Claudia Renteria
Tampa,FL
Summary
With a proven track record at HealthPlan Services/WIPRO, I excel in customer service excellence and data analysis, enhancing customer loyalty through detailed-oriented efficiency and respectful communication. My expertise in navigating complex claims and mentoring teams has significantly improved service delivery, showcasing my ability to thrive in dynamic environments and drive positive outcomes.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Senior Claims Representative
HealthPlan Services/ WIPRO
Tampa, USA
06.2018 - Current
- Investigated complex mid- and high-exposure claims.
- Reviewed reports, accounts, and evidence to assess the reliability and correctness of data.
- Conducted interviews with policyholders to validate provided information.
- Operated efficiently in dynamic setting to handle high quantities of claims.
- Demonstrated advanced customer service strategies through mentoring and guidance.
- Reviewed coverage levels to ensure accuracy and compliance.
Customer Care Representative
Healthplan Services/Wipro
Tampa, USA
01.2015 - 05.2018
- Responded to customer needs through competent customer service and prompt problem-solving
- Communicated with clients regarding account services, statements, and balances
- Logged call information and solutions provided into internal database
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction
- Navigated multiple computer systems and applications to find information
- Met customer call guidelines for service levels, handle time and productivity
Customer Service Representative
US Imaging Network
Tampa , FL
09.2011 - 12.2014
- Developed strong customer relationships to encourage repeat business.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Conducted regular follow-up calls with customers after resolving their issues.
- Strengthened customer retention by offering discount options.
- Maintained a high level of professionalism when dealing with difficult customers.
- Used approved scripts to de-escalate angry customers during telephone interactions.
Dental Assistant
Great Expressions Dental Centers
Tampa, USA
07.2011 - 08.2011
- Organized office timelines to ensure seamless administrative activities.
- Assisted with chair-side support during endodontic treatments, general dental procedures, and oral surgeries.
- Provided clear explanations of treatment procedures.
- Captured dental images while adhering to stringent patient safety protocols.
- Recorded dental health data, medical history, and vital signs for patient records.
- Scheduled appointments for new and existing customers, factoring in provider availability and scheduling loads.
Education
Certified Book keeper - Accounting And Finance
Erwin Technical College
Tampa, FL05-2024
Associate of Science - chairside assisting, oral anatomy, dental pathology, radiology, oral hygiene and dental pharmacology
Ultimate Medical Academy
Tampa, FL12-2015
Skills
- Customer Service Excellence
- Data Privacy Management
- Quality Assurance Proficiency
- System Updates
- Needs Assessment
- Detail-Oriented Efficiency
- Respectful Communication Skills
- Enhancing Customer Loyalty
- Data Analysis
- Accurate Call Documentation
- Workload Planning
- Issue Resolution Expertise
- Customer Account Management
- Composed Under Pressure
- Postoperative Care Instructions
- Oral Health Assessments
- Charting
- Basic Life Support
- Diagnostic X-Ray Operations
- Instrument Sterilization Expertise
- Validity Assessment
- Settlement Determinations
- Benefits review
- Premium Collection
- Team Collaborations
References
Available Upon Request
Certification
- Accounting Certificate
- QuickBooks online Certified
Accomplishments
- National Technical Honor Society
Timeline
Senior Claims Representative
HealthPlan Services/ WIPRO
06.2018 - Current
Customer Care Representative
Healthplan Services/Wipro
01.2015 - 05.2018
Customer Service Representative
US Imaging Network
09.2011 - 12.2014
Dental Assistant
Great Expressions Dental Centers
07.2011 - 08.2011
Certified Book keeper - Accounting And Finance
Erwin Technical College
Associate of Science - chairside assisting, oral anatomy, dental pathology, radiology, oral hygiene and dental pharmacology
Ultimate Medical Academy
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