Dedicated and results-driven professional with a strong work ethic and a passion for continuous learning. Known for setting ambitious goals and relentlessly pursuing them until successful completion. Committed to delivering top-notch performance in all endeavors, driven by the desire to support both personal and family needs. Seeking new opportunities to further excel and make a meaningful impact in the workplace.
Overview
12
12
years of professional experience
Work History
Tier 1 Customer Service Representative
Rose International: Kaiser Permanante
04.2025 - Current
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
Maintained courteous, friendly atmosphere for guests to increase overall satisfaction and customer service standards.
Enhanced customer satisfaction by promptly addressing inquiries and resolving issues with professionalism.
Handled high call volumes efficiently without sacrificing quality of interaction or resolution success rate.
Maintained accurate records of all client interactions through diligent use of CRM systems, allowing for targeted follow-ups and efficient customer history referencing.
Data Entry Clerk
Connect for Health Colorado
08.2023 - 01.2024
Completed data entry tasks with accuracy and efficiency.
Followed established procedures to enter and process data correctly.
Organized, sorted, and checked input data against original documents.
Scanned documents and saved in database to keep records of essential organizational information.
Processed Medicaid applications accurately, ensuring timely access to healthcare services for eligible members.
Ensured accurate and timely documentation of all case files, facilitating smooth audits and regulatory compliance.
Coordinated effectively with other departments and agencies for seamless delivery of services to Medicaid recipients.
Enhanced team productivity through active participation in staff meetings and ongoing professional development opportunities.
Resolved discrepancies in member accounts by conducting thorough research and applying appropriate corrective actions as necessary.
Handled sensitive client information with discretion, adhering to HIPAA privacy regulations at all times.
Maintained up-to-date knowledge of changes in Medicaid regulations, sharing relevant updates with team members as needed.
Used data entry skills to accurately document and input statements.
Customer Advocate
Blue Cross Blue Shield Of New Mexico
04.2017 - 12.2019
Facilitated calls in two languages: English and Spanish.
Maintained accurate documentation of client concerns and resolution processes.
Investigated and addressed account issues with expert assistance.
Actively engaged with customers to identify concerns and deliver precise solutions.
Strengthened customer connections by efficiently handling issues.
Handled a high volume of customer interactions, effectively resolving issues and providing detailed product information.
Collaborated with external providers to address customer concerns.
Identified improvement areas through detailed analysis of feedback.
Evaluated customer service standards, policies and procedures to verify customer service goal achievement.
Processed policy updates and changes accurately, ensuring client needs were met in a timely manner.
Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
Responded to customer requests for products, services, and company information.
Handled sensitive customer information with discretion, adhering to strict data privacy regulations at all times.
Documented customer interactions and transactions for accurate, up-to-date records.
Completed customer applications and updated records to reflect current information.
Enhanced customer satisfaction by addressing and resolving insurance-related inquiries and concerns.
Assisted clients in filing claims, coordinating with adjusters to expedite the process and secure fair settlements.
Assisted customers with completing insurance documents to avoid missed information.
Processed insurance policy cancellations and renewals quickly to meet call time targets.
Fostered strong relationships with clients, providing personalized service and assistance on various insurance products.
Educated customers on available discounts, promoting loyalty and policy retention through tailored recommendations.
Conducted comprehensive policy reviews for clients, identifying gaps in coverage and recommending appropriate solutions.
Set up customer payment plans to cover annual policies and renewals.
Participated in ongoing training sessions to remain current on industry developments and improve overall job performance.
Maintained thorough knowledge of industry trends and product offerings to provide accurate information to clients at all times.
Utilized company software to track customer interactions efficiently, ensuring proper documentation of all transactions.
Liaised with insurance carriers to resolve billing errors and discrepancies.
Marketplace Representative
Molina Healthcare
05.2016 - 04.2017
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Responded to customer requests for products, services, and company information.
Updated account information to maintain customer records.
Answered constant flow of customer calls with minimal wait times.
Answered customer telephone calls promptly to avoid on-hold wait times.
Offered advice and assistance to customers, paying attention to special needs or wants.
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Utilized customer service software to manage interactions and track customer satisfaction.
Clarified customer issues and determined root cause of problems to resolve product or service complaints.
Outbound Sales Agent
S&P Data LLC
05.2015 - 05.2016
Made numerous cold calls per day resulting in client base growth by 70%.
Cold called over many potential customers per day to help with marketing efforts and increase sales.
Contacted customers after sales process to drive ongoing customer satisfaction and resolve issues and complaints.
Utilized innovative sales techniques to upsell products and services.
Used computer databases to keep track of phone calls, confidential notes about conversations and customer contact information.
Represented company professionally in situations, working through challenging phone calls and cultivating positive interactions by remaining calm and poised.
Developed favorable customer service relationships and built new, robust customer bases.
Sales Associate
Metro Pcs
04.2013 - 03.2015
Learned about customer's financial needs, established trust, and optimized sales opportunities resulting in quality customer service.
Completed highly accurate, high-volume money counts via both manual and machine-driven approaches.
Managed more than 20 activations per day
Counted drawer with more than $5,000 in drawers
Educated customers on use of banking website and mobile apps.
Patient Financial Advisor at Rose City International Kaiser Sunnyside HospitalPatient Financial Advisor at Rose City International Kaiser Sunnyside Hospital