Gabriel Lezama
Baccalaureate Of Science And Humanities
Tegucigalpa
Summary
Personable and detail-focused professional with strong aptitude for analyzing complex information and resolving issues. Possesses solid understanding of regulatory compliance and healthcare policies, coupled with excellent written and verbal communication skills. Committed to ensuring fair and timely resolution of issues, ultimately enhancing customer satisfaction and trust.
I consider myself a committed person who always seeks excellence in every activity I perform, in addition to being versatile to adapt to any type of situation, with general knowledge in: Word, Excel, Access. My strengths are honesty and responsibility.
Overview
4
4
years of professional experience
3
3
years of post-secondary education
2
2
Languages
Work History
Grievance and Appeals Specialist
Humana
Tegucigalpa, Departamento de Francisco Morazan
07.2023 - Current
- Displayed excellent time management skills while managing multiple high-priority cases concurrently without compromising quality or attention to detail.
- Conducted thorough investigations for complex cases, ensuring fair and accurate outcomes.
- Maintained compliance with regulatory requirements by staying current on industry standards and guidelines.
Customer Service Representative
Humana
Tegucigalpa, Departamento de Francisco Morazan
09.2022 - 07.2023
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Responded to customer requests for products, services, and company information.
Technical Support Representative
IntouchCx
Teg, Departamento de Francisco Morazan
04.2022 - 08.2022
- Provided remote assistance to customers experiencing technical difficulties, guiding them through step-by-step resolutions with patience and professionalism.
- Resolved complex technical problems through effective troubleshooting techniques, enhancing the user experience.
- Delivered exceptional customer service by quickly addressing concerns and providing clear, concise explanations of technical solutions.
- Managed challenging customer situations with diplomacy and professionalism, often turning negative experiences into positive outcomes.
Technician in General Support and Maintenance
Institute of Property
Tegucigalpa, Departamento de Francisco Morazan
05.2021 - 10.2021
- Maintained a safe work environment by strictly adhering to established safety protocols and guidelines.
- Demonstrated adaptability when faced with new challenges or technologies, enabling quick mastery of necessary skills.
Education
High School Diploma -
Reynaldo Narvaez Rosales
Comayaguela, Honduras 01.2016 - 12.2018
Skills
Case analysis
Grievance handling
Workflow management
Issue identification
Strong analytical skills
Documentation expertise
Teamwork
Insurance policies
Problem-solving
Timeline
Grievance and Appeals Specialist
Humana
07.2023 - Current
Customer Service Representative
Humana
09.2022 - 07.2023
Technical Support Representative
IntouchCx
04.2022 - 08.2022
Technician in General Support and Maintenance
Institute of Property
05.2021 - 10.2021
High School Diploma -
Reynaldo Narvaez Rosales
01.2016 - 12.2018
Similar Profiles
Patricia Y. FrazierPatricia Y. Frazier
Enrollment Specialist at HumanaEnrollment Specialist at Humana
Tim HowardTim Howard
Medicare Agent at HumanaMedicare Agent at Humana
Sonya SimsSonya Sims
Medicare Sales Agent at HumanaMedicare Sales Agent at Humana