Utilize PowerStep and Salesforce to research and resolve claims and member inquiries while maintaining quality, adherence, and compliance standards.
Conducting outreach and retention efforts, assisting with PCP selections and handling all provider inquiries related to eligibility, claims and authorizations.
Research and respond accurately to all customer inquiries related to eligibility, benefits/services, claims and authorizations.
Manager Trainee
Hertz
Jersey City, NJ
04.2022 - 12.2023
Improved customer satisfaction by 50% through building rapport, identifying, and resolving customer complaints.
Handled enrollment inquirers and generated sales leads up to $5,000 on a daily basis.
Managed and input data into spreadsheets for tracking purposes which lead to a 50% increase in productivity.
Responded and documented all customer encounters, inquiries, and complaints to provide excellent customer service.
Secretary
Diaz Insurance Agency
Union City, NJ
06.2021 - 04.2022
Performed a variety of administrative duties, including answering phones, taking and delivering emails, and customer outreach.
Securely managed personal and company information.
Actively performed customer service relations and handled enrollment inquiries for new and returning customers.
Managed the digital documentation process to ensure that all customer’s inquiries were handled efficiently.
Served as the point of contact for all member and provider issues, and inquiries.
Office Assistant
Hostos Community College Registrar's Office
Bronx, NY
08.2019 - 03.2020
Provided customer service and participated in serving students with registration.
Provided documentation as directed by school leadership.
Education
Bachelor of Science - Forensic Psychology
Grand Canyon University
Phoenix, AZ
Associate Degree - Liberal Arts
Hostos Community College (CUNY)
Bronx, NY
05.2022
Skills
Languages: Spanish, English (Bilingual)
Proficient in Microsoft Office (Excel, Outlook, Word, PowerPoint)
Strong analytical and research/investigative skills
Team collaboration and time management
Technical skills: Point of sale system, Scheduling, Flexibility, Teamwork, Active listening, Effective time management