Data Entry/Invoicing, Customer Service Specialist, Insurance Billing

RUDEL H IZNAGA

Miami, FL ***** 786-***-**** *********@*****.***

SUMMARY

Dedicated Customer Service Specialist skilled in problem-solving and effective communication. Adept at understanding and addressing customer needs in high-pressure situations. Successfully resolves concerns, contributing to increased customer satisfaction and retention. Proven capability to connect with clients, ensuring a positive service experience. SKILLS

Calm and Professional Under

Pressure

Call Documentation

Issue and Complaint Resolution

Upbeat and Positive Personality

Billing dispute resolution

Insurance policy knowledge

Problem solving

De-escalation techniques

Account management

Telephone etiquette

EXPERIENCE

11/2024 to Current Customer Service Specialist

Morgan White Group Miami, FL

Investigated discrepancies between actual charges and expected premiums.

Conducted follow-up calls to ensure satisfactory resolution of customer issues.

Researched relevant policy information to answer customer questions. Collaborated with colleagues from other departments to resolve escalated customer issues.

Actively participated in training sessions to stay up-to-date on changes in regulations related to insurance policies.

Verified accuracy of customer data entered into the system. Provided detailed explanations of insurance coverage and policy limitations to customers.

Navigated computer system to look up customer information and update policies.

Resolved billing disputes and processed payments and refunds as required.

Utilized CRM software to document customer interactions, feedback, and resolutions.

Precisely calculated refunds of premiums

01/2020 to 10/2024 Member Service Coordinator

Global Benefits Group Total Scholastic Solutions Miami, FL Answer phones to respond to customer inquiries and transfer calls to appropriate staff members.

Maintain membership data on system to keep information updated and complete.

Provided benefit information of each insurance policy to medical providers in the U.S

Assist with claim status and inquiries related to such, as well as payment status for each claim if requested

Handle emails on an ongoing basis throughout the day Follow up with medical providers, facilities and doctors regarding status on the member's case and to assist on any other requests they might have

Answer any student/health insurance policy related questions. Provide excellent services for customers by following up on issues Handled member's requests on an ongoing basis by obtaining required Pre-Authorizations documents for related doctor appointments Providing information to the on-site medical team to facilitate the process

Case managed and followed up regarding final Pre-Authorization decisions.

08/2018 to 11/2019 Customer Service Representative HYTEC Automotive Doral, FL

Answer emails and calls in a timely manner

Assist sales team with inventory status and placing orders Assist Logistics manager and owner with inventory

Process incoming orders through the system, emails and calls File, Scan and print new documents like invoices, refunds etc Create new business partners and archive files

Assist with photoshop work for new infographics for the company, handed over to the sales team

Be in touch with the logistics team throughout the day to make sure orders where going out as planned.

Create new orders for clients on excel sheets

Create updated inventory on an excel sheet with quantities and stock for each item.

02/2017 to 06/2018 Customer Service Representative Auto 7 Miramar, FL

Answer direct calls from other companies for inventory and order questions

Create and Process orders through the SAP Business system Process orders and returns

File and scan pick lists and other documents

Create sales monthly reports on Excel

Receive, sort and route mail to the appropriate staff member 03/2016 to 01/2017 Retail Sales Associate

G By Guess Hialeah, FL

Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention. Helped customers by answering questions and locating merchandise. Restocked shelves, racks and bins with latest merchandise and changed signage to promote special items.

Initiated friendly conversation with customers to determine level of assistance required.

Monitored sales floor to identify customers in need of assistance and merchandise in need of replenishment.

Assisted customers by asking open-ended questions to understand needs and suggest suitable merchandise.

Maintain and organize store displays to enhance product visibility and expedite product location activities

Educated customers on available product options to meet and exceed customer service experience

04/2015 to 01/2016 Warehouse Assistant

Liberty Express Medley, FL

Packed and labeled merchandise to prepare for loading and shipment to customers.

Inspected and moved products to designated areas in warehouse. Used pallet jacks to move items to and from warehouse locations. Receiving, moving, checking and storing incoming goods Checking and inspecting goods received and ensuring they are of accurate quantity, type, and acceptable quality.

Picking and packing products

EDUCATION AND TRAINING

N/A

Miami Carol City Senior High School Miami Gardens, FL LANGUAGES

English:

Full Professional

Spanish:

Native/ Bilingual

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