Amanda Guillen
San Antonio
Summary
Dynamic professional with extensive experience in claims processing and operations management. Known for strong analytical skills and effective mentorship, ready to leverage expertise to drive improvements in efficiency and team performance.
Detail-oriented Claims Specialist with a strong background in claims processing, team mentorship, and problem-solving. Proven ability to enhance operational efficiency and ensure compliance with industry standards.
Proactive operations supervisor with a track record of streamlining warehouse processes and enhancing team productivity. Strong skills in communication and relationship building, driving continuous improvement initiatives that optimize workflow and meet performance targets.
Overview
21
21
years of professional experience
Work History
Claims Specialist
Pathmark Transportation
San Antonio, TX
01.2025 - Current
- Analyzed claims submissions to ensure compliance with company policies and industry regulations.
- Collaborated with cross-functional teams to resolve complex claim issues efficiently.
- Developed and implemented streamlined processes for claims processing to enhance operational efficiency.
- Mentored junior staff on best practices in claims management and dispute resolution.
- Reviewed and validated claim documentation for accuracy and completeness prior to approval.
- Enhanced accuracy of claim assessments by adopting advanced analytical tools, leading to more informed decision-making.
- Conducted detailed investigations into suspicious claims, successfully identifying and addressing fraudulent activities.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
- Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
Operations Supervisor
Pathmark Transportation
San Antonio, TX
07.2024 - Current
- Supervised daily warehouse operations, ensuring adherence to safety protocols and operational standards.
- Coordinated inventory management processes, optimizing stock levels and reducing discrepancies.
- Trained and mentored new staff on equipment use and operational procedures, enhancing team efficiency.
- Implemented process improvements that streamlined workflows and minimized downtime during peak periods.
- Monitored performance metrics, identifying areas for enhancement to boost overall productivity and accuracy.
- Trained new team members on proper and safe use of tools and equipment.
- Handled day-to-day shipping and receiving overseeing more than [Number] packages per day.
- Assigned tasks to team members to complete within designated time frames.
- Redesigned warehouse layout to accommodate new equipment, maximize space utilization, and optimize processes.
- Supervised team of helpers, laborers and material movers to efficiently complete tasks.
- Evaluated team performance and provided feedback on areas requiring improvement.
- Inspected work areas to keep free of hazards and maintain proper function of safety equipment.
- Resolved conflicts between team members and addressed complaints or grievances.
- Enforced team adherence to safety regulations and protocols.
Warehouse Operations Lead
Imperial Dade
San Antonio, TX
03.2022 - 07.2024
- Supervised daily warehouse operations, ensuring compliance with safety protocols and efficient workflow management.
- Trained and mentored new staff on equipment usage and operational procedures to enhance team performance.
- Implemented inventory control measures, improving accuracy in stock management and reducing discrepancies.
- Coordinated shipping and receiving activities, optimizing process flow and minimizing delays in order fulfillment.
- Developed training programs focused on best practices for material handling and warehouse safety standards.
- Analyzed operational processes, identifying areas for improvement that increased overall efficiency and productivity.
- Loaded and unloaded materials onto and off of trucks for fast shipment.
- Drove forklifts, pallet jacks and other equipment to move materials.
- Assisted in receiving, stocking and distribution of merchandise.
- Shipped material and performed boxing, packing, labeling, and preparation of related documents.
- Maintained clean, orderly work environment free of hazards.
- Managed daily operations, delegating tasks to team members and ensuring timely completion of assignments.
- Responded quickly to urgent requests from sales teams, expediting orders as needed without compromising on quality or accuracy.
- Coordinated with other departments for seamless flow of goods from receiving to shipping stages.
- Conducted regular performance reviews for team members, providing constructive feedback for improvement.
- Enforced compliance with OSHA regulations across all aspects of warehousing activities.
- Offered expertise in inventory management and current stock levels to internal teams and customers to facilitate accuracy and product availability.
- Coordinated with vendors to verify timely delivery of materials and supplies, avoiding delays.
- Redesigned warehouse layout to accommodate new equipment, maximize space utilization, and optimize processes.
OMS Supervisor
Forward Air Solutions
San Antonio, TX
08.2015 - 03.2022
- Oversaw daily operations to ensure compliance with safety regulations and quality standards.
- Trained and mentored team members to enhance productivity and job satisfaction.
- Implemented process improvements that streamlined workflows and reduced downtime.
- Coordinated inventory management processes to ensure optimal stock levels and product availability.
- Implemented system improvements that enhanced order accuracy and fulfillment efficiency.
- Monitored supply chain performance metrics to drive continuous improvement initiatives across operations.
- Operated forklifts and pallet jacks to efficiently transport goods within warehouse.
- Accurately picked and packed customer orders based on specifications.
- Trained new employees on safety protocols and operational procedures.
