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Customer Service Representative

Location:
Phoenix, AZ
Posted:
September 24, 2017

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Resume:

Ricardo J. Saenz

**** *. ***** **** ** Phoenix, AZ 85022 cel 480-***-**** ac2f41@r.postjobfree.com

OBJECTIVE

Seeking employment where I can utilize my skills and experience to assist your company.

AREAS OF EXPERTISE

Bilingual: English and Spanish: Speak, read and write

Microsoft Office - Word, Excel, Access, Power Point and Project

Customer Service Representative.

Telephone experience with Customers, Providers and Agents.

Fax Machine or Right Fax System.

Copy machines and scanners.

PROFESSIONAL EXPERIENCE

Meritain Health Phoenix, Az 04/2014- 10/2016

Customer Advocate

Assist members - with claims, benefits and provider search issues

Assist Providers- claim status, benefit info and Specialist search.

Assist Brokers- Benefits applied to members and any usage for the year.

60 to 80 calls per day.

6th at Meritain Health on call quality.

Avesis Phoenix, AZ June-12 – June-13

Customer Care

Assisted Members of Care Improvement Plus with Benefit information, claim issues and looked for Providers near them.

Assisted Providers with Members plan benefits, claim issues and procedure codes.

80 to 100 calls per day.

Top 10 producer on call quality,

Logisticare Phoenix, AZ Sept-11 – Dec-11

Member Services

Assisted members with transportation issues thoughout the United States for Medical appointments.

QBE Chandler, AZ Jun-11 – Aug- 11

Customer Service

Assisted members with claims status for damaged homes throughout the United States.

Bridgeway Health Solutions Phoenix, AZ Jun. 09 - Oct. 10

Member Service Representative

Assisted 80 -120 members with issues in regards to their Health Care (i.e. claims, transportation and

Looking for Specialist in their area) per day.

Assisted Providers with claim issues, Prior Authorizations and Plan Benefits.

Translated all brochures and handouts in Spanish.

Answered Spanish speaking Member questions in regards to benefits and providers issues.

Office Team Phoenix, AZ Oct. 08 - Jun. 09

Member Services Representative

Executed daily operations of receiving phone calls from Members and Providers.

Assisted Providers with claim issues, Prior Authorizations and Plan Benefits.

Charles Schwab Phoenix, AZ May 07- Aug. 08

New Accounts Associate

Reviewed 180 -250 new IRA's, 401K's, Trust Accounts for our New Clients per day.

Aerotek Phoenix, AZ Feb. 07 - May 07

Temporary to hire with Charles Schwab

NCS Pearson/GS/ CMS/Phx Phoenix, AZ Aug. 02 - Oct. 06

Senior Representative/ Supervisor

Worked with 14 Customer Service Representatives on my team.

Spanish scripting and utilization for the Bilingual Customer Service Representative.

Certified 10 new Customer Service Representatives per month

Monitored 14 phone calls per week from Medicare Beneficiary to call center to verify call quality.

Weekly Team Meetings to update Customer Service Representatives with new issues and changes.

Weekly Time Sheets for employees.

EDUCATION

Carl Hayden High School Phoenix, AZ



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