Customer Service Representative
Resume:
Javier Lopez
**** * ********** ** **** #***
Hialeah Gardens FL, 33016
******.*********@*****.***
Skills
●Customer relations
●Office equipment proficiency
●Call center experience
●Clerical support
●Technologically savvy
●Healthcare regulations knowledge
●Microsoft Office expertise
●Inbound and outbound calling
●Business development understanding
●System implementation
●Customer service
●High-energy attitude
●Credit card payment processing
Experience
07/2017 - Present
United Healthcare, Doral FL - Provider Services
●Processed Prior Authorizations for Non-Contracted providers
●Resolved provider claims issues
●Achieved high quality marks on quality assurance evaluations
●Documented conversations with providers to track requests, problems and solutions.
●Answered inbound calls per day and directed to designated individuals or departments.
01/2015 - 06/2017
US Med, Miramar FL - Customer Service
●Inbound and Outbound calls regarding customers Diabetic testing supplies.
●Verifying customers demographics before processing orders.
●Followed up on orders never shipped to ensure correct customer information is listed.
●Accommodated the merchandise in inventory and returns.
01/2011 - 05/2014
Preferred Medical Plan - Member Services Representative
●Processed customer account changes.
●Met or exceeded call speed, accuracy and volume benchmarks on a consistent basis.
●Evaluated customer account information to assess current issues and determine potential solutions.
●Asked probing questions to determine service needs and accurately input information into electronic systems.
●Accurately documented calls and caller information in software and made updates to data as needed.
Education
01/2008 - 01/2010
Sullivan & Cogliano Training Centers, Miami FL - Certificate/GED
●Completed professional development in Medical Terminology
●Completed continuing education in Microsoft Office, Excel and Word
●Completed coursework in office procedures and Administrative work
Summary
Bilingual Customer Service Representative with proven ability to quickly and effectively resolve complaints and issues. Well-trained and composed in busy call center settings.
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