Darlyne Valles
Oxnard,CA
Summary
Seeking a position in a company where my skills, experience & abilities will be fully utilized.
Overview
9
9
years of professional experience
Work History
Account Service Representative
Security Benefit
Topeka, USA
04.2023 - 04.2024
- Handled high volume inbound calls from policyholders, beneficiaries, and agents, delivering comprehensive customer support with accuracy and timeliness;
- Processed withdrawal requests, surrender, death claims, RMD, and 1099R while ensuring clear and concise information delivery.
- Researched & analyzed issues for successful outcomes and resolutions.
Customer Service Representative
Corebridge Financial
Woodland Hills, USA
03.2020 - 04.2023
- Ensured secure access for callers through comprehensive identity verification. utilizing multiple monitors & applications for identification.
- Managed high volume inbound calls from policyowners, beneficiaries & agents.
- Assisted with partial/full withdrawal requests, death claims, RMD, and 1099R providing clear and concise information.
- Supplied accurate policy value information to assist client decision-making., RMD Distributions, penalty for early withdrawals.
Authorization Coordinator
MedPOINT Management
Woodland Hills, USA
08.2018 - 03.2020
- Authorized initial sessions in accordance with company guidelines;
- Demonstrated excellent empathy and patience dealing with difficult callers;
- Authorized initial sessions in accordance with company guidelines.
- Referred cases requiring clinical review to reviewing nurse.
- Logged fax referrals from providers into the EZ Cap system to ensure accurate tracking. from providers into EZ Cap system.
Customer Service Representative
Prudential
Westlake, USA
11.2016 - 12.2017
- Received and answered customer inquiries promptly using multiple applications while entering information into automated system to ensure accurate records;
- Employed a computerized system for data management for tracking, gathering & provided information.
- Processed Death No Pay claims and initial overpayment letters for beneficiaries to facilitate timely resolution of sensitive accounts.
Authorization Coordinator
McKesson
Oxnard, USA
03.2015 - 11.2016
- Initiated authorization/referral requests in accordance with criteria while verifying eligibility & benefits.
- Facilitated the referral of cases needing clinical review to the nurse reviewer requiring clinical review to nurse reviewer.
- Responded to telephone and written inquiries from providers, clients, and internal departments.
- Executed data entry for authorization requests using the EZ Cap platform of authorization requests into EZ Cap.
Education
Certification Of Completion - Legal Secretary
Pacific Career College
Camarillo, CAOxnard College
Oxnard, CASkills
- Typing (75wpm)
- Data Entry
- Multi-Tasker
- Knowledge of Windows based PC
- Microsoft Office Suites: Word, Excel & Outlook
- Knowledge of Medical Terminology
- Excellent Customer Service Skills
- Customer Focused
- Self-Motivated
- Results-Oriented
- Well-Organized
- Attention to Detail
- Excellent Communication Skills: Written, Oral & Listening
- Exceptional Interpersonal Skills
- Knowledge of HIPAA compliance
- Knowledge of various health insurance plans
Timeline
Account Service Representative
Security Benefit
04.2023 - 04.2024
Customer Service Representative
Corebridge Financial
03.2020 - 04.2023
Authorization Coordinator
MedPOINT Management
08.2018 - 03.2020
Customer Service Representative
Prudential
11.2016 - 12.2017
Authorization Coordinator
McKesson
03.2015 - 11.2016
Certification Of Completion - Legal Secretary
Pacific Career College
Oxnard College