Donna Garcia
Chino,CA
Summary
Health benefits expert with strong analytical skills and deep understanding of insurance plans and healthcare regulations. Proven ability to collaborate effectively with teams, ensuring seamless communication and adaptability to changing needs. Skilled in problem-solving, customer service, and providing clear guidance on benefit options. Known for achieving results and driving positive outcomes in fast-paced environment.
Overview
4
4
years of professional experience
Work History
Health Benefits Specialist
Willis Towers Watson
09.2023 - 01.2025
- Self-motivated, with a strong sense of personal responsibility.
- Excellent communication skills, both verbal and written.
- Stayed up-to-date on industry trends and best practices, incorporating relevant information into company policies and procedures.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Learned and adapted quickly to new technology and software applications.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Processed employee life event changes, ensuring timely updates to benefits and coverage for qualifying events such as marriage or the birth of a child.
- Collaborated with payroll department to ensure accurate deductions related to employee benefits plans were processed correctly each pay period.
- Coordinated with insurance companies to resolve disputes, ensuring employees received entitled benefits.
- Conducted benefits surveys to gauge employee satisfaction and identify areas for enhancement.
- Enhanced understanding of benefit offerings with effective communication materials and presentations.
- Implemented open enrollment system to streamline benefits processes for employees.
- Answered questions about eligibility determinations and plan options.
- Maintained confidentiality of all employee information.
- Proved successful working within tight deadlines and a fast-paced environment.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Billing Collector
ARM Solutions
01.2022 - 02.2023
- Educated clients about payment options, creating customized plans based on individual financial circumstances.
- Negotiated payment plans with customers to prevent accounts from entering collections.
- Maintained consistently high success rate of collecting on overdue accounts.
- Established relationships with customers to encourage payment of delinquent accounts.
- Researched billing errors and discrepancies to initiate corrective action.
- Responded to customer inquiries and provided detailed account information.
- Documented customer payment interactions and account statuses for future reference.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Maintained high volume of calls and met demands of busy and productive group.
- Resolved customer disputes and disagreements through professional, calm communication to find mutually beneficial solutions.
Case Manager/Customer Service Representative
American Honda Motor
08.2020 - 09.2021
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Proven ability to learn quickly and adapt to new situations.
- Improved first-call resolution rates by effectively utilizing resources and available tools.
- Delivered outstanding results under high-pressure situations by maintaining composure during difficult calls or high-volume periods.
- Participated in ongoing training sessions to continuously improve knowledge base and skillset within the call center environment.
- Maintained strict adherence to data protection regulations when handling customer information, ensuring confidentiality and security at all times.
- Collaborated with other departments to ensure accurate information sharing, resulting in improved case handling accuracy.
- Reduced errors in case handling by implementing a thorough review process before submitting reports.
Education
High School Diploma -
Chino High School
Chino, CA05-2019
Skills
- HIPAA compliance
- Claims processing
- Benefits administration
- Healthcare
- Employee benefits
- Data entry
- Insurance verification
- Comparing plans
- Explaining benefits
- Attention to detail
- Multitasking
- Strong computer skills
Languages
Spanish
Professional Working
Timeline
Health Benefits Specialist
Willis Towers Watson
09.2023 - 01.2025
Billing Collector
ARM Solutions
01.2022 - 02.2023
Case Manager/Customer Service Representative
American Honda Motor
08.2020 - 09.2021
High School Diploma -
Chino High School
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