Herberth Beltran

In addition to below day to day work flow, I have achieved 6 months at 100% or more productivity and over 95% quality.

• Process vision group and health plan claims submitted by in network or out of network providers
• Reach out to providers to troubleshoot claims
• Maintain metrics of 45 claims an hour.
• Assist with troubleshooting corrected claims that cannot be processed as submitted

• Answer calls in a Professional and friendly manner
• Verify callers’ information to make sure they're identity is safe
• Access member information on the computer such as Benefit Grids, Accumulator information; Deductible, Plan reset dates
• High volume outbound, inbound and follow ups follow calls
• Effectively retained consumer by clarifying the issue, explaining the best resolution and following up
• Led team engaged in delivering assistance to customer service department on daily basis
• Make average of 50+ outbound calls in a day
• Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions
• Access Healthcare Admin for access to HRA, FSA, Benefit information
• Reset Password to member portal, verify member details
• Working with Excel, Sharepoint, Microsoft Teams, Salesforce, Medical Policy.

• Obtain customer information such as name, address, and payment method, and enter orders into computers
• Answer telephone calls from potential customers who have been solicited through advertisements
• Answering inbound calls, making outbound calls when needed.