Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
2
2
years of professional experience
Work History
Claims Technician
Blue Cross and Blue Shield of Texas
05.2024 - 10.2024
Process and evaluate insurance claims, ensuring accuracy and compliance with company policies and procedures
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Review and analyze claims documentation to determine eligibility and coverage based on policy terms
Evaluated and settled complex insurance claims in strict timeframes
Utilized problem solving skills to troubleshoot and repair technical issues
Generate reports summarizing findings, decisions made, and recommendations for management review
Communicate with healthcare providers to gather necessary information and resolve claims inquiries
Identify and investigate potential fraudulent claims, document findings and taking appropriate actions
Maintain organized records of claims activities and update databases to ensure accurate tracking of claims status
Collaborate with other team members, including Sr.Techs and adjusters, to facilitate efficient claims processing
Barista
Ounce Coffee Co.
04.2023 - 05.2023
Maintained regular and consistent attendance and punctuality.
Created wide variety of hot and cold drinks in average shifts with consistently positive customer satisfaction scores.
Controlled line and crowd with quick, efficient service.
Trained new team members with positive reinforcement and respectful, encouraging coaching.
Pleasantly interacted with customers during hectic periods to promote fun, positive environment.
Maintained and operated espresso machines, blenders, commercial coffee brewers, coffee pots, and other equipment.
Listened carefully to customer requests and created personalized, delicious beverages
Cleaned counters, machines, utensils, and seating areas daily.
Made and served brand-specific café beverages with focus on speed, quality and consistency.
Restocked display cases with attractive arrangements to promote specialty food items like bagels and muffins.
Followed exact recipes for mixing and preparing beverage and food items.
Repaired minor issues and maintained espresso equipment and coffee machines for smooth functioning.
Helped management keep adequate supply on hand by notifying of shortages.
Elevated customer loyalty by using strong communication abilities to resolve customer problems.
Barista
Starbucks
05.2022 - 02.2023
Prepare and serve coffee and other beverages according to established recipes and preferences
Operate espresso machines, grinders, blenders, and other coffee-making equipment with precision and efficiency
Ensure quality control by monitoring the brewing process, maintaining proper equipment maintenance and cleanliness, and tracking inventory levels
Take customer orders and provide information on menu items, specials, and promotions
Handle cash and credit transactions, maintain a balanced cash register, and adhere to cash handling procedures
Maintain a clean and organized workspace, including sanitizing equipment and surfaces, restocking supplies, and disposing of waste properly
Handle customer complaints and resolve issues in a professional and courteous manner
Up-sell additional menu items and merchandise to increase sales and customer satisfaction
Follow health and safety guidelines and regulations, including food handling procedures and maintained a safe work environment
Collaborate with team members to ensure efficient and effective operations and excellent customer service
SR. QUALITY TRAINING & KNOWLEDGE MANAGEMENT COACH at Blue Cross and Blue Shield of Texas (HCSC)SR. QUALITY TRAINING & KNOWLEDGE MANAGEMENT COACH at Blue Cross and Blue Shield of Texas (HCSC)