Customer Service Care

Enedelia Lopez Smith

Dallas, Texas *****, 214-***-****), ********.*@*****.***

Overview

Bilingual and driven professional with a robust customer service background. Trained and experienced in managing customer complaints and promoting conflict resolution effectively. Outreach

Dedicated to building relationships and engaging with the community through event planning and organizing. Experienced in collecting donations to provide essential resources, such as food and clothing, while raising awareness about community needs. Education

SKYLINE HIGH SCHOOL - GRADUATED 1989

BROOKHAVEN COLLEGE - 1999 - 2000

Skills & Abilities

- Bilingual (English/Spanish)

- Strong written and oral communication skills

- Excellent multitasking capabilities

- Exceptional work ethic

Proficient in Windows, Microsoft Office Suite (Word, Excel, Outlook), and internet searching Molina Healthcare of Texas

*Associate Rep II, Claims*

*November 2021 - Present*

Delivered positive and individualized customer care to providers across multiple states, resolving claim inquiries, resulting in provider satisfaction - Assisted with payment inquiries, prior authorizations, and claims denials by providing clear explanations and identifying resolution paths - Elicited and documented suggestions and complaints, implementing solutions effectively to improve service quality.

Molina Healthcare of Texas

*Associate Rep I, Member Services*

*October 2017 - October 2021*

- Managed an average of 50 to 80 incoming calls daily from members and providers, providing assistance with billing inquiries and service requests, - Resolved member inquiries by providing detailed product and service information while reporting complaints as required by state contracts. - Identified and cultivated opportunities to enhance member and provider relationships

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The Football Sisters LLC

Manager / Coordinator - Event Planner / Accountant

- Oversee daily operations with an emphasis on achieving business goals and enhancing client relationships.

- Ensure compliance with regulations and best practices for event planning and execution.

- Coordinate and schedule events and travel logistics, including camps and media interviews.

- Cultivate partnerships by reaching out to sponsors and brands to secure funding and support.

- Manage communication effectively by responding to emails promptly and professionally.

- Oversee merchandise procurement, including posters, t-shirts, and headbands, ensuring brand representation.

- Conduct financial oversight, tracking income and expenses to maintain accurate budget records. Omega Tax Service

*Bilingual Office Manager*

*January 2014 - April 2018*

- Managed daily operations, including reviewing high volumes of mail and electronic correspondence while handling multiple phone calls daily.

- Implemented new procedures to streamline office workflow,

- Monitored inventory and controlled shipping/receiving, ensuring packages were processed within required turnaround times.

- Developed staff work schedules and managed calendars, improving appointment coordination

- Utilized strong communication skills to handle customer complaints, effectively de-escalating issues and achieving a client satisfaction.

Red the Uniform Tailor

*Senior Act. Mgr. Lead Sales Specialist*

*November 2014 - August 2016*

- Dressed and managed orders for over 25 police departments, coordinating uniform measurements and ensuring all requirements were met promptly.

- Placed orders for uniforms and duty gear via email or in person,

- Analyzed production data and monitored billing cycles, maintaining consistent turnaround times and improving overall production efficiency.

- Oversaw the completion of deliveries on designated dates, Grey Star Management

*Assistant Manager*

*February 2007 - November 2014*

- Managed daily operations for commercial and residential properties, improved relationships and services.

- Collected monthly assessments and managed financial transactions, including rents, insurance, and taxes,

- Conducted routine inspections of grounds and equipment to identify maintenance needs, ensuring property conditions met regulatory standards.

- Showed properties to prospective tenants, successfully marketing and leasing

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