Overview

Work History

Education

Skills

Timeline

Gabino Sifuentes

Colorado Springs,CO

Overview

17

17

years of professional experience

Work History

Consumer Service Associate

Anthem INC

12.2006 - Current

Serves as a point of contact for multiple managers, coworkers and directors for member escalation issues.
Assists co-workers in achieving higher stats by listening to calls and providing feedback to representative, per manager request.
Assists management with process improvement recommendations to ensure service metrics are exceeded.
Evaluates performance of direct reports and provides summary to manager.
Responds to internal and external customer questions via telephone, chat and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.

Customer Service Representative II

Anthem INC

09.2006 - 12.2006

Analyzed problems and provided information/solutions. Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
Responded to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
Performed research to respond to inquiries and interprets policy provisions to determine the extent of company's liability and/or provider's/beneficiaries entitlement.
Generates written correspondence to customers such as members, providers and regulatory agencies.

Education

High School Diploma -

West Covina High School

West Covina, CA

05.2003

Skills

Team building
Project management
Bilingual
Leadership

Coaching
Advance Problem Solving
Fluent in Spanish

Timeline

Consumer Service Associate

Anthem INC

12.2006 - Current

Customer Service Representative II

Anthem INC

09.2006 - 12.2006

High School Diploma -

West Covina High School