Summary
Overview
Work History
Education
Skills
Timeline
Generic

Crystal Eugenio

Cedar Park,TX

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

19
19
years of professional experience

Work History

Lead Teacher ,Trainer, Office/Claims Assistant

The Learning Experience of Cedar Park
08.2022 - 02.2024
  • Created and implemented age-appropriate lesson plans and activities that encouraged physical, social, emotional and cognitive development.
  • Maintained accurate records of 13 toddler's progress in areas such as language skills, motor skills, problem solving abilities.
  • Developed and fostered positive relationships with parents of toddlers in the program.
  • Managed classroom supplies inventory ensuring adequate materials were available at all times.
  • Assisted with daily operations for the entire school.
  • Attended monthly professional development trainings related to early childhood education topics.
  • Participated in monthly team meetings designed to share best practices related to toddler caregiving techniques.
  • Regularly prepared reports summarizing individual toddler progress for review by administrators.
  • Conducted quarterly parent-teacher conferences to discuss developmental milestones achieved by children under care.
  • Identified children in need of extra support for emotional, health-related or developmental concerns and conceived improvement strategies.
  • Assisted families in finding resources needed to meet their specific needs related to childcare services.
  • Collaborated with other teachers to develop strategies for managing challenging behaviors among toddlers.
  • Monitored children's play activities, ages 0-5 years of age, to identify additional learning opportunities or behavioral issues.
  • Maintained daily records of 13 students individual activities, behaviors, meals and naps.
  • Communicated with parents regularly to maintain student progress, schedule meetings, and increase overall student happiness.
  • Planned and implemented 14 daily lessons using various teaching strategies to meet diverse student needs.
  • Provided administrative support to multiple departments as needed, demonstrating flexibility and adaptability within a dynamic office environment.
  • Collaborated with team members to complete projects on time and under budget for increased productivity.
  • Prepared detailed reports on various projects, allowing management to make informed decisions based on accurate data analysis.
  • Assisted in training new all staff members, enabling them to quickly integrate into the team and contribute effectively.
  • Managed confidential information with discretion while maintaining adherence to company policies regarding privacy protection procedures.
  • Conducted research tasks as requested by supervisors, providing valuable insights that informed decision-making processes within the organization.
  • Completed clerical tasks such as filing, copying, and distributing mail.
  • Maintained and updated office records, both digital and physical.
  • Managed daily data entry and kept clerical information accurate and up-to-date.
  • Managed filing system, entered data and completed other clerical tasks.
  • Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
  • Served as a subject matter expert on specialized claims, providing guidance and support to other team members when needed.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.

Private Nanny

Arezina Family
09.2021 - 08.2022
  • Bathed and dressed babies, changed diapers and prepared bottles and feeding equipment.
  • Took children on outings such as parks, library visits, sports events or educational trips.
  • Maintained a safe, healthy and nurturing environment for the children in their home.
  • Managed household duties including laundry, grocery shopping or light housekeeping tasks when necessary.
  • Communicated with parents regularly to discuss progress, concerns and any other issues related to the care of their children.
  • Prepared snacks and meals, scheduled, and coordinated projects and reinforced appropriate discipline for children according to parents' specifications.
  • Organized and planned a variety of activities to stimulate physical, mental and emotional growth for the children.
  • Engaged in creative play with the children such as reading stories, playing games or drawing pictures.
  • Sparked creativity and imagination by teaching children new ideas each day.
  • Regulated children's schedules to balance rest, learning and play.
  • Encouraged developmentally appropriate language skills through conversation and activities.
  • Documented and communicated daily reports outlining each child's daily activities.

