Carolyn Maldonado
South Carolina Vocational Rehabilitation Department
York,SC
1
Certification
2027
years of professional experience
Knowledgeable Customer Service Representative with solid background in handling complex office duties. Successfully managed numerous claims while ensuring compliance with regulations and improving client satisfaction. Demonstrated problem-solving and analytical abilities in every aspect of claims processing.
Results-driven insurance professional with proven track record in claims management. Known for effectively resolving complicated claims and maintaining high standards of accuracy. Exceptional team collaborator with focus on adapting to changing needs and delivering reliable outcomes. Expertise in risk assessment and customer service.
Work History
Job Readiness Trainer Associate
- Elected Area Council representative for Hook and Loop department, facilitating communication and collaboration among team members.
- Monitored consumer progress throughout training using various assessment tools and identified areas for improvement.
- Developed a Hook and Loop job duties list with the JRT Center Coordinator, clarifying roles and responsibilities for training staff.
- Organized and monitored training materials inventory, streamlining access to resources for trainers and staff alike.
- Established a system for completing and filing testing result forms, ensuring consistent workspace and providing valuable data for enhancing future training sessions.
Insurance Claims Specialist
1 Year 8 Months- Verified policy coverage, loss information, and claimant data to support compliant claim setup.
- Managed first notice of loss intake, capturing accurate claim details and routing files for timely processing.
- Utilized internal software and tools to meet customer needs and resolved issues promptly
- Achieved positive Quality Assurance monitoring report.
- Maintained accurate records of client communications, transactions, policies, and other relevant documentation for seamless operations within the agency.
Receptionist
- Facilitated efficient office operations by managing correspondence, organizing files, and overseeing office supplies inventory.
- Ensured timely processing of incoming and outgoing mail and deliveries, maintaining clear communication throughout the office.
- Maintained confidentiality of information regarding clients and the company.
- Utilized Microsoft Office applications to streamline documentation, update logs, and enhance overall administrative support.
Education
Virtual Office Management - Administrative Office Technology
- Document Formatting (begins 10/12/26)
- Integrated Information Process (begins 10/12/26)
- Information Processing Software (completed)
- Professional Development (completed)
- Keyboarding (completed)
Associate of Arts - Liberal Arts General Studies
Skills
Adapted quickly to changing priorities and tasks.
Supported clear written and verbal communication across teams.
Worked closely with team members to complete shared tasks.
Kept work organized and stayed on top of deadlines.
Built positive working relationships with coworkers and clients.
Reviewed work carefully to catch errors and maintain accuracy.
Accomplishments
- Collaborated with team of board members in the development of a girls group to provide age-appropriate activities and events which has reached its thirteenth year of success.
Certification
- Certificate of Completion: SCEIS Central Time Entry (SCEISTE, V) Online Course (3/26/25)
- Customer Service for Professional Office Settings Certification (SCVRD Learn 5/27/24)
- Customer Service Skills Certification (SCVRD Learn 5/12/24)
- Digital Skills Courseware (WIN Career Readiness Courseware & Credentialsv4/22/24)
Awards Certificates
- Certificate of Excellence for Excellent Customer Service & Program Expertise, 03/2009
- Certificate of Achievement for Successful Completion and Achievement of the New Hire Training Program, 12/2008
Timeline
Insurance Claims Specialist
Innovation First Notice
01.2008 - 09.2009Read More
Job Readiness Trainer Associate
South Carolina Vocational Rehabilitation Department
2024 - CurrentRead More
Receptionist
Springfield Technical Community College
2005 - 2008Read More
York Technical Community College
Virtual Office Management from Administrative Office Technology
Read More
Springfield Technical Community College
Associate of Arts from Liberal Arts General Studies
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