Aryssa Garcia

• Provided support to clients by responding to inquiries, addressing complaints and resolving issues.
• Developed and implemented strategies for improving customer service standards.
• Provided training on new systems or procedures related to client care activities.
• Coordinated services for clients based on individual needs by matching clients with Occupational therapist and/or certified driving rehab specialist.
• Collected deposits or payments and arranged for billing.
• Presented existing and prospective customers with valuable service or product information to aid in decision-making.

• Strong focus on quality member/prospect engagement
• Versed in all aspects of the industry, insuring eligible prospects in products to minimize financial loss in the event of accidents and damages
• Develop and maintain key business relations with clients and partners, supporting company growth
• Clear knowledge of an strict adherence to federal/state guidelines and company policies
• Proficiency in conflict resolution with proven ability to assist in insurance matters of high complexity

● Expanded services and customer base by seeking opportunities in numerous states, including Alaska, Arizona, District of Columbia, Hawaii, Illinois, Maryland, Nevada, and Pennsylvania.

● Constantly exceed sales and compensation targets with 90% business insurance rate per month

● Met and exceeded both personal and company goals by maintaining adherence to internal quality objectives while producing high close rate in line with predetermined KPI’s

• Provided support to clients by responding to inquiries, addressing complaints and resolving issues.

• Investigated concerns such as billing and claims questions on behalf of providers.
• Guided suitable resolutions on issues related to critical contracts in support of program managers.
• Review and understand contract plans and specifications.
• Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
• Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
• Reviewed administrative guidelines whenever questions arose during processing of claims.
• Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.

• Monitored clients' insurance coverages to ensure changing needs were met.
• Counseled prospects and policyholders on coverage, limits and regulations.
• Calculated premiums and established payment methods, receiving customer payments and issuing receipts.
• Developed appropriate quotes based on risk information.