Summary
Overview
Work History
Education
Skills
Languages
Timeline
18

Andrea Grajeda

Horizon,TX

Summary

Collaborative leader with a proven track record of fostering an engaged and empowering work culture. Demonstrated expertise in building and maintaining relationships with diverse stakeholders in dynamic, fast-paced environments. Experienced in providing assistance and guidance to individuals navigating complex Medicare systems and seeking benefits information, particularly during times of stress, confusion, or upset. Proficient in adhering to government regulations and Claims department guidelines to effectively handle various forms of communication, including telephone calls, emails, letters, and in-person requests. Skilled at managing interactions to ensure individuals receive the necessary assistance they need.

Overview

11
11
years of professional experience

Work History

Medicare Claims Processor

Maximus
11.2023 - Current
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Processed and recorded new policies and claims.

Senior Account Executive

DISH
04.2019 - 09.2021
  • Sold new products and services and developed new accounts to maximize revenue potential.
  • Met with new customers to share product and service information, listen to needs and learn about business operations.
  • Developed strategies using market research with support from cross-functional teams.
  • Motivated team members to meet and exceed sales targets.
  • Established customer relationships, interfacing with representatives and collaborating to achieve mutually beneficial results.
  • Achieved or exceeded company-defined sales quotas.

Sales Team Leader

Sears
05.2016 - 05.2019
  • Refined team workflows to better capitalize on individual strengths and maximize market share.
  • Expanded company customer base and cemented market presence by implementing strategic sales plans.
  • Built strong team by recruiting and developing top sales talent.
  • Contributed to successful daily upkeep of warehouse inventory tracking.
  • Forecasted sales to management and collaborated to build effective sales team.
  • Led regular team meetings to keep sales personnel motivated with tips, techniques and relevant information.
  • Trained, coached, and mentored new sales associates for maximum performance.
  • Set ambitious sales goals and motivated strong performance to keep team growing effectively.

Consultative Sales Associate

Sears
05.2014 - 05.2016
  • Upsold warranties and maintenance plans to customers purchasing merchandise.
  • Identified prospects' needs and provided information on suitable products and services.
  • Researched inventory to determine if requested products were available.
  • Answered questions about store policies and addressed customer concerns.
  • Delivered energetic responses to customers in-store and by telephone, going above and beyond to serve needs.
  • Maintained up-to-date knowledge of store sales, payment policies and security standards.
  • Engaged in friendly conversation with customer to better uncover individual needs.
  • Listened to customer needs and desires to identify and recommend optimal products.

Human Resources Assistant

Sears
10.2013 - 05.2014
  • Organized new employee orientation schedules for new hires.
  • Filed paperwork, sorted, and delivered mail and maintained office organization.
  • Screened applicant resumes and coordinated both phone and in-person interviews.
  • Delivered friendly assistance with new hires throughout interviewing and hiring process.
  • Conducted new hire orientation to verify completion of appropriate paperwork, recording information on human resources database.
  • Set up orientations and initial training for new employees.

Education

Associate of Arts - Social Psychology

El Paso Community College
El Paso, TX

Skills

  • Data Entry
  • New Policies Processing
  • Claim Amount Calculations
  • Small Claims Payouts
  • Teamwork and Collaboration
  • Active Listening
  • Interpersonal Skills
  • Relationship Building
  • Problem-solving aptitude
  • Adaptability and Flexibility
  • Task Prioritization

Languages

Spanish
Limited Working

Timeline

Medicare Claims Processor

Maximus
11.2023 - Current

Senior Account Executive

DISH
04.2019 - 09.2021

Sales Team Leader

Sears
05.2016 - 05.2019

Consultative Sales Associate

Sears
05.2014 - 05.2016

Human Resources Assistant

Sears
10.2013 - 05.2014

Associate of Arts - Social Psychology

El Paso Community College
Andrea Grajeda