Stacy J.
Junior Insurance Customer Service Specialist
Open to offersNew to PlatformAbout
Stacy Z. is a highly skilled Customer Service Representative and Insurance Support Specialist, adept at managing complex interactions within call center environments. Based in Santo Domingo, Dominican Republic, she has over three years of professional experience working in healthcare and insurance sectors, where she excels at verifying insurance eligibility, explaining plan benefits, and managing both inbound and outbound communications. Currently with Wedu Talent Solutions through Total Plan Concepts, Stacy effectively addresses inquiries from healthcare providers, ensures accurate claim processing, and resolves discrepancies to guarantee prompt service delivery. Previously, as a Customer Service & Retention Specialist at Outplex, she successfully implemented customer retention strategies to reduce churn and elevate satisfaction scores. Her proficiency in English and Spanish allows her to deliver empathetic and efficient support, enhancing customer experiences and retaining client loyalty. Stacy is also pursuing a Bachelor of Tourism from UNICARIBE, balancing her academic pursuits with her commitment to professional excellence.
Experience
Customer Service Representative – Insurance Support
Wedu Talent Solutions | Total Plan Concepts · 2025 — PresentManaged incoming calls from healthcare providers and vendors seeking information about member insurance plans. Verified eligibility and whether a member's plan was active during service. Provided detailed explanations of plan benefits, including copays and network limitations. Communicated claims status, payment timelines, and reasons for claim denials. Collaborated with internal departments to resolve discrepancies and ensured accurate information was shared with providers. Documented calls accurately and followed up on pending cases.Customer Service & Retention Specialist
Outplex · 2024 — 2025Delivered customer support through inbound channels, addressing inquiries and resolving complaints. Developed and executed customer retention strategies aimed at reducing churn and enhancing satisfaction. Recognized at-risk customers and utilized de-escalation techniques to foster long-term relationships.Appointment Setter & Chat Specialist
CCD · 2023 — 2024Assisted patients in scheduling medical appointments using inbound, outbound, and live chat support. Ensured precise data entry of patient details and appointment specifics. Maintained a professional and empathetic tone in all interactions with patients.Customer Service Representative
Primetel Global Services · 2022 — 2023Handled a high volume of inbound calls, providing timely and accurate customer support. Resolved escalated inquiries and complex customer issues with efficiency and professionalism. Consistently met and exceeded performance KPIs related to customer service.
Skills & Expertise
Education
- Bachelor of TourismUNICARIBE · 2020 — Present
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