Erica Guajardo
Buda
Summary
Results-driven professional with extensive experience in disability claims at Disability Determination Services. Proven expertise in medical coding and case management, complemented by strong communication and relationship-building skills. Successfully streamlined claims processes, enhancing efficiency and client satisfaction. Adept at training teams and fostering a collaborative environment to achieve organizational goals.
Results oriented bringing hands on governmental work experience and great work ethic. Background includes case management, customer service, and leadership skills.
Overview
5
5
years of professional experience
Work History
Disability Claims Examiner
Disability Determination Services
01.2025 - Current
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Created cases for medical review
- Estimated quantifiable characteristics of the DDS requirements.
- Maintained contact with claimants and attorneys to determine treatment status.
- Delivered claim results in a timely matter
Deli Team Lead
H-E-B Grocery
05.2020 - Current
- Listened to customer requests and suggested additional items as appropriate to upsell products.
- Trained all new staff regarding policy and expectations.
- Responded to telephone inquiries regarding available products and services and helped customers make appropriate choices.
- Greeted customers at counter to fulfill requests and answer questions.
Front Desk Supervisor
Pediatric Junction
11.2022 - 11.2023
- Trained new staff on correct procedures, compliance requirements, and performance strategies.
- Collected visit deposits, fees, and payments.
- Created lasting relationships with guests that built loyalty with patients.
- Worked with insurance companies when scheduling patient referrals
- Helped elevate the technology in the business by learning new programs and training new and existing staff
Education
Bachelor of Arts - Integrated Studies
Texas State University
San Marcos, TX12-2024
Skills
- Medical coding
- Case management experience
- Disability claims process
- Insurance policy sales
- Documentation proficiency
- Relationship building
- Excellent communication
- Organizational skills
- Teamwork
- Conflict resolution
- Customer service
- Time management
- Communication skills
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Disability Claims Examiner
Disability Determination Services
01.2025 - Current
Front Desk Supervisor
Pediatric Junction
11.2022 - 11.2023
Deli Team Lead
H-E-B Grocery
05.2020 - Current
Bachelor of Arts - Integrated Studies
Texas State University
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