Elvis Batista
Fort Myers,FL
Summary
Diligent Claims Processor well versed in high paced customer service environments, equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
15
15
years of professional experience
Work History
Insurance Claims Processor
Trinity Funeral Funding, LLC
09.2020 - Current
- Submitted death claims and verified insurance policies to then fund claims to funeral homes.
- Evaluated and settled complex insurance claims in strict timeframes.
- Collected proceeds from insurance companies.
- Streamlined communication with clients by maintaining comprehensive documentation of all claims-related correspondence.
Care Coordinator
WellCare/ Centene
03.2013 - 08.2020
- Used company software and databases to maintain records of services performed and patient conditions.
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
- Provided technical and administrative support to clinical and behavioral staff.
- Assigned over 300-500 clinical faxes per day to Care Managers, consisting of discharge preparations, request of clinical information, and creation of service authorizations.
- Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
Professional Teller
Bank of America
05.2010 - 03.2013
- Supported branch sales efforts by actively identifying customer needs and offering appropriate solutions through referrals to personal bankers and sales specialists.
- Promoted a secure banking environment by strictly following security protocols and reporting suspicious activity.
- Processed approximately 100-175 daily transactions accurately and efficiently in a fast paced environment, while building customer rapport through courtesy, engagement, and friendliness.
- Assisted customers with account inquiries, resolving issues effectively and efficiently.
- Participated in regular training sessions to stay current on banking regulations and industry trends.
Education
High School Diploma -
John F. Kennedy High School
Bronx, New York06-2006
Skills
- Claims analysis
- Verbal communication
- Data entry proficiency
- Assertiveness
- Accuracy and precision
- Customer service
- Critical thinking
- Multitasking
Languages
Spanish
Native or Bilingual
Timeline
Insurance Claims Processor
Trinity Funeral Funding, LLC
09.2020 - Current
Care Coordinator
WellCare/ Centene
03.2013 - 08.2020
Professional Teller
Bank of America
05.2010 - 03.2013
High School Diploma -
John F. Kennedy High School
Similar Profiles
Kyle WrightKyle Wright
Funeral Services Professional at Trinity Chapel Funeral Home & Stinson Funeral HomeFuneral Services Professional at Trinity Chapel Funeral Home & Stinson Funeral Home
Hershel Z. RobertsHershel Z. Roberts
Claims Processor/Customer Service Representative at Express Funeral FundingClaims Processor/Customer Service Representative at Express Funeral Funding
Kayla WellsKayla Wells
Funeral Director's Assistant at Trinity Funeral ServicesFuneral Director's Assistant at Trinity Funeral Services