/projects
Meet production targets for the team
Set priorities, within the TWW standards, in order to maximize own time management
Propose and promote motivational activities
Have a clear understanding of quality expectations for the different clients and projects
Be a specialist in quality observation and evaluation
Be actively involved in problem solving and propose improvements to processes
Implement and respect Transcom WW standard practices
Project completed.
Business Development Associate
3 Months
The Salt Group | 06.2017 - 09.2017
Placed calls customers, in our database, obtain required documents for completing a purchase such as but not limited to invoice and purchases statements
Set priority callback and followup when applicable, provided leadership regarding potential closing within pipeline, communicate effectively, analyzed and resolve complex issues, manage and respond to correspondence appropriately
Built and fostered effective client and internal relationships
Accurately and concisely document pertinent details on activity performed
Update and maintain your working pipeline, using a CRM.
Engagement Specialist/Member Services
3 Months
CareNet | 02.2017 - 05.2017
Provide exceptional customer service and engagement with members resolving their questions and concerns, related to health care issues assessed through specific outreach programs, verify member eligibility and follow up with customers as required
Work with dual computer screens while running different programs simultaneously
Meet and support established service goals, business objectives exceeding daily and monthly performance standards
Respond to the needs of a 24/7/365 operation as needed.
Bilingual Quality Compliance Specialist
7 Years
Wells Fargo Home Mortgage | 12.2009 - 12.2016
Subject Matter Expert in Reverse Mortgage and Bankruptcy
Provided quality and auditing for team members
Maintained quality scores at expectation or higher
Provided side by side coaching and training for new hire team members and current peers via one on one of policies and procedures
Certified Spanish Call Handling Agent
Provided assistance to foreclosure and bankruptcy customers to save their homes
Collected and recovered accounts from Microsoft Advertising for Latino America and related portfolios
Assisted with account disputes and resolutions
Met weekly and monthly collections targets by recovering outstanding debt, establishing payment dates, confirming reimbursements of all credit and debit notes.
Bilingual Internal Collections and Recovery Agent
4 Years 11 Months
JP Morgan Chase | 11.2003 - 10.2008
Collected and recovered on accounts that would have otherwise would have been considered a loss to the company
Trained and coached peers on process and procedures
Certified Spanish call handling agent
Assisted with escalated calls
Provided customer support for deceased and bankruptcy customers.
Education
Diploma - General
Memorial High School | San Antonio, TX | 06-1987
Skills
Auditing
Time management
Bilingual Spanish (10+ years)
Customer Service (10+ years)
SAP (6 years)
Collections
Computer Skills
Microsoft Windows
VoIP
Troubleshooting
Technical Support
DNS
VPN
WAN
Communication
Management and Leadership
Planning and organizing
Problem solving
Creative reasoning
Teamwork
Quality assurance
Mentoring
Microsoft Excel
CPT coding
Microsoft Word
ICD-10
Data collection
ICD-9
Medical collection
Medical terminology
Medical billing
Filing
Medical coding
Timeline
Advocate 4 Me/LHS Representative
United Healthcare
10.2022 - CurrentRead More
CSR - Customer Service Representative
Loomis lIOS Staffing
10.2021 - 03.2022Read More
Customer Service Representative/Tech II(VERIZON)
Conduit Global
11.2019 - 06.2021Read More
Collections Representative(USAA)
SARMA
10.2019 - 11.2019Read More
Specialty Phone Unit Representative(USAA)
Strategic Staffing Solutions
06.2019 - 09.2019Read More
Bilingual Payment Check Specialist/Customer Service(Bank of America)
Senior Quality Systems Specialist Level 4 at Boeing Defense, Space and SecuritySenior Quality Systems Specialist Level 4 at Boeing Defense, Space and Security