Lead Teacher, Trainer, Office/Claims Assistant

Cadence Academy
07.2019 - 11.2020
  • Maintained tidy, clean and safe environments for 13 children.
  • Maintained daily records of activities, behaviors, meals served, naps taken. for 13 children.
  • Developed and implemented age-appropriate curricula for 13 infants that incorporated both physical and cognitive activities.
  • Created positive relationships with families by establishing open communication channels between home and school environments.
  • Led monthly or quarterly parent meetings to discuss progress reports and any issues concerning their children's development.
  • Ensured compliance with state regulations related to health standards such as hand washing procedures.
  • Established a variety of routines within the classroom setting such as circle time, snack time, story time.
  • Helped 13 infants develop communication skills through baby sign language while also promoting positive behaviors and social skills.
  • Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
  • Demonstrated adaptability by quickly mastering new software applications as needed for various monthly tasks projects.
  • Assisted managers in decision-making processes based on thorough research and analysis of available data.
  • Maximized staff performance by assisting with training, onboarding, and performance evaluations.
  • Optimized resource usage by managing inventory levels, ordering supplies, and maintaining equipment functionality.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Completed daily logs for management review.
  • Proofread and edited documents for accuracy and grammar.
  • Volunteered to help with special projects of varying degrees of complexity.
  • Performed wide-ranging administrative, financial and service-related functions.
  • Trained and supervised new employees on office policies and procedures.
  • Safeguarded sensitive information through proper documentation handling, data entry, and record maintenance procedures.
  • Verified insurance benefits or eligibility and documented in Guidewire Claim Center system.
  • Assisted 1-20 employee’s with understanding complex insurance policies, effectively addressing concerns or questions.
  • Developed and implemented strategies to improve claim processes.
  • Developed in-depth understanding of insurance policies and procedures.
  • Generated, posted and attached information to claim files.

Lead Infant Teacher, Trainer, Office Assistant

Little Acorn Academy
12.2018 - 07.2019


  • Maintained tidy, clean and safe environments for children.
  • Maintained daily records of activities
  • Developed and implemented age appropriate curricula
  • Created positive relationships with families by establishing open communication channels between home and school environments.
  • Led parent meetings to discuss progress reports and any issues concerning their children's development.
  • Ensured compliance with state regulations related to health codes and standards.
  • Helped infants develop communication skills through baby sign language while also promoting positive behaviors and social skills.
  • Managed cash transactions accurately, balancing daily reports and maintaining proper financial records for the front office department.
  • Maintained a high level of professionalism while addressing guest inquiries and resolving complaints.
  • Participated in regular team meetings to discuss areas of improvement, share feedback, and implement changes where necessary for better performance outcomes.
  • Trained new front office employees on established procedures, customer service skills, and property management systems usage.
  • Processed expense reports and office invoices in Quickbooks.
  • Composed and processed routine e-mail correspondence.
  • Provided clerical support, addressing routine, and special requirements.
  • Performed wide-ranging administrative, financial and service-related functions.
  • Drafted common document templates to reduce time spent creating documents from scratch.

Operations Associate

Pharmacist Mutual Group
05.2018 - 09.2018
  • Developed and implemented operational procedures to ensure efficient workflow.
  • Collaborated with other departments to coordinate activities related to operations management.
  • Resolved customer inquiries quickly and effectively while maintaining a professional demeanor.
  • Participated in team meetings focused on identifying opportunities for process optimization.
  • Updated company databases, websites and customer account information.
  • Answered work phones and routed correspondence to correct parties.
  • Reviewed contract terms and adhered to deadlines and deliverables.
  • Maintained positive working relationship with fellow staff and management.
  • Assisted organizational efforts by filing, entering data and answering phones.
  • Performed accounting or financial analysis.
  • Sent copies of invoices and statements to customers to facilitate payment of outstanding invoices.
  • Sorted documents, matching supporting invoices to procurement documents and verifying invoices for payment.
  • Produced estimates and created project invoices.
  • Completed and filed invoices and project paperwork.
  • Routed agreements, contracts and invoices to correct recipients.
  • Processed financial documents, contracts, expense reports and invoices.
  • Managed coding on invoices and documented all processes.
  • Maintained vendor files and entered invoices into [Software].

Claims Examiner

Matrix Absence Management Inc.
05.2018 - 09.2018
  • Managed workloads efficiently by prioritizing tasks based on urgency or importance.
  • Paid and processed claims within designated authority level.
  • Performed data entry into the computer system to record information regarding claim status.
  • Reviewed and resolved open claims and change orders to determine entitlement for additional payment.
  • Collaborated with internal departments such as Underwriting, Provider Relations, Medical Management, and Quality Assurance, as needed.
  • Investigated discrepancies in claims and resolved issues with customers via telephone or written correspondence.
  • Gathered information from various third parties to determine claim acceptability.
  • Participated in quality assurance activities such as peer reviews and audits.
  • Completed required investigations on referred files within established timeframes.
  • Conducted daily reviews on claim files and verified sending of status letters to policyholders.
  • Interpreted policy language contained within contracts between providers and payers.
  • Processed appeals from denied claims according to established procedures while ensuring compliance with applicable laws and regulations.
  • Entered claim transactions, payments, reserves and other documentation.
  • Maintained thorough understanding of fraudulent and illegal practices.
  • Conducted audits of claim files to ensure adherence to departmental standards.
  • Communicated with personnel and legal counsel on claims involving litigation.
  • Investigated questionable claims to determine payment authorization.
  • Provided guidance to other staff members regarding claim processing rules and regulations.
  • Analyzed customer complaints, identified root causes of problems, and developed corrective action plans.
  • Advised customers on their rights under their health plan policies when necessary.
  • Researched complex billing errors that required an in-depth review of all available documentation before resolution could be reached.
  • Consulted accountants, engineers, lawyers and physicians when needed.
  • Reviewed medical records and documents to determine coverage eligibility of claims for insurance benefits.
  • Handled and processed variety of claims, including Short term disability and Long term disability.
  • Discussed current cases and issues in claim committee meetings.
  • Input claim information and payments into company database.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Gathered and documented evidence to support court proceedings.

