Claudia Gorosito
West Valley City,UT
Summary
I am a determined Sr. Account Manager who I believe has accomplished a lot within 10+ years of experience spanning in customer service, health care, culinary sectors. Excelling in roles that required a balance in administrative acuity, customer relationship management, and team collaboration. I have been recognized for my proficiency in utilizing EHR, Salesforce, Remedyforce, and for my use in my fluency of the Spanish language. I am organized and detail-oriented, and aspire to utilize my skills and experiences for my future endeavors to resolve challenges and propel business growth for any future organization I may have the opportunity to work.
Overview
9
9
years of professional experience
Work History
Senior Policy Service Rep/Senior Account Manager
Dental Select-Ameritas Life Insurance Corp.
05.2021 - 05.2024
- Communicated with clients to assist with questions or requests regarding their coverage
- Responsible for customer service, issuance, and administrative functions, cases, and products/plans
- Maintained and implemented knowledge of current procedures in accordance with industry/state regulations, internal/external audit recommendation, and compliance directors
- Supported new accounts through the implementation process
- Such as reviewing documents for accuracy and verifying correct coverage for new clients
- Managed changes to existing accounts, ensuring requests are accurately communicated and completed in a timely manner
- Managed product, process questions and coordinated interactions with Operational Departments when necessary
- Assisted in the request for exceptions on enrollments and claims and requested necessary documentation as needed
- Took care of returned mail for brokers, updating accounts with corrected information and mailed new documents to the client
- Developed and maintained strong relationships with key clients, ensuring their satisfaction with the company's products and services
- Coordinated and led training sessions for new and existing policy service representatives to ensure they are knowledgeable and proficient in their roles
- Managed and resolved complex customer issues and complaints by investigating the problems, developing innovative solutions, and coordinating with other departments for a satisfactory outcome.
Customer Service Rep
Blue Vine
11.2020 - 05.2021
- Communicated directly with clients to answer questions regarding personal loans, PPP loans, and bank accounts
- Maintained accurate records of client interactions and updated customer account information as needed
- Proactively identify opportunities to improve customer satisfaction by analyzing customer feedback and suggesting process enhancements or product improvements.
Patient Service Rep
Sutter Health-Sutter Physician Services
11.2018 - 07.2020
- Communicated with patients, employees, providers, and vendors and assisted with various inquiries
- Arranged appointments for patients and assisted in processing prescription refills
- Assisted patients with setting up payment plans and addressing medical billing/insurance inquiries
- Utilized EPIC system to document patient information and procedures
- Referred patients to appropriate professionals and services
- Maintained and implemented knowledge or current procedures in accordance with industry/state regulations, internal/external audit recommendation, and compliance directors.
Intern-Transitioned into FT Medical Assistant
The Chiropractic Health Office of Hidaya MD
09.2015 - 05.2018
- Conducted patient interviews to gather health history and vital signs
- Monitored medical supply levels and placed replenishment orders
- Cleaned, restocked, and prepared exam rooms and medical equipment
- Educated patients about medications, procedures, and physician's instructions
- Performed preliminary physical tests and accurately recorded results
- Observed and documented patient status and reported complaints to case manager/doctor
- Performed various clerical tasks to ensure office workflows ran smoothly.
Education
Biology
Grand Canyon University
Phoenix, AZASSOCIATES DEGREE - Medical Assisting
San Joaquin Valley College
Lancaster, CA01.2017
Skills
- Customer Support/Service
- Conflict Resolution
- Call Center Experience
- Insurance Verification & Knowledge
- Account Management
- Client Needs Assessment
- Contract Negotiation
- 78 WPM
- Budgeting & Project Planning
- Project Implementing
- Healthcare Knowledge
- ICD9, ICD10
Languages
Spanish
Native or Bilingual
Skills/Technical
- Adobe Photoshop
- Adobe Illustrator
- Adobe InDesign
- Adobe Acrobat
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Dev-Opps
- Remedyforce
- Salesforce
- Email Marketing
- HTML & CSS
- Google Advertising
- Google Suite
- EDI (Electronic Data Interchange)
- EHR/EMR
Timeline
Senior Policy Service Rep/Senior Account Manager
Dental Select-Ameritas Life Insurance Corp.
05.2021 - 05.2024
Customer Service Rep
Blue Vine
11.2020 - 05.2021
Patient Service Rep
Sutter Health-Sutter Physician Services
11.2018 - 07.2020
Intern-Transitioned into FT Medical Assistant
The Chiropractic Health Office of Hidaya MD
09.2015 - 05.2018
Biology
Grand Canyon University
ASSOCIATES DEGREE - Medical Assisting
San Joaquin Valley College
Similar Profiles
Jayne IsaacsonJayne Isaacson
Customer Service Representative at Ameritas Life Insurance CorpCustomer Service Representative at Ameritas Life Insurance Corp
Travis D. JacksonTravis D. Jackson
force Illustration Specialist at Ameritas Life Insurance Corpforce Illustration Specialist at Ameritas Life Insurance Corp
JOHN ERWIN SOLTESJOHN ERWIN SOLTES
Co-Owner at APEX SELECT INSURANCE AGENCY CORP.Co-Owner at APEX SELECT INSURANCE AGENCY CORP.