Summary
Overview
Work History
Skills
Timeline
Generic

Cesar Leyva

617 Gaylawn Ct. La Puente,CA

Summary

Dedicated worker with strong customer service and problem solving skills, proficient in multiple computer applications. Fluent in Spanish, adaptable and detail-oriented. Trusted with sensitive documents and knowledgeable in medical terminology.

Overview

34
34
years of professional experience

Work History

Intermediate Typist Clerk

Los Angeles County - Correctional Health Services
01.2024 - Current
  • Ensured accuracy of Time In/Time Out sheets based on scheduled employee shifts
  • Demonstrated proficiency in operating office equipment including computers, printers, fax machines, and copiers
  • Ensured that documents were always prepared and easily accessible to the team and maintained optimal inventory levels of team essentials
  • Organized and oversaw schedule to ensure timely completion of assignments
  • Managed correct data input in ORCHID program and ensured timely distribution among staff

Grievances & Appeals Analyst/ Customer Service Representative/ Clerk

Anthem Blue Cross (Elevance Health, Inc.)
05.2006 - 02.2023
  • Ensured that privacy was always maintained, HIPAA Certified
  • Successfully handled non-complex pre-service and post-service Grievances and Appeals requests through careful review, analysis, and processing.
  • Loaded Grievance and Appeals cases onto NextGen system.
  • In charge of giving out information thru Company website – Sharepoint, Access to Citrix, Filenet, On Demand, Bluesquare, Call Care Browser, Frameworks, MAS toolbar and Rightfax

Customer Service Representative

Kelly Services, Inc.
09.2004 - 05.2006
  • Achieved high customer satisfaction by effectively handling inbound calls and resolving customer issues in a timely manner.
  • Demonstrated ability to handle multiple phone lines and respond to customers effectively
  • Researched and analyzed data to resolve customer service concerns
  • Maintained high rate of one-call resolutions
  • Developed and exceeded client expectations by effectively managing customer relationships.
  • Provided health care providers and members with benefit and eligibility information
  • Provided clear and concise explanations of medical claims, deductibles, out-of-pocket expenses, lifetime maximums, and claim processing

Customer Service Representative

Performance Team/Gale Triangle
02.1999 - 07.2004
  • Managed high phone volume while ensuring the accuracy of purchase orders
  • Scheduled deliveries and pickups
  • Maintained computerized inventory of all items picked up and signed by drivers
  • Addressed customer questions and focused on their present and future needs
  • Administered office operations and implemented innovative marketing techniques
  • Demonstrated ability to make critical decisions in challenging scenarios

Infantry Radio Control Monitor

U.S. Army
01.1991 - 01.1994
  • Honorably Discharged
  • Coordinated evacuations of families in 1993 Hurricane Iniki
  • Assigned to Special Projects due to my ability to be disciplined, work effectively under pressure, and be highly focused

Skills

  • Accurate data entry
  • Basic accounting
  • File Management
  • Organizational abilities
  • Deadline-oriented
  • Problem-solving abilities
  • Multitasking
  • Accuracy and Precision

Timeline

Intermediate Typist Clerk

Los Angeles County - Correctional Health Services
01.2024 - Current

Grievances & Appeals Analyst/ Customer Service Representative/ Clerk

Anthem Blue Cross (Elevance Health, Inc.)
05.2006 - 02.2023

Customer Service Representative

Kelly Services, Inc.
09.2004 - 05.2006

Customer Service Representative

Performance Team/Gale Triangle
02.1999 - 07.2004

Infantry Radio Control Monitor

U.S. Army
01.1991 - 01.1994

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Cesar Leyva