Experienced with handling customer interactions and resolving issues promptly. Utilizes communication and empathy to build strong customer relationships. Track record of maintaining high customer satisfaction and fostering loyalty.
Overview
9
9
years of professional experience
Work History
Eligibility Counselor
United Health Group ( Optum )
San Juan, Puerto Rico
05.2021 - 08.2025
Provided exceptional customer service through empathetic listening and clear communication during consultations.
Facilitated referral to community resources to assist with other needs and intricate issues.
Ensured compliance with all applicable laws and regulations by maintaining detailed records of client interactions.
Educated clients on available resources and support services, empowering them to make informed decisions about their benefits options.
Assisted individuals and families by collecting required and accurate personal and demographic information to determine eligibility.
Enhanced client satisfaction by providing thorough eligibility screenings and assessments.
Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Customer Representative
Target Human Resources Solutions (Change Healthcare)
Guaynabo, Puerto Rico
03.2019 - 05.2021
Responded to customer requests for products, services, and company information.
Promptly responded to inquiries and requests from prospective customers.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Maintained detailed records of customer interactions, contributing to comprehensive database for future reference.
Maintained detailed records of customer interactions and transactions, ensuring accurate documentation and follow-up.
Addressed customer inquiries to ensure satisfaction and foster positive service experience.
Account Representative
GC Service
Cooperas Cove, Texas
05.2016 - 11.2016
Increased customer satisfaction ratings through proactive and actionable resolutions to questions, concerns, or challenges.
Assisted clients in navigating complex financial and legal processes to reduce risks.
Kept detailed records of customer interactions for optimal traceability.
Resolved client disputes professionally, contributing to enhanced brand reputation and client trust.
Processed client payments and updated accounts.
Enhanced client satisfaction by effectively managing and resolving account inquiries.
Education
High School Diploma -
Luis Munoz Marin High School
Anasco, Puerto Rico
BA Incomplete - Elementary Education
Inter American University of Puerto Rico
San German
Skills
Bilingual ( English & Spanish, verbal & written)
Computer literate (Microsoft office)
Multitasking Abilities
Timeline
Eligibility Counselor
United Health Group ( Optum )
05.2021 - 08.2025
Customer Representative
Target Human Resources Solutions (Change Healthcare)
<ul><li>Provide administrative and logistical support for two large-scale home visitation programs, collaborating with internal departments and 22 external partner sites.</li><li>Maintain and process data reports used for program funding, eligibility verification, and compliance with county requirements.</li><li>Track and manage client referrals using internal databases, developing tools to improve workflow, accuracy, and reporting.</li><li>Serve as a key liaison between program staff, subcontractors, and data/research teams, supporting improvements in systems and documentation.</li><li>Support onboarding of new staff, prepare materials, and assist in maintaining accurate records and eligibility tracking.</li><li>Respond to public inquiries on home visiting programs, offering culturally responsive information and referrals to community services.</li></ul> at LA Department of Public Health<ul><li>Provide administrative and logistical support for two large-scale home visitation programs, collaborating with internal departments and 22 external partner sites.</li><li>Maintain and process data reports used for program funding, eligibility verification, and compliance with county requirements.</li><li>Track and manage client referrals using internal databases, developing tools to improve workflow, accuracy, and reporting.</li><li>Serve as a key liaison between program staff, subcontractors, and data/research teams, supporting improvements in systems and documentation.</li><li>Support onboarding of new staff, prepare materials, and assist in maintaining accurate records and eligibility tracking.</li><li>Respond to public inquiries on home visiting programs, offering culturally responsive information and referrals to community services.</li></ul> at LA Department of Public Health