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
Hartford, CT
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
Hartford, CT
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
West Hartford, CT
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
West Hartford, CT
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
Orlando, FL
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
Bronx, NY
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
Orlando, FL
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
Bronx, NY
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