Claudia Goins
Moreno Valley,CA
Summary
Excellent Customer Service Professional adept at claims investigation, information and review. Motivated to maintain customer satisfaction managing large amounts of inbound calls and sustaining satisfactory relationships with customers. Proficient in CRM systems paired with outstanding active listening, critical thinking, multitasking abilities, records searching and documentation.
Overview
25
25
years of professional experience
Work History
Therapeutic Early Intervention Specialist
Sevita Health
Rancho Cucamonga, CA
07.2023 - Current
- Communicate and work with parents and caregivers to educate them about their child's developmental needs and provide strategies they can implement at home to support their child's progress
- Plan, schedule and provide weekly early educational in-home services for a caseload of children with disabilities including developmental delays and programs for children diagnosed with autism spectrum disorders
- Prepare different learning packets and activities to help improve speech, motor skills and sensory.
Social Worker Intern
Creative Solutions for Kids and Families
Moreno Valley, CA
08.2023 - 01.2024
- For Kids And Families , Assist agency social workers with developing, organizing and conducting assessments to prevent and resolve problems
- Shadow agency social workers to in home visits with clients and provide detailed notes through observation.
Patient Safety Attendant
Riverside University Health Systems Medical Center
Riverside, CA
10.2022 - 01.2024
- Responsible for patient safety and updating patient's records every fifteen minutes with the latest treatments and progress notes
- Demonstrate appropriate communication skills with patient and other healthcare providers.
Elections Worker
Riverside County Registrar of Voters
Riverside, CA
04.2021 - 06.2022
- Sorted, and counted vote-by-mail ballots on arrival in a fast paced environment and very detail oriented
- Assisted in ballot staging by unfolding vote-by-mail ballots and prepping them for ballot counting.
Customer Service Representative
Kaiser Permanente
Corona, CA
09.2006 - 08.2008
- Assisted claimants, providers and clients with problems or questions regarding claims and provided highest level of professionalism and knowledgeable service to every customer.
- Answered, screened and processed high volume of calls daily with call management system and web-based communications.
- Received employee of the month for excellent customer service and quality assurance.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Adhered to HIPAA regulations when handling confidential patient information.
Customer Service Representative
Wells Fargo Home Mortgage
Riverside , CA
09.1998 - 09.2000
- Implemented anti-fraud measures such as identity verification protocols and real-time alerts on high-risk transactions.
- Responded promptly to customer inquiries regarding their escrow account status.
- Offered resolutions to de-escalate calls and solve customer issues.
- Answered, screened and processed high volume of calls daily with call management system and web-based communications.
Education
Bachelor of Science - Human Services
University of Phoenix
Bachelor of Arts - Theology/Biblical Studies
Ministerial Training Institute
Associate of Arts - Human Services
University of Phoenix
Diversity Equity And Inclusion -
University of Southern
California
Skills
- Excellent Communication
- Eligibility Determination
- Mental Health
- Claims Processing
- Microsoft Word
- Microsoft Excel
- Analytical
- Critical Thinking
- Problem Resolution
- Medical Insurance
Timeline
Social Worker Intern
Creative Solutions for Kids and Families
08.2023 - 01.2024
Therapeutic Early Intervention Specialist
Sevita Health
07.2023 - Current
Patient Safety Attendant
Riverside University Health Systems Medical Center
10.2022 - 01.2024
Elections Worker
Riverside County Registrar of Voters
04.2021 - 06.2022
Customer Service Representative
Kaiser Permanente
09.2006 - 08.2008
Customer Service Representative
Wells Fargo Home Mortgage
09.1998 - 09.2000
Bachelor of Science - Human Services
University of Phoenix
Bachelor of Arts - Theology/Biblical Studies
Ministerial Training Institute
Associate of Arts - Human Services
University of Phoenix
Diversity Equity And Inclusion -
University of Southern
California
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