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Edison M. — Junior Customer Service Representative from Dominican Republic

Edison M.

Junior Customer Service Representative

Dominican Republic 2-3 years
Open to offersNew to Platform
Languages
EnglishSpanish
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About

Daniel D. is a customer service professional with proven expertise in managing high-pressure environments while maintaining organization and quality. His experience primarily lies within the healthcare insurance sector, having worked at ARS APS-SEGUROS APS, where he handled tasks such as orientation on plan coverage and benefits, affiliation verification, and managing precertifications for medical procedures. Daniel is adept at the inclusion and exclusion of dependents, personal data updates, claims reception, and handling customer complaints. He is experienced in providing information about provider networks and supporting reimbursement processes. His strong communication skills and clear diction allow him to build trust and deliver agile, focused service. Daniel holds education from Universidad Dominicana O&M, where he is pursuing a degree in system engineering and communication. He skillfully utilizes social media management, customer attention, and intermediate English proficiency to enhance user satisfaction.

Experience

  • Customer Service

    ARS APS-SEGUROS APS · 2025 — 2026
    Provided information regarding coverage and benefits of plans. Verified affiliations and statuses. Conducted precertifications for studies, surgeries, and procedures. Managed the inclusion and exclusion of dependents. Updated personal data and processed claims while following up on complaints and suggestions. Offered information about the network of providers, including clinics, doctors, and pharmacies. Assisted in reimbursement processes and guided individuals on emergency procedures. Recorded detailed interactions in the system.
  • Interviewer - Call Center

    MOGUR QUALI LATAM · 2022 — 2023
    Conducted telephone interviews, ensuring effective communication and engagement with interviewees while providing customer service in a contact center environment.

Skills & Expertise

Education

  • Bachelor's Certificate
    Prepara Las Hermanas Mirabal · — — 2024
  • Academic Bachelor, mention Market (4 years completed)
    Politécnico Napoleon Alberto Casillas Diaz · — — 2022

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