Willing to grow and adapt according to the work environment to acquire new experiences and expand my knowledge in a new organization that promotes learning along with leadership growth.
Overview
3
3
years of professional experience
Work History
Claims Processor Representative
Carelon Global Solutions
San Juan, PR
05.2023 - Current
Obtained extensive training on various operating processing systems such as CWS, Facets and Macess, while also acquiring extensive knowledge on many processing instruction documents
Tasked with interpreting data from various Medicaid medical claims while applying the appropriate processing solutions.
Member Services Representative
Call Center Systems - CenTrek
San Juan, PR
08.2022 - 04.2023
Responsible for assisting members listed with Medicaid/Medicare under the Center’s Plan for Healthy Living
Assistance includes calling the assigned case manager, assisting with transportation requests to medical appointments, placing orders under a long-term plan (increased hours of care), etc
Trained for other departments, including HOCS Support and Revival.
Guest Services Agent
Wyndham Grand Rio Mar Beach Resort & Spa
Rio Grande, PR
07.2021 - 03.2022
Trained as a front desk agent, capable to receive high volume calls as a PBX operator and aided customer with a satisfactory service meeting their every needs.
Education
Bachelors in Psychology -
Walden University
Minneapolis, MN
01.2019
Culinary Arts Specialist -
Escuela Hotelera De San Juan
San Juan, PR
06-2015
High School Diploma -
Colegio Santa Rosa Superior
Bayamon, PR
01.2010
Skills
Fully Bilingual (Spanish and English)
Excellent Communication
Conflict Management
Teamwork and Collaboration
High knowledge with computers programs and applications
Business Analyst at Carelon Global Solutions: Summitworks Technologies and UST GLOBALBusiness Analyst at Carelon Global Solutions: Summitworks Technologies and UST GLOBAL
Administrative Assistant and Counseling at Dean's Office of Student Affairs of the Faculty of Natural Sciences, UPRRPAdministrative Assistant and Counseling at Dean's Office of Student Affairs of the Faculty of Natural Sciences, UPRRP