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
Similar Profiles
Seham BotrosSeham Botros
Specialty Pharmacist/Long Term Care Pharmacist at Northern Special Psych Care PharmacySpecialty Pharmacist/Long Term Care Pharmacist at Northern Special Psych Care Pharmacy
Genesis Perez-MatiasGenesis Perez-Matias
Servicio al Cliente / Asistente De Manejo De Casos at Special Care PharmacyServicio al Cliente / Asistente De Manejo De Casos at Special Care Pharmacy
Elba BautistaElba Bautista
Home Health Aide at Special Touch Home Care Services Inc.Home Health Aide at Special Touch Home Care Services Inc.
Juan Daniel NavedaJuan Daniel Naveda
Auxiliar limpieza at Trabajaba de limpieza particularAuxiliar limpieza at Trabajaba de limpieza particular
ANGY NIKYOLI GONZALEZ ALCANTARAANGY NIKYOLI GONZALEZ ALCANTARA
Sales Representative at Grupo BacháSales Representative at Grupo Bachá