Detail-oriented administrative and member support professional with over five years of experience in high-volume environments requiring accuracy, confidentiality, and strong analytical skills. Skilled in processing documentation, resolving discrepancies, supporting audits, and managing sensitive information. Adept at multi-system navigation, issue resolution, and maintaining organized records. Recognized for professionalism, problem-solving, and strong vendor and customer communication.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Member Experience Associate
LA Care Health Plan
Los Angeles, CA
08.2022 - 01.2025
Reviewed, verified, and documented benefits, claims, billing, and authorizations across multiple internal systems with a high degree of accuracy.
Handled a high volume of inquiries requiring detailed explanation, discrepancy resolution, and professional communication-skills applicable to vendor correspondence and AP issue resolution.
Supported internal departments by providing clear, timely case documentation that met audit, compliance, and reporting standards.
Helped improve department processes, including proposing the implementation of a call-back feature that reduced wait times and improved customer satisfaction-demonstrating continuous improvement mindset.
Membership Specialist
Blue Cross Blue Shield of Massachusetts
Boston, MA
01.2021 - 10.2021
Managed complex calls involving claims, billing discrepancies, and benefit verifications, ensuring accurate information and timely follow-through.
Maintained a 92%+ first-call resolution rate while adhering to service standards-highlighting reliability, productivity, and focus in busy environments.
Supported junior staff with training and guidance, contributing to improved accuracy and team performance.
Receptionist
Cambridge Savings Bank
Waltham, MA
02.2020 - 03.2020
Maintained accurate visitor logs and documentation in accordance with security and compliance guidelines.
Managed scheduling, phone calls, and administrative tasks requiring organization and attention to detail.
Provided front-office support and ensured professional communication with clients, vendors, and internal staff.
Inflight Crewmember
JetBlue Airways
Boston, MA
04.2019 - 02.2020
Ensured compliance with FAA regulations, demonstrating high integrity and adherence to strict confidentiality and safety procedures.
Delivered exceptional customer service, assisted passengers, and documented incidents as needed.
Lead Benefits Counselor
Mercer
Norwood, MA
07.2017 - 01.2019
Trained new hires and provided subject matter guidance on health plans, life insurance, and supplemental benefits-demonstrating strong communication and analytical skill.
Accurately processed benefit selections and enrollment changes, verifying documentation for compliance and audit readiness.
Contributed to process improvements that increased accuracy and enhanced service delivery.
Education
Associate of Science - Marketing
Johnson & Wales University
North Miami, FL
Skills
Invoice & Documentation Review
Data Accuracy & Record Management
Vendor / Customer Communication
Payment Support & Issue Resolution
Multi-System Navigation & Troubleshooting
Confidential Information Handling
Cross-Functional Collaboration
Reporting & Documentation
Microsoft Office Suite (Word, Excel, Outlook)
DocuSign
Basic SAP Familiarity
Certification
Health & Life Insurance License, CA, 2022
Health & Life Insurance License, Nationwide, 2017-2018