- Volunteered to assist with projects, demonstrating willingness to learn new tasks and increase skill levels.
- Supervised and trained new staff in performing census.
Overnight Stocker
Walmart
San Antonio, TX
08.2015 - 02.2018
- Restocked shelves efficiently to maintain product availability and optimize customer shopping experience.
- Organized merchandise layouts to enhance visibility and accessibility for customers.
- Monitored inventory levels, ensuring timely replenishment to prevent stockouts.
- Collaborated with team members to streamline stocking processes and improve workflow efficiency.
- Assisted in conducting regular inventory audits, identifying discrepancies, and facilitating resolutions.
- Implemented best practices for inventory management, contributing to improved stock accuracy.
- Maintained clean and orderly stock areas, promoting safety and operational efficiency within the department.
- Removed all boxes and related trash from sales floor and processed through compactors.
- Maintained proper storage of overstock items, keeping backroom areas organized and accessible for future use.
- Enhanced store appearance for better customer experience through meticulous shelf stocking and arrangement.
- Operated equipment such as pallet jacks and hand trucks to move heavy boxes.
- Kept aisles clear and clean while restocking to prevent accidents and enable others to easily pass by.
- Interacted with guests in friendly and knowledgeable way.
- Moved cardboard, plastic ties, and other debris from unboxing to trash.
Fraud Prevention Specialist
Advanced Call Center Technologies Harlingen
Harlingen, TX
01.2014 - 07.2015
- Analyzed transaction data to identify patterns indicative of fraudulent activity.
- Developed and implemented fraud detection strategies to enhance organizational security.
- Trained staff on best practices for recognizing and reporting suspicious behavior.
- Collaborated with law enforcement agencies to investigate and resolve fraud cases.
- Monitored account activity using advanced analytics tools to detect anomalies promptly.
- Reviewed transactions and receipts to identify any suspicious activity.
- Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.
- Contacted customers directly to notify of fraudulent activity and minimize impacts.
- Analyzed large amounts of data to find patterns of fraud and anomalies.
- Analyzed financial statements to identify discrepancies, irregularities and fraudulent activity.
- Improved customer trust by promptly addressing and resolving fraud-related inquiries and complaints.
- Optimized fraud case management tools, enabling more efficient tracking and reporting of fraudulent activity.
- Summarized all key information regarding investigation into detailed report for delivery to client.
Executive Office Manager
Dishnetwork
Harlingen, TX
10.2004 - 01.2014
- Resolved customer inquiries efficiently, enhancing satisfaction and loyalty.
- Managed high-volume calls, ensuring timely responses and issue resolution.
- Trained new staff on customer service protocols and software systems.
- Identified and resolved discrepancies and errors in customer accounts.
- Bolstered customer retention by creating and offering unique discount options and inspiring interest in new product lines.
- Resolved associate, tool and service delivery issues revealed by statistical reports.
- Customized support strategies for high-priority clients to ensure their specific needs were met.
- Updated company's FAQ section to include answers to common customer questions, reducing inquiry volume.
- Coordinated with logistics department to expedite shipping for urgent customer orders.
- Enhanced customer loyalty by offering personalized solutions tailored to individual needs.
- Delivered exceptional customer service through effective communication and problem-solving skills.
- Addressed and resolved billing inquiries, ensuring customer satisfaction with account management.
- Served customers with knowledgeable, friendly support at every stage of shopping and purchasing.
- Managed high volume of customer calls, maintaining calm and professional demeanor.
- Trained new team members on product knowledge and customer engagement strategies.
- Developed and implemented strategies to upsell products, contributing to overall sales growth.
- Built relationships with customers and community to promote long term business growth.
- Gained customer trust and confidence by demonstrating compelling, persuasive and composed professional demeanor.
Education
High School Diploma -
Harlingen High School
Harlingen, TX05-2004
Skills
- Claims
- Claims processing
- Claims investigation
- Verbal communication
- Written communication
- Teamwork skills
- Relationship building
- Adaptability and flexibility
- Verbal and written communication
- Warehouse safety
- Order picking
- Shipping and receiving
- Load planning
- Scheduling coordination
- Production planning
- Logistics oversight
- Multitasking
- Problem-solving abilities
- Multitasking Abilities
Timeline
Claims Specialist
Pathmark Transportation
01.2025 - Current
Operations Supervisor
Pathmark Transportation
07.2024 - Current
Warehouse Operations Lead
Imperial Dade
03.2022 - 07.2024
OMS Supervisor
Forward Air Solutions
08.2015 - 03.2022
Overnight Stocker
Walmart
08.2015 - 02.2018
Fraud Prevention Specialist
Advanced Call Center Technologies Harlingen
01.2014 - 07.2015
Executive Office Manager
Dishnetwork
10.2004 - 01.2014
High School Diploma -
Harlingen High School