Victor Jara
Plainfield,NJ
Summary
Dynamic customer service specialist with extensive experience addressing health benefits inquiries and a proven track record in effective problem-solving. Expertise in resolving complex issues while maintaining professionalism consistently leads to optimal outcomes for members. Proficient in appointment scheduling and conflict resolution, contributing to enhanced customer satisfaction and loyalty. Committed to fostering positive relationships and improving service delivery, driving continuous success in every interaction.
Overview
4
4
years of professional experience
Work History
Customer Support Specialist
Devoted
09.2022 - 07.2025
- Managed approximately 100 calls, emails, per day from our members to ask about their health plan and 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
- Managed approximately 100 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.
- 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
Skills
- CRM expertise
- Detail-oriented approach
- Clear communication
- Proficient multitasking
- Data-driven problem-solving
- Effective conflict resolution
Languages
Spanish
Native/ Bilingual
Timeline
Customer Support Specialist
Devoted
09.2022 - 07.2025
Customer Service Advocate
UnitedHealth Group
01.2021 - 07.2022
High School Diploma -
Florida Community College
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