ALEYDA NUNEZ
Tampa,FL
Summary
Results-driven professional with 20 years in account management, claims, and call-center operations in healthcare and insurance. Skilled in identifying customer needs and aligning solutions, fostering trust, and enhancing repeat and referral business. Proficient in resolving escalated service issues and specializing in claims processing and audits.
Overview
1
1
year of post-secondary education
27
27
years of professional experience
Work History
Claims Auditor
Delta Dental
Camp Hill, PA
05.2006 - 03.2026
- Examined claims forms and determined insurance coverage.
- Prepared claims by applying dental terminology and coordinating insurance details to facilitate timely approvals.
- Prepared claims through careful research, application of dental term knowledge and insurance coordination abilities.
- Improved customer satisfaction ratings by expediting claims processing and ensuring accuracy in assessments.
- Investigated and resolved customer concerns in collaboration with respective agency and other departments.
- Received consistent praise for efficiently resolving customer service calls, contributing to improved customer relationships.
- Enhanced customer satisfaction through proactive communication and support efforts.
- Improved customer satisfaction and retention.
- Ensured confidentiality of sensitive customer information in compliance with company policies.
- Safeguarded personal data by adhering to confidentiality protocols and best practices.
Registration Clerk
Pinnacle Health System - Harrisburg Hospital
Harrisburg, Pennsylvania
09.1999 - 05.2006
- Coordinated administrative support to facilitate efficient office operations.
- Insurance verification and documentation
- Scheduling and billing
- Maintained and organized patient records to ensure accuracy and compliance with regulations.
Education
Medical Assistant Certification -
Kaplan Institute
Harrisburg, Pennsylvania 09.1997 - 05.1998
John Harris Campus
Harrisburg, PennsylvaniaSkills
- Claims Auditing
- Claims Processing
- Claims adjustment management
- Audit compliance
- Insurance specialist
- Account management
- Proficient with Microsoft Office System
- Customer service
Languages
- English
- Spanish
Timeline
Claims Auditor
Delta Dental
05.2006 - 03.2026
Registration Clerk
Pinnacle Health System - Harrisburg Hospital
09.1999 - 05.2006
Medical Assistant Certification -
Kaplan Institute
09.1997 - 05.1998
John Harris Campus