ANA ARCHBOLD
Claims
Lake Mary,FL
Summary
Organized, self-motivated with Ability prioritizing and completing multiple projects. I would bring my experience and analytical skills necessary to get the job done. Hardworking and passionate job seeker with strong organizational skills. Ready to help team achieve company goals. Successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
20
20
years of professional experience
Work History
TRANSLATOR
STARLITE TRANSLATIONS LLC
08.2020 - 10.2023
- Process and finalize high volume sensitive and technically complex texts in (English /Spanish, Spanish/English)
- Accuracy and consistency of texts by checking spelling, punctuation, and grammar (Approx.2.500 words per day)
- Check and format complex texts containing tables, charts, figures, diagrams, references, to ensure accurate presentation
- Pre-translate and analyze texts using computer-assisted translation software.
Claims Analyst
FALCK GLOBAL ASSISTANCE
09.2016 - 07.2020
- Analyze and investigate complicated health insurance claims to help prevent fraud
- Review and process new claims reports (Europe, Asia and United States)
- Organize and present claim review plans
- Resolve claims in a timely manner.
Assistance Coordinator
FALCK GLOBAL ASSISTANCE
09.2016 - 07.2020
- Coordinate medical assistance for traveling members
- Receive and process international inbound customer requests for medical assistance during traveling
- Manage files for outpatients/inpatients, place guarantee of payments, communicate action plans/ obtain medical reports to medical team for evaluation
- Coordinate repatriation cases with escort medical team and air ambulances
- Case registration, policy check and coverage, inform all parties involved (action plan), services (finance), detailed logs, matching expectations, uphold agreements, case closing and quality assurance.
QA Auditor for Verizon Wireless
TOTAL MARKETING CONCEPTS (TMC)
08.2013 - 08.2016
- Auditing includes monitoring and reporting for individual employee adherence to company and client quality goals, business rules and regulations, and ensuring that Customer Service Representatives follow established call handling protocols, have documented calls correctly, and have escalated calls appropriately as required
- Audit the work performance Call Center Representative by reviewing recorded calls real time, assessing customer interactions to ensue inbound and outbound calls meets established service level
- Focused on listener and clear communication that will provide constructive feedback on agent interactions with customers in the call center
- Audit the work from agents to customer service specialist during live recorded calls through a formalized evaluation process
- Identify key behaviors from Agents with customer interactions
- Analyze data to identify areas from improvement and opportunities for training
- Assure ongoing compliance with quality and industry regulatory requirements
- Collaborate with call center team to redefine and implement processes
- Address customer concerns and objections thoroughly and politely and obtain a customer commitment
- Use judgment in negotiating customer effecting issues (due date, credit requirements, credit issuance, etc)
- Express appreciation for the customer's continuing business.
Agent Compensation Analyst (Life Insurance)
UNIVERSAL AMERICAN FINANCIAL CORP.
05.2006 - 01.2013
- Handle over 100 calls a week from agents regarding commission related issues research analyze and resolved complex compensation issues for the agents
- Make necessary adjusting journal entries into system
- Assist in maintenance and communication of projects status, reports and tracking
- Prepare and mail weekly advance statements and monthly earned commission for the companies: Union Bankers, Penn life, Union National, Pennlife, Guarantee Reserve and Constitutional Life
- Organized and managed the collection process of over 1,000 agents who had debit balances with the company
- Successful collecting over $300,000 from agents with a debit balances, using the programs: Today’s Options, Capsil and Fapsil
- Created and utilized Excel spreadsheets which resulted in a timelier and successful collection process
- Completed miscellaneous compensation related projects and department projects as required.
Accounts /Receivable and Payable Administrator
M/I HOMES
03.2004 - 04.2006
- Receive and verify invoices and requisitions for goods and services
- Verify transactions comply with financial policies and procedures
- Prepare batches of invoices for data entry
- Approx
- 800 per week
- Data enter invoices for payment
- Process backup reports, after data entry
- Manage the weekly check run
- Approx
- 1.3 million per week
- Record all checks and prepare manual checks as and when required
- Prepare vendor checks for mailing
- List all vendor checks in the log book
- Maintain listing of accounts payable and receivables
- Maintain the general ledger
- Maintain updated vendor files and file numbers
- Print and distribute monthly financial reports to the Corporation Office.
Education
No Degree - 2-40 Health Insurance Agent Pre-licensing Course
Florida Insurance College
Orlando, FloridaBusiness Administration Management (Hospitality) -
Universitec
Bogota, Colombia12.1992
Skills
- Microsoft Word, Microsoft Excel, Lotus Notes, Access (CS-2000), Microsoft Outlook, Internet Explorer, PeopleSoft, HIPPA PRIVACY AND SECURITY – MEDICARE COMPLIANCE (Bilingual: English-Spanish)
- Research
- Fluent in Spanish- English/English-Spanish
- Customer Engagement
- Research and Analysis
- Client Services
- Project Support
Additional Information
Quality Assurance certification
Timeline
TRANSLATOR
STARLITE TRANSLATIONS LLC
08.2020 - 10.2023
Claims Analyst
FALCK GLOBAL ASSISTANCE
09.2016 - 07.2020
Assistance Coordinator
FALCK GLOBAL ASSISTANCE
09.2016 - 07.2020
QA Auditor for Verizon Wireless
TOTAL MARKETING CONCEPTS (TMC)
08.2013 - 08.2016
Agent Compensation Analyst (Life Insurance)
UNIVERSAL AMERICAN FINANCIAL CORP.
05.2006 - 01.2013
Accounts /Receivable and Payable Administrator
M/I HOMES
03.2004 - 04.2006
No Degree - 2-40 Health Insurance Agent Pre-licensing Course
Florida Insurance College
Business Administration Management (Hospitality) -
Universitec
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