diamond fernandez
@diamondfernandez
Customer service representative specializing in remote member support and claims processing with strong problem-solving and attention to detail.
What I'm looking for
I’m a customer service representative with years of remote experience supporting members through phone and email while staying calm under pressure. I’m known for self-confidence, flexibility, positive attitude, patience, and consistent problem solving.
In my current role at United Health Care, I handle 50–70 calls daily, processing claims for consumer accounts and adjusting claims as needed. I also manage flexible spending account support, multitask across multiple projects, and administer member accounts in accordance with appropriate regulations.
Previously at Broadleaf, I assisted customers with account maintenance questions, researched and resolved problems under state-funded programs, and handled customer disputes. I also processed payments and completed corresponding outbound correspondence while keeping communication clear and accurate.
My earlier experience includes assisting with claims at WET-GO and providing high-volume customer care at Global Contact Services (90+ calls daily). Across roles, I focus on thorough documentation, accurate record completion, and maintaining strong professional relationships—earning an average 85% customer satisfaction rating to date.
Experience
Work history, roles, and key accomplishments
Customer Service Representative
United Health Care
Oct 2023 - Present (2 years 8 months)
Handled 50–70 calls daily while processing claims for consumer accounts and adjusting as needed. Managed flexible spending account requests, communicated by phone and email, and administered member accounts in compliance with applicable regulations.
Customer Service Representative
Broadleaf
Mar 2022 - Jan 2023 (10 months)
Answered 50–70 calls daily, assisting customers with account maintenance questions. Researched and resolved disputes for a state-funded program, handled payment processing when in violation, and completed related outbound correspondence.
Assistant Claims Representative
WET-GO
Jun 2021 - Feb 2022 (8 months)
Provided feedback to customers and internal stakeholders about claim resolutions. Thoroughly documented claim inquiries, followed correct steps in customer care tools, and processed assigned payments within prescribed limits with supervisory review.
Customer Care Specialist
Global Contact Services
Mar 2019 - Mar 2020 (1 year)
Handled 90+ calls daily to provide member service and support while maintaining strong professional relationships. Responded to member information requests, completed records and documentation on time, and maintained an average 85% customer satisfaction rating.
Education
Degrees, certifications, and relevant coursework
Urban Dove Team Charter
High School Diploma, High School
2015 - 2018
Earned a High School Diploma from Urban Dove Team Charter between 2015 and 2018.
Borough of Manhattan Community College (BMCC)
Completed some college experience at BMCC. The specific program and degree were not provided.
Availability
Location
Authorized to work in
Job categories
Interested in hiring diamond?
You can contact diamond and 90k+ other talented remote workers on Himalayas.
Message diamondFind your dream job
Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!
