Adelita Sanchez
Las Cruces,NM
Summary
Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.
Overview
20
20
years of professional experience
Work History
Claims Representative Entry-Level
Sentry Insurance
El Paso, TX
02.2023 - Current
- Maintained accurate documentation of all claim activity within designated system.
- Completed required investigations on referred files within established timeframes.
- Identified and collected evidence and determined value to specific claim to properly assess conditions.
- Investigated questionable claims to determine payment authorization.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
Trainer 2
Cyracom International
Las Cruces, NM
08.2022 - Current
- Stayed up to date on requirements of all team positions to optimize training.
- Created and offered additional materials to enhance training.
- Planned and delegated group and individual work assignments to trainees.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Drafted descriptive notes, generated reports and maintained documentation to facilitate operations.
- Provided constructive feedback and one-on-one coaching to employees.
Trainer 1
Cyracom International
Las Cruces , NM
01.2022 - 08.2022
- Reduced process gaps by training new hires on best practices and protocols.
- Documented participant attendance, engagement and progress.
- Delivered in-depth, valuable training sessions to employees both in-person and via teleconferencing systems.
- Documented training activities and changes to analyze program effectiveness.
- Identified areas of concern uncovered during training sessions and suggested methods to reduce risk.
- Provided constructive feedback and positive reinforcement to keep trainees motivated.
- Drafted descriptive notes, generated reports and maintained documentation to facilitate operations.
Supervisor
Cyracom International Inc
Las Cruces, NM
09.2020 - 01.2022
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Established and enforced clear goals to keep employees working collaboratively.
- Identified and corrected performance and personnel issues to reduce impact to business operations.
- Drove quality assurance and effective evaluation, modification and improvement of services and developed work plans consistent with program goals and objectives.
- Treated associates with fairness and respect, providing recognition of accomplishments.
OPI Spanish
Cyracom International Inc
Las Cruces, NM
06.2018 - 09.2020
- Supplied thorough, accurate and ethical interpreter services for individuals with limited English speaking skills.
- Maintained confidentiality of all data during interpreting sessions due to sensitive nature of discussions.
- Supported training department by compiling paperwork and taking detailed meeting minutes.
- Earned reputation for good attendance and hard work.
Customer Service Representative
Wells Fargo
Lubbock, TX
11.2015 - 06.2018
- Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Evaluated customer account information to assess current issues and determine potential solutions.
- Created and implemented process improvements to reduce workloads and bolster callback efficiency.
- Maintained calm, friendly demeanor with upset customers to de-escalate stressful situations.
CSR
State Farm
El Paso, TX
02.2012 - 03.2014
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Upheld quality control policies and procedures to increase customer satisfaction.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
Office Manager/Crew Trainer
Starr Services/Valley Health
Tempe, AZ
05.2004 - 12.2011
- Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance.
- Trained and mentored administrative staff members in company policies, daily task execution and industry best practices.
- Instituted and built dynamic team of astute and successful administrative professionals which supported all corporate growth and productivity objectives.
- Developed and actualized plans to streamline patient flows, increase office and patient care efficiency and generate new revenues.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Oversaw office inventory and timely reordering of supplies.
Education
Certificate of Completion - Interpreter Coach Qualification Program
Cyracom International
Las Cruces, NM01.2020
Certificate of Completion - Interpretation Services
Cyracom International
Las Cruces, NM06.2018
Associate of Science - Medical Claims Examination
Anthem College - Bryman School
Phoenix, AZ05.2007
Certificate of Completion - Medical Billing
Western Technical College
El Paso, TX05.1998
Skills
- Conversant in Spanish
- Developing client trust
- Spanish and English group instruction
- Skills Assessment
- Leadership of large groups
- Process improvement with effective classes
- Team building
- Supervision
- Customer service
- Planning and coordination
- Training manuals and materials
- Decision-Making
- Conflict Resolution
- Time Management
- Team Collaboration
Timeline
Claims Representative Entry-Level
Sentry Insurance
02.2023 - Current
Trainer 2
Cyracom International
08.2022 - Current
Trainer 1
Cyracom International
01.2022 - 08.2022
Supervisor
Cyracom International Inc
09.2020 - 01.2022
OPI Spanish
Cyracom International Inc
06.2018 - 09.2020
Customer Service Representative
Wells Fargo
11.2015 - 06.2018
CSR
State Farm
02.2012 - 03.2014
Office Manager/Crew Trainer
Starr Services/Valley Health
05.2004 - 12.2011
Certificate of Completion - Interpreter Coach Qualification Program
Cyracom International
Certificate of Completion - Interpretation Services
Cyracom International
Associate of Science - Medical Claims Examination
Anthem College - Bryman School
Certificate of Completion - Medical Billing
Western Technical College
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