Luis Daniel Vargas Peña
San Juan
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
1
1
year of professional experience
Work History
Customer Service Representative
Special Care Pharmacy Services
08.2023 - Current
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Coordinate specialize medicine services to patients with pre-existing conditions and catastrophic.
- HIPPA patient information management.
- Patient guidance on the steps to follow in medical and laboratory approval.
Appeals and Grievances Analyst
MMM Holdings
05.2023 - 07.2023
- Provided outreach for additional information for appeals and grievances.
- Processed and finalized appeals and grievances within agreed-upon turnaround time.
- Remained knowledgeable regarding company policies and procedures and current developments within operational departments.
- Submitted verbal and written notification to members and providers.
- Entered appeal requests in appeals module.
Internal Contracting Operation
MSO Of Puerto Rico
11.2022 - 04.2023
- Validate confidential information, generate and send contracts to health providers.
- Index documents in database, verify that providers comply with system contracting requirements.
- Call providers to provide electronic signatures, in addition to creating cases for system configuration and follow-up meetings.
Sales Associate
La Familia Casa De Empeño Y Joyeria
07.2022 - 11.2022
- Prepared merchandise for sales floor by pricing or tagging.
- Managed returns, exchanges and refunds in accordance with store policy.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Provided positive first impressions to welcome existing, new, and potential customers.
- Engaged with customers to build rapport and loyalty.
Education
BBA - Electronic Engineered
Polytechnic University
San Juan2025
Skills
- Case management
- Time management
- Quality assurance
- Customer service orientation
- Attention to detail
- Adaptability
- Computer literacy
- Insurance regulations
- Analytical skills
- Teamwork and collaboration
Languages
Spanish
Native language
English
Upper intermediate
B2
Timeline
Customer Service Representative
Special Care Pharmacy Services
08.2023 - Current
Appeals and Grievances Analyst
MMM Holdings
05.2023 - 07.2023
Internal Contracting Operation
MSO Of Puerto Rico
11.2022 - 04.2023
Sales Associate
La Familia Casa De Empeño Y Joyeria
07.2022 - 11.2022
BBA - Electronic Engineered
Polytechnic University
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