Claudette Avalos
Avondale,AZ
Summary
Service-focused bringing unparalleled skills in customer relations, task prioritization and time management. Motivated to directly and efficiently address concerns head-on, develop proactive solutions and implement corrections with efficiency. A well as proficient in customer service management software with expertise in related roles.
Overview
8
8
years of professional experience
Work History
Customer Service Advocate
Blue Cross Blue Shield of Arizona
03.2023 - Current
- Responded to high-volume inbound calls from Claims, Medicare and Medicaid members and providers, delivering accurate and timely assistance.
- Reviewed, researched, and explained claims processing, prior authorizations, and appeals to ensure resolution and member satisfaction.
- Verified eligibility, coverage, and benefits using health insurance systems and provided clear communication of plan details.
- Maintained compliance with HIPAA, CMS, and healthcare regulations while providing exceptional customer service and issue resolution.
- Assisted with record management, file organization, and data audits to support daily operations.
- Identified and resolved data discrepancies to ensure database accuracy.
Package Handler / Loader
UPS
10.2024 - 04.2025
- Loaded, sorted, and organized packages into trailers to support efficient shipping, logistics, and distribution operations.
- Operated package scanning systems to verify accuracy of labels, routing, and delivery schedules.
- Utilized safe lifting techniques and followed OSHA and company safety procedures while handling heavy freight and irregular packages.
- Collaborated with warehouse team members to meet strict productivity, accuracy, and delivery deadlines in a fast-paced environment.
Customer Service Representative
Valor Global: Department of Economic Security
07.2021 - 01.2023
- Responded to 45+ inbound calls from members regarding unemployment status, nutrition assistance (SNAP), cash assistance, and AHCCCS health insurance programs.
- Assisted members with eligibility verification, application status updates, and required documentation to ensure accurate case processing.
- Provided clear information on benefits, coverage, and program requirements while answering member questions with professionalism and accuracy.
- Maintained compliance with state and federal program guidelines while delivering high-quality customer service and support.
Inbound Stower
Amazon
12.2020 - 06.2021
- Accurately scanned and documented items into the system, ensuring data accuracy and proper inventory management.
- Organized and categorized products into the correct locations, applying attention to detail and problem-solving to maintain efficiency.
- Consistently met productivity goals and performance metrics in a fast-paced, deadline-driven environment.
- Collaborated with team members to achieve operational goals while maintaining a strong focus on accuracy, compliance, and quality standards.
Deli Associate
Walmart
01.2020 - 11.2020
- Provided excellent customer service, assisting guests with orders, questions, and food selections in a fast-paced environment.
- Prepared and organized food items while following safety, sanitation, and quality standards.
- Maintained inventory and ensured proper stocking, rotation, and organization of supplies.
- Handled transactions accurately at the deli cashier station, demonstrating attention to detail.
Sales Associate
Walmart
07.2018 - 01.2020
- Assisted customers with locating products, answering questions, and providing recommendations to enhance the shopping experience.
- Organized, stocked, and maintained shelves to ensure product availability and proper presentation.
- Monitored inventory levels and reported shortages to support efficient store operations.
- Delivered excellent customer service while collaborating with team members to meet sales and operational goals.
Education
Medical Biller and Coder -
Carrington College
Phoenix, AZ07.2023
Associate in Arts - undefined
Estrella Mountain Community college
Avondale, AZ05.2019
Skills
- Time Management, Customer support, Data Entry, Communication, Claims, HIPPA Compliance, Cash handling, Inventory management, Sales, Adaptable, Attentive, Cooperative
- Fluent bilingualism
- Data entry
- Microsoft outlook
- Multi-line phone talent
- Typing speed
- Typing proficiency
- Member support
- Inbound and outbound calling
Languages
English, Spanish
Timeline
Package Handler / Loader
UPS
10.2024 - 04.2025
Customer Service Advocate
Blue Cross Blue Shield of Arizona
03.2023 - Current
Customer Service Representative
Valor Global: Department of Economic Security
07.2021 - 01.2023
Inbound Stower
Amazon
12.2020 - 06.2021
Deli Associate
Walmart
01.2020 - 11.2020
Sales Associate
Walmart
07.2018 - 01.2020
Associate in Arts - undefined
Estrella Mountain Community college
Medical Biller and Coder -
Carrington College