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Sergio Jimenez

Claims Specialist
Skills
(Self-evaluation)
Communication 95%
English 90%
English 90%
Crm 80%
Automation 22%
Ai 15%
Languages
Ingles:
  • Habla
    86%
  • Lectura
    88%
  • Escritura
    86%
Español:
  • Escritura
    100%
  • Lectura
    100%
  • Habla
    100%
Portugués:
  • Escritura
    40%
  • Lectura
    45%
  • Habla
    40%
Professional profile

Bilingual Customer Service Professional with 3+ years of experience resolving complex customer issues in logistics , healthcare , and entertainment . Skilled in CRM platforms , technical troubleshooting , and empathetic communication . Proven ability to maintain high customer satisfaction and manage high-volume inbound cases

Work experience

Claims Specialist
lynxus solutions - roadrunner | August 2025 - March 2026 (7 meses)
Used skills

Reviewed Bills of Lading, delivery receipts, damage photos, and terminal codes. Communicated with carriers and terminals, maintained documentation, and supported audit readiness.

Major achievement

Managed freight damage claims, determined liability, calculated settlements, ensured compliance, and improved resolution speed through professional communication and documentation.

Customer Service Representative (Bilingual)
teleperformance (disney+ streaming service) | September 2024 - April 2025 (7 meses)
Used skills

Handled billing, streaming, and account management issues. Reduced escalation rates, met KPIs, and worked in a remote, metric-driven environment.

Major achievement

Resolved 50+ daily inquiries, maintained 92% CSAT, performed technical troubleshooting, and communicated solutions in English and Spanish.

Bilingual Administrative Agent – Insurance Department
bays dental group | May 2023 - November 2023 (6 meses)
Used skills

Handled ICD/CPT codes in RIMS, processed appeals, corrected billing, followed up with providers, and ensured HIPAA compliance.

Major achievement

Managed dental insurance benefits, reduced claim rejections by 42%, scheduled appointments, and improved patient satisfaction.

Education experience
Certificate in Programming Skills 800 Hours
Ministry of tics, colombia | Bootcamp
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