Customer/Member Service Specialist

Mario Motino

************@*****.*** 646-***-****

Professional Summary

Dedicated and experienced customer service professional with a proven track record in member and provider services. Adept at working remotely, resolving issues efficiently, and recognized as a subject matter expert. Skills

● Member & Provider Support

● Medical Claims Processing (FMLA, STD/LTD)

● Remote Work Expertise

● Strong Communication & Training Skills

● Problem-Solving & Collaboration

● Bilingual

● Subject Matter Expert (SME)

Experience

Member Service Guide

Devoted Health – Remote

Aug 2024 – May 2025

● Provided member and provider support, resolving account and benefit inquiries.

● Acted as a subject matter expert and trained team members to improve service delivery. Sr. Specialist / Subject Matter Expert

Optum United – Remote

Nov 2021 – Aug 2024

● Supported providers with contracting, prior authorizations, and claims resolution.

● Managed complex cases and improved team performance as a subject matter expert. Operations Manager (Seasonal)

UPS – Bronx, NY

Nov 2020 – Jan 2021

● Directed warehouse operations during peak season, enhancing productivity and workflow. Claims Specialist

Sedgwick – Remote

Jan 2018 – Feb 2020

● Processed FMLA, STD, and LTD claims.

● Delivered high-quality customer service with accurate and compliant documentation. Education

HIGH SCHOOL DIPLOMA

CHRISTOPHER COLUMBUS HIGH SCHOOL – BRONX, NY, 2002 2

Contact this candidate