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Rafael C.
I am offline now

activeStatusAVAILABLE TO WORKlocation icon Ecuador
I’m available for a long-term job

Administrative professional with over 7 years of experience

I can work as a
  • Human Resources
  • Customer Service Bilingual
  • Administrative Assistant
Full Time
Dollar icon $1120 /Month

I accept:
    • Other

This profile has not been socially verified yet
Rafael is a morning Bird and wants to work during America/Guayaquil Time

About me

    Results-driven professional with over 7 years of experience in customer service, claims management and adjudication, conflict resolution, and operational coordination. Holds an MBA and a certified C1 Advanced level... More

Skills

Academic Educators

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4 of 5
Communication

Loom
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3 of 5
Zoom
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4 of 5
Skype
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4 of 5

Experience

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2019 - 2020
Diners Club
Customer Service Executive

Managed customer service and access operations for VIP lounges and corporate benefit programs. Verified program eligibility and compliance while guiding clients through policy and regulatory updates. Generated operational reports and successfully resolved high-priority customer service claims. Managed the full lifecycle of customer claims, resolving over 150 customer service cases weekly. Coordinated communication between clients and internal departments to guarantee timely case resolutions. Administered complex cases while strictly meeting established response time frames (SLAs).

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2022 - 2024
Vaos Group
Claims Coordinator

Managed the full lifecycle of customer claims, resolving over 150 customer service cases weekly. Coordinated communication between clients and internal departments to guarantee timely case resolutions

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2025 - 2026
Vaos Group
Jr. Claims Adjudicator

Analyzed and validated over 200 medical claims weekly in strict compliance with insurance coverage policies. Identified documentary inconsistencies and potential fraud cases for escalation and specialized review. Determined coverage eligibility and payout amounts based on specific contractual conditions.

Languages

English

Overall skills: Advanced
Written Level: Advanced
Spoken Level: Advanced

Spanish

Overall skills: Advanced
Written Level: Advanced
Spoken Level: Advanced
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