Dedicated claims processor with a strong focus on accuracy and precision. Known for analyzing discrepancies and collaborating with teams to resolve issues, driving continuous improvement in service delivery and customer experience.
Overview
23
23
years of professional experience
Work History
Claims Processor
CVS/AETNA
Red Bluff, CA
07.2021 - Current
Processed complex claims using proprietary software to ensure compliance with company policies.
Analyzed claim discrepancies, collaborating with internal teams to resolve issues efficiently.
Reviewed and verified documentation for accuracy, reducing processing errors significantly.
Trained new team members on claims processing procedures and company systems.
Implemented process improvements that enhanced workflow efficiency and reduced turnaround time.
Monitored claim trends, providing insights to management for strategic decision-making.
Customer Service Manager/Accounting Assistant
Oakwood Worldwide
Phoenix, AZ
08.2008 - 03.2021
Led customer service team to enhance client satisfaction and retention rates.
Developed training programs to improve staff performance and service delivery.
Implemented new software systems for tracking customer inquiries and resolutions.
Streamlined communication processes between departments to expedite issue resolution.
Analyzed customer feedback to identify service gaps and implement corrective actions.
Fostered a culture of continuous improvement through regular team meetings and feedback sessions.
Collaborated with upper management on strategic initiatives to enhance overall customer experience.
Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
Office Manager
Arizona Honda
Tucson, AZ
04.2005 - 07.2008
Managed daily office operations, ensuring efficient workflow and adherence to company policies.
Coordinated scheduling for staff meetings, enhancing communication across departments.
Oversaw inventory management, optimizing supply levels and reducing costs.
Developed training materials for new hires, fostering a knowledgeable work environment.
Monitored financial transactions, maintaining accuracy in budgeting and expense tracking.
Facilitated smooth communication between departments, addressing concerns promptly to maintain harmonious work relationships.
Increased customer satisfaction by developing effective client feedback system that led to service improvements.
Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Property Management Assistant
RealtyCoOp
Tucson, AZ
08.2003 - 04.2005
Coordinated tenant communications to address inquiries and resolve issues promptly.
Assisted in preparing and maintaining property management reports for accurate record-keeping.
Facilitated lease renewals and tenant onboarding processes to ensure seamless transitions.
Streamlined maintenance request procedures, enhancing response times for tenant needs.
Developed relationships with vendors to optimize service delivery and cost-effectiveness.
Implemented organizational systems for property files, improving accessibility and efficiency.
Assisted property manager in conducting regular inspections to maintain property standards and address any issues proactively.
Enhanced tenant satisfaction by promptly addressing maintenance requests and ensuring timely resolution.
Maintained compliance with local regulations through thorough knowledge of housing codes and regular inspections of premises.
Completed final move-out walk-throughs with tenants to identify required repairs.
Assisted in preparing comprehensive financial reports for owner review, ensuring transparency in property performance metrics.