Call Center Customer Service

Mellisa Sepulveda

****************@*****.*** 714-***-****

A highly positive and goal-oriented professional seeking a position that will fully utilize an extensive background in customer service, client relations, and computer skills. I desire a career position that will provide a challenging opportunity to significantly contribute to a company's efficiency, organization, growth and profitability. United Agriculture Benefit and Trust Benefits Coordinator 01/2024-12/2024

• Handling incoming calls with up to 90 calls per day in a call center setting

• Providing benefit information, verifying eligibility of members' insurance plans and claims information to providers offices

• Handling restricted accounts for employees

• Working on company website portal emails from providers and providing claim status

• Directing emailed faxes, super bills and claims to correct departments for processing Regal Medical Group Member Relations Coordinator 02/2022-01/2024

● Handling incoming and outgoing calls with up to 150 calls per day in a call center setting

● Scheduling appointments and registering new members

● Assisting members with authorizations as follows: Redirecting authorizations, authorization extensions and creating cases to request approval from authorization department

● Contacting doctors/specialist offices as well as facilities for appointment scheduling and assist with registry process for new members

● Assessing outgoing calls by excel spreadsheet for welcome calls, courtesy call lists with deadlines and orientation invitations

Sweet James Law Firm Lien Negotiator 10/2019-02/2022

● Communicated with medical providers, health insurance companies, attorneys and all other outstanding lien holders

● Negotiate lien resolution within parameters set by the firm on behalf of clients

● Communicate and update clients with case status

● Organize and collect documents as well as sensitive information pertaining to client case

● Address and resolve client concerns

● Prepare closing letters/documents

Law Office of Robert L. Starr, Esq. Executive Assistant 03-2005-08/2019

● Assessing and receiving company calls

● Maintaining office inventory

● Case management

● Communicating with auto insurance companies and obtaining important case file information and updates

● Assessing intake information for new clients

● Assisting depositions

● Calendaring, scheduling client appointments, conferences, lunch meetings, and travel arrangements

● Court filing

● Serving subpoenas

Skills

● Fluent in Spanish

● Hardworking and organized

● Strong attention to detail and excellent problem-solver

● Service-oriented with strong verbal/written communication skills

● Excellent reporting skills

● Positive attitude, work well independently and as a team member

● Work effectively with minimal or no supervision

● Excellent in holding personal and confidential information

● Display empathy and staying calm under stress

● Experienced in Microsoft Word, Excel, Powerpoint, Outlook Referrals upon request

Contact this candidate