Results-driven call center professional with healthcare experience. Proven ability to manage high call volumes, resolve member issues efficiently, and provide accurate information regarding benefits, services, and care coordination.
Overview
2026
2026
years of professional experience
Work History
Case Management Assistant
Humana
2023 - 01.2026
Provided clinical case management support to health plan members. Managed and documented clinical cases while coordinating
Supported multidisciplinary team meetings by preparing relevant patient information and reports.
Monitored client progress and communicated updates to healthcare providers for effective case management.
Call Center Representative
Neptuno
2022 - 05.2023
Managed high volume inbound calls, addressing customer inquiries and resolving issues efficiently.
Provided exceptional support to customers by accurately processing orders and updating account information.
Established trust with clients by accurately addressing their concerns and offering appropriate resolutions based on their needs.
Member Support Specialist
Humana
2017 - 01.2019
Assisted members with inquiries about benefits, claims, and coverage options, enhancing member satisfaction.
Adapted quickly to changing processes and technologies to improve service delivery efficiency.
Collaborated with cross-functional teams to streamline workflows and enhance member experience initiatives.
Managed escalated issues by employing problem-solving techniques to achieve satisfactory resolutions for members.
Account Management
Pure Med
2010 - 11.2015
Monitored performance metrics closely to identify areas for improvement in account management processes.
Streamlined account management processes for increased efficiency, resulting in improved customer satisfaction rates.
Enhanced customer retention through consistent follow-up and attentive account management.
Increased client satisfaction by providing exceptional account management and promptly addressing concerns.