Claudette Benjamin
Miami,FL
Summary
Highly skilled in computer operations and telephone communication. Proven success as a Claims Analyst/Examiner, demonstrating versatility, dedication to data integrity, and adept multitasking to achieve project goals. Experienced in high-level support roles, I am a dependable and reliable team player with a strong work ethic. Energetic and driven to succeed, committed to ensuring daily success and profitability in business growth.
Overview
20
20
years of professional experience
Work History
Call Center Representative
Live Ops. Call Center
Miami, FL
10.2003 - Current
- Engaged actively with callers, confirming or clarifying information and diffusing anger.
- Taking claims for hurricane disasters, including donations for charity
- Promoted available products and services to customers during service, account management and order calls.
- Strengthened customer retention by offering discount options.
- Effectively managed a high volume of daily calls using a call management system and web-based communication tools. Screened and processed incoming calls with proficiency.
- Consistently achieved certification and underwent training for a variety of products and services.
Disaster Relief Volunteer
Volunteer Experience
Port Au Prince, Haiti
11.2012 - 01.2013
- Provided guidance on proper cleanup procedures following damages towards the communities after disaster.
- Prepared a variety of different written communication reports and documents to ensure smooth operation
- Served customers and followed outlined steps of service
Claim Processer/Examiner
Foundation Healthcare Inc. / Vista Health Plan
Sunrise, FL
2001 - 2003
- Conducted researches to compare claims payment against plan benefits and federal mandates
- Documented and processed a high volume of HMO medical claims in a fast paced environment
- Performed data entry, knowledgeable of ICD9, CPT, HCPC, revenue coding and medical terminologies
- Processed HCFA 1500 (medical claims) and UB92's (hospital forms)
- Vertex Reviewing (Entering claims electronically, reviewing claims that were entered
- Researched and resolved rejected medical claims entered electronically
- Processed claims online in Amisys and MHS.
Claims Analyst
Florida Health Choice Inc.
Delray Beach, FL
1999 - 2000
- Maintained and utilized a knowledge base of the CPT and ICD9 to perform job functions.
- Implemented all claims product. Processes a high volume of claims from 300-400 per day.
- Assessed processing reports each day to effectively submit claims.
Administrative Manager
Haiti Trans Air / The Airline of Haiti
Miami, FL
1988 - 1995
- Traveling from state to state to advertise the company
- Supervised a team of administrative assistants tasked with coordinating travel arrangements, scheduling appointments, and providing customer service support.
- Prepared regular progress reports to track budget expenditures, workflow, and performance metrics.
- Managed paper or electronic filing systems by recording information, updating paperwork and maintaining documents.
- Monitored office inventory to maintain supply levels.
Education
Associate of Applied Science - Fashion Design
Parsons School For Design
New York, NY01-1987
Bachelor of Arts - Liberal Arts And Science
City College of New York
New York, NY01-1984
Skills
- Speaks multiple languages (French, Creole, English)
- Quality Assurance
- Fast leaner
- Always on time
- Multitasker
- Can communicate well
- Hard worker, dedicated
- Reliable
- Works well under pressure
- Put other's needs before mine
- Will exceed expectations
Timeline
Disaster Relief Volunteer
Volunteer Experience
11.2012 - 01.2013
Call Center Representative
Live Ops. Call Center
10.2003 - Current
Claim Processer/Examiner
Foundation Healthcare Inc. / Vista Health Plan
2001 - 2003
Claims Analyst
Florida Health Choice Inc.
1999 - 2000
Administrative Manager
Haiti Trans Air / The Airline of Haiti
1988 - 1995
Associate of Applied Science - Fashion Design
Parsons School For Design
Bachelor of Arts - Liberal Arts And Science
City College of New York
Similar Profiles
Martina RobertsMartina Roberts
Human Resources Administrator at Live Reps Call CenterHuman Resources Administrator at Live Reps Call Center
Trilby GillumTrilby Gillum
Intake Specialist at Live OpsIntake Specialist at Live Ops
Vermondo WilliamsVermondo Williams
Customer Service Agent at Live OpsCustomer Service Agent at Live Ops
Babajide AdebayoBabajide Adebayo
VP, Client Success - Alternative Solutions at ICapital NetworkVP, Client Success - Alternative Solutions at ICapital Network
Azanny MartinezAzanny Martinez
Registered Nurse, Emergency Department at Baptist Health Hospital South FloridaRegistered Nurse, Emergency Department at Baptist Health Hospital South Florida