Claims Examiner

Continental LTC, Inc. formerly Great American
07.2012 - 11.2017
  • Managed workloads efficiently by prioritizing tasks based on urgency or importance.
  • Paid and processed claims within designated authority level.
  • Performed data entry into the computer system to record information regarding claim status.
  • Tracked progress of pending cases through manual follow-up or automated systems.
  • Collaborated with internal departments such as Underwriting, Provider Relations, Medical Management, and Quality Assurance, as needed.
  • Investigated discrepancies in claims and resolved issues with customers via telephone or written correspondence.
  • Participated in quality assurance activities such as peer reviews and audits.
  • Completed required investigations on referred files within established timeframes.
  • Conducted daily reviews on claim files and verified sending of status letters to policyholders.
  • Interpreted policy language contained within contracts between providers and payers.
  • Processed appeals from denied claims according to established procedures while ensuring compliance with applicable laws and regulations.
  • Entered claim transactions, payments, reserves and other documentation.
  • Reviewed claims to ensure accuracy, resulting in multiple claim reductions.
  • Conducted audits of claim files to ensure adherence to departmental standards.
  • Communicated with personnel and legal counsel on claims involving litigation.
  • Investigated questionable claims to determine payment authorization.
  • Provided guidance to other staff members regarding claim processing rules and regulations.
  • Advised customers on their rights under their health plan policies when necessary.
  • Consulted accountants, engineers, lawyers and physicians when needed.
  • Initiated contact with providers to obtain additional information needed for accurate adjudication of claims.
  • Reviewed medical records and documents to determine coverage eligibility of claims for insurance benefits.
  • Assessed accuracy of claim payments by comparing submitted bills to benefit allowance guidelines.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
  • Input claim information and payments into company database.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Gathered and documented evidence to support court proceedings.
  • Analyzed information gathered by investigations and reported findings and recommendations.
  • Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.
  • Answered, screened and processed high volume of calls daily with call management system and web-based communications.

Interim Manager

Great American Insurance Group
04.2014 - 06.2014
  • Identified areas of improvement within the organization and provided solutions.
  • Analyzed customer feedback data to identify trends and develop solutions accordingly.
  • Evaluated vendor proposals and negotiated contracts as necessary.
  • Maintained team progress against performance targets by motivating staff and proactively resolving department-level issues.
  • Resolved conflicts between teams or departments in a timely manner.
  • Reviewed existing processes and proposed changes that improved performance levels.
  • Set challenging yet attainable goals to encourage continuous staff development.
  • Created and maintained detailed documentation for all projects.
  • Developed and implemented strategies to increase efficiency of operations.
  • Developed policies and procedures related to operational activities.
  • Assessed 5 employee's performances against established goals and objectives.
  • Provided training and mentoring for junior members of the team, 1-10 members..
  • Managed daily operations, for a team of 5 employees, while ensuring compliance with applicable laws and regulations.
  • Facilitated meetings between senior management, staff, vendors, customers.
  • Employed active listening abilities, interpersonal skills and policy knowledge to remedy employee conflicts.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Delegated work to a staff of 5 employees, setting priorities and goals.
  • Resolved customer inquiries and complaints requiring management-level escalation.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Reviewed completed work of 5 employees to verify consistency, quality and conformance.
  • Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
  • Assigned work and monitored performance of project personnel.
  • Held regular one-on-one meetings with 5 employees to review performance and priorities and provide feedback.
  • Produced thorough, accurate and timely monthly reports of project activities.
  • Planned and delivered training sessions to improve employee effectiveness and address areas of weakness.

