Claudia Villarreal
Moreno Valley,CA
Summary
Experienced with eligibility processes and regulations. Utilizes strong communication and organizational skills to manage and resolve complex cases effectively. Knowledge of compliance standards and system optimizations to enhance operational efficiency.
Overview
8
8
years of professional experience
Work History
Eligibility Coordinator
Optum
05.2024 - Current
- Verifying Members eligibility
- Enhanced team productivity, assisting colleagues in resolving complex eligibility issues when needed.
- Conducted thorough reviews of documentation to establish clients'' eligibility for various assistance programs.
- Collaborated with interdisciplinary teams to create comprehensive support plans for eligible clients.
- Resolved discrepancies with client applications to verify eligibility.
Claims Coordinator
Optum
04.2020 - Current
- Member Denial process creating 3 duplicate letters
- Mailing letters to both Members and Providers
- Logging each member in data log
- Also assisting with paper collating check process as needed
Packing and Shipping
Adecco Staffing
10.2019 - 04.2020
- Receiving product
- Processing returns
- Packaging orders
Production line packer
Simplified labor and staffing
08.2016 - 09.2018
- Packaging ready to go fruits
- Peeled fruits
- Cut and packaged in food trays
Education
Highschool Diploma -
Nueva Vista High School
Riverside, CACertificate of completion/Diploma - Pharmacy Technician
UEI college
Riverside, CA12.2011
Skills
- Reliable
- Honest
- Responsible
- Take direction well
- Fast learner
- Very good communication skills
- Bilingual in Spanish
- Effective communication skills
Awards
- HIPPA training certificate
- Harassment in the Workplace Certificate
- Intro to Health Careers Certificate of training
- Hospitality Occupations Certificate of training
- Excellence Award United Way Volunteer
Languages
Spanish
Professional Working
Timeline
Eligibility Coordinator
Optum
05.2024 - Current
Claims Coordinator
Optum
04.2020 - Current
Packing and Shipping
Adecco Staffing
10.2019 - 04.2020
Production line packer
Simplified labor and staffing
08.2016 - 09.2018
Certificate of completion/Diploma - Pharmacy Technician
UEI college
Highschool Diploma -
Nueva Vista High School
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