Victor Jara
Summary
Experienced Customer Service Specialist with a dynamic approach to problem-solving and a strong background in handling health benefits inquiries. Demonstrated ability to effectively resolve complex issues while upholding professionalism and delivering exceptional service. Proficient in appointment scheduling and conflict resolution, consistently achieving optimal outcomes for members and enhancing overall customer satisfaction.
Overview
4
4
years of professional experience
Work History
Customer Support Specialist
Devoted
09.2022 - 12.2024
- Received calls from our members to ask about their health plan and to ask about their benefits.
- Searched for doctors and specialists close to the member's residence.
- Transfer calls to different departments to help members with other benefits they have, whether related to mental health.
- Made outbound calls to members to set up appointments with our advanced clinicians and help the members with computer connections for video calls.
- Called the doctor and specialist's office to set up appointments for the member.
Customer Service Advocate
UnitedHealth Group
01.2021 - 07.2022
- Received incoming calls from policy members regarding their medical plans and their coverages.
- Advised on medical claims if they needed to be adjusted, and helped members submit the correct documents.
- Helped the customer with questions on their medical billings, as well as on behavioral health, FSA, COBRA, Medicaid, and whether they needed prior authorization for medical procedures.
- I made phone calls to the doctor's office to have the correct CPT codes sent in order to process claims properly.
- Helped the member by answering their pharmacy prescription questions on their purpose and prices.
Education
High School Diploma -
Florida Community College
05-1993
Skills
- Appointment scheduling
- Problem solving
- Communication skills
- Multitasking and organization
- Problem-solving
- Claims processing
- Fluent in multiple languages
- Customer service excellence
- Active listening
- Verbal and written communication
Languages
Spanish
Native/ Bilingual
Education and Training
other
Timeline
Customer Support Specialist
Devoted
09.2022 - 12.2024
Customer Service Advocate
UnitedHealth Group
01.2021 - 07.2022
High School Diploma -
Florida Community College
Similar Profiles
Ian ShaoIan Shao
Cook at DevotedCook at Devoted
Kenna HargroveKenna Hargrove
Member Outreach Specialist at DevotedMember Outreach Specialist at Devoted
Victor JaraVictor Jara
Customer Support Specialist at DevotedCustomer Support Specialist at Devoted
Daniel BirdDaniel Bird
Senior Customer Support Specialist/Customer Support Specialist at Berkheimer Automotive Paint & SupplySenior Customer Support Specialist/Customer Support Specialist at Berkheimer Automotive Paint & Supply
Hemanth B UHemanth B U
Sr. Customer Support L1/Technical Customer Support Specialist at KinfoTech Pvt LtdSr. Customer Support L1/Technical Customer Support Specialist at KinfoTech Pvt Ltd