CINTHIA SENA
Hartford,CT
Summary
With expertise in evaluating claims benefits, Have a proven ability to provide accurate and prompt claims processing. Exceptional analytical skills and problem-solving capabilities enable me to efficiently handle claims, resulting in optimal results. Through effective communication and collaboration, I consistently maintain a streamlined workflow and prioritize client satisfaction.
Overview
10
10
years of professional experience
Work History
Claims Benefit Specialist
Aetna
06.2024 - Current
- Handled sensitive claimants'' personal information with discretion, maintaining confidentiality at all times during the claims process.
- Maintained a high level of accuracy when inputting data into internal databases, ensuring all information was readily available for review by other team members as needed.
- Contributed to team success by sharing expertise on complex cases and collaborating on strategies to increase efficiency in case management tasks.
- Maintained up-to-date knowledge on industry regulations and guidelines, ensuring compliance throughout the claims process.
- Reviewed policy coverage details thoroughly before making determinations on benefits eligibility for each unique claim scenario presented.
- Decreased turnaround time for claim approvals with thorough investigation and efficient documentation.
Inpatient Pharmacy Technician
Trinity Health of New England
07.2023 - 03.2024
- Managed multiple priorities effectively while working in a fast-paced hospital environment during high-volume periods.
- Supported the training of new pharmacy technicians to enhance team performance and improve workflow efficiency.
- Streamlined pharmacy operations with efficient coordination between nursing staff, pharmacists, and patients.
- Ensured compliance with regulatory standards by adhering to protocols for controlled substances management.
- Increased patient safety through proper labeling, packaging, and storage of medications.
- Mastered complex hospital computer systems to manage electronic health records, input prescription information, and track inventory levels efficiently.
- Upheld a high standard of cleanliness and organization in the pharmacy workspace by following established sanitation protocols and guidelines.
- Facilitated smooth transitions of care by coordinating medication deliveries for discharged patients or transfers within the facility.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Inspect assigned nursing units for proper drug storage, stability and expiration dates as well as maintaining proper drug reliability in the pharmacy
Pharmacy Customer Service Associate
Walgreens
11.2022 - 05.2023
- Engage customers and patients by greeting them and offering assistance with products and services
- Resolve customer issues and answer questions to ensure a positive customer experience
- Register customer purchases on assigned cash register, collect cash, and distribute change as requested; process voids, returns, rain checks, refunds, and exchanges as needed
- Keep counters and shelves clean and well merchandised, take inventory, and maintain records
- Assist pharmacists in scheduling and maintaining workflow
- Processed returns and exchanges to ensure customer satisfaction.
- Assisted in training new team members, promoting effective service delivery.
- Developed rapport with customers to foster long-term relationships.
Customer Service Associate
Walgreens
09.2022 - 11.2022
- Ensure compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products)
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Trained new associates in company policies and procedures, fostering a supportive work environment.
- Complete resets and revisions as directed
- Assist with separation and rotation of food items
- Provide customer service in photo area, including digital passport photo service
- Assist with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance
- Process FedEx customer drop-off and pick-ups
- Collaborate with FedEx courier to process incoming and outgoing packages
- Handled customer complaints professionally, resulting in satisfactory outcomes and positive feedback.
- Answered customer telephone calls promptly to avoid on-hold wait times.
Captioning Assistant
Captel Service Specialists
10.2021 - 08.2022
- Provided captions of live calls for the deaf or hard of hearing
- Multitasked between speech recognition, typing, and macros to ensure accuracy
- Reported any errors, inconsistencies, and system malfunctions to supervisors
- Maintained client confidentiality
- Optimized workflow processes through regular feedback sessions with peers and supervisors to identify areas for improvement
- Listened to speakers and repeated words verbatim into voice recognition software such as Dragon
- Attended regular meetings to remain updated on confidentiality, FCC, TRS, and other government policies
Independent Sales Representative
Avon
08.2016 - 07.2019
- Maintained a large client base by providing clients with the latest products, promotions, and sales through new catalogs delivered on a bi-weekly basis
- Collected payments, ordered products, and delivered products to clients
- Used an organized Excel sheet to record payments made and payments due, record products ordered, and keep track of inventory
- Used prospecting and client development techniques to produce fresh leads and maintain solid conversion rate.
- Evaluated inventory and delivery needs and optimized strategies to meet customer demands.
Captioning Assistant
Captel Service Specialists
10.2015 - 09.2016
- Provided captions of live calls for the deaf or hard of hearing
- Multitasked between dragon speech recognition, typing, and macros to ensure accuracy
- Reported any errors, inconsistencies, and system malfunctions to supervisors
- Always maintained client confidentiality
- Completed monthly tests to maintain excellent captioning skills
- Attended regular meetings to remain updated on confidentiality, FCC, TRS, and other government policies
- Exceeded client expectations by consistently delivering high-quality captions that adhered to industry standards and best practices.
- Edited and reviewed captioned reports for clarity, grammar and spelling.
- Maintained high-quality standards by consistently meeting or exceeding established performance metrics.
Sales Associate
The Children’s Place
11.2014 - 05.2015
- Provided customers with a speedy and accurate checkout experience, informed customers of sales and rewards opportunities
- Maintained a clean workplace by organizing during times of slow store traffic and kept all products fully stocked
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Built relationships with customers to encourage repeat business.
- Managed returns, exchanges and refunds in accordance with store policy.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
Education
Bachelor’s degree - Applied Psychology
University of Phoenix
03.2021
Associate degree - Principles of Accounting
University of Phoenix
03.2018
Skills
- Confidentiality handling
- Multitasking Abilities
- Active listening
- Effective communication
- Policy interpretation
- Teamwork and collaboration
- Problem-solving
- Customer service
- Time management
- Exhibit emotional intelligence in social situations
- Claims analysis
- Microsoft office
Languages
Spanish
Limited Working
Timeline
Claims Benefit Specialist
Aetna
06.2024 - Current
Inpatient Pharmacy Technician
Trinity Health of New England
07.2023 - 03.2024
Pharmacy Customer Service Associate
Walgreens
11.2022 - 05.2023
Customer Service Associate
Walgreens
09.2022 - 11.2022
Captioning Assistant
Captel Service Specialists
10.2021 - 08.2022
Independent Sales Representative
Avon
08.2016 - 07.2019
Captioning Assistant
Captel Service Specialists
10.2015 - 09.2016
Sales Associate
The Children’s Place
11.2014 - 05.2015
Bachelor’s degree - Applied Psychology
University of Phoenix
Associate degree - Principles of Accounting
University of Phoenix
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