Service Representative Customer
Resume:
Martín Jesús Antonio Francisco Portillo Rodríguez
OBJECTIVE: Seeking a full- time position within your organization, that also will utilize my skills of problem solving and vendor. Will like to make a positive contribution in order to reach the objectives that helps drive your company toward continuous success and where there will be room for professional growth and advancement as well
9625 Philta Way
Elk Grove, CA 95757
*******@*****.***
SKILLS & ABILITIES Experienced with Windows 7 OS, MS applications, customer service relations and sales force.
MAGELLAN HEALTH, Rancho Cordova
CUSTOMER SERVICE REPRESENTATIVE
OCT-2020 - MAR 2021
8PSLJOH GSPN IPNF SeceiWing calls explaining Medi-cal insured members and providers the transition to the medications benefis to Magellan Rx, as well informed their status about their Managed Care Providers, Fee for Service and claims for their medications. System and tools use for assistance-FirstTrax, Genesys, One note, Zoom meeting. dhcs medical,Medi-Cal./
EXPERIENCE :
FedEx, Sacramento
TEMPERATURE SCREENING
MAY-2020 – JUNE-2020
measuring temperature to all employees and truck drivers, due to the pandemic virus CONDUENT, Lexington-Kentucky
CUSTOMER SERVICE SPECIALIST
JUN-2021 - CURRENT
8PSLJOH GSPN IPNF, getting inbound calls explaining benefist to members and giving information on updates on their medications and PCP assigments, that is for a Medi-Cal insurance company located in Ventura county in California as well giving information on claims for providers and grievances. System and tools use for assistance- Meditrac, Kwik, One note, Teams. dhcs medical,Medi-Cal./
BIG LOTS, Elk GROVE
JUL 2018 – AUG 2018
STOCKER
Inventory control, receives and counts items in a warehouse inventory and records the data either manually or on a computer. Unpacking and packs items and stocks them on the shelving systems in a warehouse. Also keeps the stocked items organized and readily accessible.
FUSION, SAN SALVADOR, EL SALVADOR
JUN 2015 - FEB 2018
TELEMARKETER
Delivered prepared sales talks, reading from scripts that describe products and services, in order to persuade potential customers to purchase the product or to make a donation in occasions.
HEALTH NET,Rancho Cordova
CUSTOMER SERVICES REPRESENTATIVE
AUG-2018 – NOV-2019
Answering product and service questions about the Medical Insurance; respond to customer complaints. Help members to adjust to the Medical needs. Warmly and ascertain problem or reason for calling. Assist with Doctors and Hospital assignments, check their medical eligibility and medications inquiries
-HEALTHNET.COM : web page to help the member to register and find hospitals, urgent care, doctors, that are within network
-OMNI : A program to check the status, eligibility and complete information of a member
-MACESS: program to register and check all the grievance and appeal processes, as well to ask for transportation services for a member
-AEVS: program to check the member current status, doctors, hospitals, authorizations and referrals with in Health net network
-ABS: program to check the eligibility status of a member in the state of California
-RX: program to check the current information of a specific medication
-UNITY : program to check the authorizations and referrals status given by a doctor\specialist for a member
-PSAS: program to help find different providers depending in their locations \zip code
COMMUNICATION Fluent in Spanish and English; Leadership, Responsive, organized and team work.
REFERENCES Available upon request.
EDUCATION
USAM, SAN SALVADOR, EL SALVADOR 2001 - 2009
LAW STUDIES
Worked on litigations and disputes assisting parties involved in business and criminal related disputes.
CENTRO JUDICIAL ISIDRO MENÉNDEZ, SAN SALVADOR,
EL SALVADOR
JUN 2000 - DEC 20004
DISPUTE RESOLUTION PROCESSES COORDINATOR
Worked with process official records and documents. Assisted as an English instructor and translator of official documents.
EL SALVADOR CONGRESS, SAN SALVADOR, EL
SALVADOR
MAR 2005 - NOV 2009
ASSESSOR AND COLLABORATOR
Worked on the phone, making and receiving phone calls from existing customers as a part of the customer service departmentand technical support with CLEARWIRE.
JAN 2011 - OCT 2013
RETENCION SPECIALIST
EL SALVADOR
STREAM GLOBAL SERVICES, SAN SALVADOR.
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