Customer Service Human Resources

DANIEL VENTURA

Tampa Florida

813-***-**** *********@*****.***

Skills and Experience

Customer Service and Phone Customer Service, 10+ years

Insurance services, personal lines unlicensed, 5 years

Health insurance including Medicare Advantage Plans, servicing, 2 years

Payment processing, 10 years

Human Resources Servicing, 1 year

6/2021-12/2023 ID.me Inc.

Video call reviewer, document reviewer

Took video calls from members to verify them

For state and federal benefits.

Approximately 60 videos per day

Reviewed the requested documents prior to the video calls.

9/2019-6/2020 Envolve Benefit Options (Contract position)

Dental Provider Services Representative

Call taking to assist dental providers with

Patient eligibility, plan details and benefits using company web systems

and QA by call metrics, consistently scoring about average, 50 calls per

day

Contracted by Total Med HR 266-***-****

4/2018-4/2019 Freedom Health Plans

Member Services Concierge

Call taking to assist Medicare Advantage members

Find Primary doctors and specialists

Update contact information on members plans, using company web-based

Systems, MS Office, Word and Excel, regular training updates, Medicare

And HIPAA compliance updates, about 50 calls per day.

Exceeded all call metrics, scoring 98% on average. Received and

provided improvement peer coaching as needed. Provided updated

member new booklets as they became available and went over any

material questions with members. Deescalated member as needed.

7/2013-12/2017 Transamerica Premiere Life Insurance

Life Claims and Policy Owner CSR

LOMA ACS 1 Certified

Call taking to set up new claims, service existing claims

Fixing policy issues, taking payments and issuing loans

Transferring calls as needed, confirming 1035 Exchanges in process

Met all call metrics, frequent training updates and weekly call reviews to

Improve performance. Dual skilled in member service and claims.

Moderate volume inbound, about 50 calls per day.

4/2012-10/20/12 Liberty Mutual Insurance

CSR/Billing Specialist

Duties: Receiving calls from policyholders, assisting with and

processing Mortgagee changes, taking payments, counseling, customers with billing issues, discussing billing and payment options. Transfer callers as necessary.

Placed through Randstad US (Contract position)

10/2011-2/2012 Coca Cola Refreshments (Temporary Position)

Human Resources Representative

Duties: Assist employees with administrative procedures

payroll/address changes/corrections/employees’ titles.

Creating activities and escalating cases to appropriate

departments, utilizing company reference materials and

websites. Temporary 3 month contract position.

Placed through Advantage Staffing (Contract position)

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