Claribel Difusco
Summary
Professional with background in claims processing and customer service. Known for strong analytical skills, effective communication, and adaptability in dynamic environments. Focus on team collaboration and achieving results, ensuring reliable support and flexibility with changing needs. Skilled in data entry, problem-solving, and maintaining accurate records, with keen eye for detail and strong organizational abilities.
Overview
25
25
years of professional experience
Work History
Bilingual Claims Intake Specialist
First Acceptance Insurance
11.2022 - 08.2024
- In the role of Bilingual Claims Intake Specialist at First Acceptance Insurance, the main responsibility involved processing claims and assisting clients through the intake process. This position required attention to detail and the ability to communicate effectively in both English and Spanish. It was essential to maintain accurate records and ensure all necessary documentation was collected to facilitate timely processing of claims.
- Provided bilingual support, enhancing customer satisfaction for Spanish-speaking clients.
- Collaborated with team members, supervisors or managers to resolve complex claims issues, ensuring compliance with company policies. Escalate call to manager when necessary for further assistance.
- Answers questions in relation to claim process and/or procedures.
- Provided bilingual assistance to clients, improving communication and understanding for Spanish-speaking policyholders during the claims process.
- Educated clients on their claims status and next steps, fostering trust and transparency throughout the process.
Technical Support Critical Situation
Tek Experts
12.2019 - 03.2020
- As a Technical Support Critical Situation specialist at Tek Experts, the focus was on identifying the impact of software or hardware failure on the client's business and engage with engineers to provide immediate solutions, ensuring minimal disruption to their services. Collaborated with cross-functional teams to escalate when necessary and resolve complex technical issues.
Bilingual Customer Service Representative
Connect For Health Colorado
09.2017 - 02.2018
- Serving as a Bilingual Customer Service Representative at Connect for Health Colorado, I assisted clients in navigating health insurance options. The role involved educating customers about available plans and ensuring they understood their benefits. Effective communication in both English and Spanish was crucial in helping clients make informed decisions. Enhanced client understanding of health insurance options, leading to increased enrollment rates. Demonstrated exceptional problem-solving skills by addressing customer inquiries and resolving issues promptly. Maintained comprehensive knowledge of health care programs and regulations to provide accurate information.
- Provided bilingual support to clients, assisting them in understanding health insurance plans and benefits.
- Facilitated enrollment processes by guiding customers through application requirements and documentation.
Bilingual Customer Service Representative
AAA Carolinas
03.1999 - 10.2006
- Assisted customers with first notice of loss and managed accounts payable for the claims department.
- Trained new employees on IBM AS400 systems to enhance operational efficiency. Collaborated with cross-functional teams to resolve claims-related inquires.
- Developed training materials to support onboarding and improve employee efficiency and productivity.
- Resolved customer inquiries efficiently, utilizing problem-solving skills to address concerns in both languages.
Education
No Degree - Computer And Information Sciences
Seminole State College
Sanford, FL09.1995
Skills
- Bilingual English/Spanish
- Customer Service
- Conflict Resolution
- Organization
- Problem solving
- AS400
- Adaptability
- 10 Key
- Word/Excel/Outlook
- Teamwork
Languages
Spanish
Native or Bilingual
Timeline
Bilingual Claims Intake Specialist
First Acceptance Insurance
11.2022 - 08.2024
Technical Support Critical Situation
Tek Experts
12.2019 - 03.2020
Bilingual Customer Service Representative
Connect For Health Colorado
09.2017 - 02.2018
Bilingual Customer Service Representative
AAA Carolinas
03.1999 - 10.2006
No Degree - Computer And Information Sciences
Seminole State College