Certified Nursing Assistant

In Home Supportive Services
07.2005 - 05.2010
  • Answered call lights promptly and responded to patient needs accordingly.
  • Assisted patients with activities of daily living such as bathing, grooming, and dressing.
  • Monitored vital signs including blood pressure, pulse rate, respiration rate.
  • Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output.
  • Served meals to patients in their rooms and assisted with feeding when needed.
  • Turned and repositioned residents using proper body mechanics to prevent pressure ulcers.
  • Reported changes in patient condition to registered nurse or physician.
  • Assisted with ambulation of patients utilizing appropriate equipment safely.
  • Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
  • Used mobility devices to transport patients.
  • Responded quickly to emergency situations involving sudden illness or injury.
  • Helped residents walk with or without self-help devices.
  • Maintained accurate records of patient care, condition, progress, or problems for review by medical staff.
  • Performed housekeeping duties such as changing linens and cleaning bathrooms when necessary.
  • Assisted residents in preparing for activities and social programs.
  • Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
  • Cleaned and sanitized patient rooms according to established protocols.
  • Exhibited compassionate care and communication regarding issues surrounding death and dying.
  • Supported non-ambulatory residents in range of motion exercises.
  • Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
  • Collected specimens, monitored vitals and maximized patient comfort to maintain optimal environment.
  • Participated in educational programs related to nursing assistant skills development.
  • Documented activities and recorded information in EMR system.
  • Provided emotional support to family members regarding end-of-life decisions.
  • Took temperature readings orally or rectally as instructed by the RN or MD.
  • Assisted with admission procedures such as gathering personal data from the patient's chart.
  • Administered medications as directed by registered nurse or physician.
  • Examined and treated patient lacerations, contusions and physical symptoms and referred patients to other medical professionals.
  • Measured and recorded food and liquid intake and output, reporting changes to medical or nursing staff.
  • Safeguarded patient privacy with strict adherence to HIPAA protocols.
  • Communicated with patients to determine feelings, need for assistance or social and emotional support.
  • Assisted nurses with wound care for pressure ulcers, bed sores and surgical site wounds.
  • Assisted with lifting patients to move on or off beds, examination tables and surgical tables.
  • Supplied, collected and emptied patient bedpans on frequent basis.
  • Collected specimens from patients for laboratory testing purposes.
  • Reminded patients to take prescribed medications or nutritional supplements.
  • Exercised comatose and paralyzed patients to reduce delirium and improve physical function.
  • Transported specimens, laboratory items or pharmacy items, verifying proper documentation and delivery to authorized personnel.
  • Administered medications and educated patients and families on correct at-home administration.

Education

Bachelor of Science - Criminal Justice Administration

Purdue University
West Lafayette, IN
07-2022

Bachelor of Science - Criminal Justice

Texas State University
San Marcos, TX
08-2016

Bachelor of Science - Criminal Justice

University of Phoenix
Tempe, AZ
12-2009

Associate of Arts - Social Sciences

Imperial Valley College
Imperial, CA
01-2005

Skills

  • Project Planning, Travel Coordination, Calendar Management
  • Spreadsheet Management, Invoice Processing, Inventory Management
  • Attention to Detail
  • Windows 95/98/2000/XP/XP Pro/NT
  • MS Office
  • File Management, Proofreading Documents, Claims Processing
  • Billing
  • Data Verification
  • Proficient with Lexus Nexis, Cloud Claims, Guidewire Claim Center, Quickbooks

Timeline

Lead Teacher ,Trainer, Office/Claims Assistant

The Learning Experience of Cedar Park
08.2022 - 02.2024

Private Nanny

Arezina Family
09.2021 - 08.2022

Lead Teacher, Trainer, Office/Claims Assistant

Cadence Academy
07.2019 - 11.2020

Lead Infant Teacher, Trainer, Office Assistant

Little Acorn Academy
12.2018 - 07.2019

Operations Associate

Pharmacist Mutual Group
05.2018 - 09.2018

Claims Examiner

Matrix Absence Management Inc.
05.2018 - 09.2018

Interim Manager

Great American Insurance Group
04.2014 - 06.2014

Claims Examiner

Continental LTC, Inc. formerly Great American
07.2012 - 11.2017

Certified Nursing Assistant

In Home Supportive Services
07.2005 - 05.2010

Bachelor of Science - Criminal Justice Administration

Purdue University

Bachelor of Science - Criminal Justice

Texas State University

Bachelor of Science - Criminal Justice

University of Phoenix

Associate of Arts - Social Sciences

Imperial Valley College

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Crystal Eugenio