Evelyn Peralta
La Mesa,CA
Summary
Enthusiastic professional dedicated to delivering exceptional customer service. Bilingual in English and Spanish, effectively communicates with diverse clients while processing claims and determining eligibility. Demonstrates initiative through volunteer efforts and commitment to maintaining confidentiality and compliance in all interactions.
Overview
29
29
years of professional experience
Work History
Disability Insurance Program Representative
State of California, EDD State Disability Insurance
12.2023 - 04.2026
- (1) Examine and investigate SDI claims. Review claim forms, medical certifications, employment history, and wage records. Verify that the disability is non-work-related (vs. workers' compensation). Analyze employment and earnings data to determine if the claimant has enough SDI-eligible wages and meets base-period requirements.
- (2) Conduct DI eligibility interviews. Perform telephone or in-person fact-finding interviews with claimants, employers, and medical providers to clarify information, resolve discrepancies, and gather missing details.
- (3) Make eligibility determinations. Decide if a claimant qualifies for SDI benefits under the California Unemployment Insurance Code and EDD regulations. Determine claim duration, such as start date of disability, waiting period, and the period benefits can be paid. Identify issues like insufficient wages, late filing, overlapping workers' compensation, or possible fraud, and take appropriate action. Schedule independent medical examinations (IMEs). When appropriate, arrange for claimants to be seen by an independent physician to resolve questions about disability status or duration.
- (4) Explain decisions and benefits to claimants. Inform claimants of eligibility decisions (approvals, denials, reductions, or terminations of benefits). Clearly explain reasoning, rights, and next steps, including appeal options when claims are denied or modified. Answer questions from claimants, employers, medical offices, and the public. How to file or continue a disability claim. Required documentation and deadlines. How benefit amounts are calculated and how long they can last.
- (5) Process claims according to law and policy. Apply laws, regulations, rules, and EDD policies consistently when reviewing and deciding claims. Enter, update, and maintain claim information in EDD computer systems. Identify and refer complex or suspicious cases. Flag potential fraud, misrepresentation, or worker misclassification issues and refer them for further investigation when needed.
- (6) Maintain confidentiality and follow legal standards. Protect claimants' personal, medical, and wage information in line with privacy laws and EDD policy. Meet performance standards. Work within timelines for processing claims and responding to customers. Maintain accuracy and consistency in determinations and documentation; participate in training and updates as laws and procedures change.
- Calcareers.ca.gov
Supervising Program Technician III
Housing and Community Development
01.2023 - 12.2023
- (1) Plan, organize, direct, and coordinate the work of staff involved in the processing of varied and complex registration and titling functions for mobile homes, commercial modular, floating homes, and truck campers to ensure consistency and compliance with appropriate laws, rules, procedures, and regulations.
- (2) Oversee the collection, deposit, and distribution of monies received; ensure cash fund is sufficient by daily count; all audited work is consolidated within Codes and Standards Automated System.
- (3) Makes decisions on the most difficult problems requiring interpretation and application of the laws and departmental policy; provides input and recommends changes to upper-level management regarding organization, building requirements, work method.
Disability Insurance Program Technician II Lead
State of California, EDD State Disability Insurance
05.2018 - 01.2023
- (1) Support Appeals, Workers' Compensation and Voluntary plan Units by entering and logging information such as, appeals from claimants, Liens, subpoenas, authorization of records etc.
- (2) Processing Work Items on our computer program; attaching forms to their corresponding Claim, creating Independent Medical Examinations and sending them to claimants for further medical verification, inspecting document for Authenticity, signatures and completeness of information.
- (3) Bilingual certified in Spanish; assist fellow coworkers with translations at The counter and by telephone to better serve claimants.
- (4) Collaborate with supervisors in the training process of the new Program Technicians; serve as On-The-Job Trainer (OJT); Elaborating step-by-step Job aids and How to Notes, for the new hires as part of the training Plan, referring to the Program Technician manual.
- I am an enthusiastic individual with a positive attitude that provides the public excellent Customer service. Volunteered and presented to Branch Executive Members; have taken minutes of all staff meeting and sent them out timely to staff. Nominated for employee of the year in 2019. Appointed as lead for the Admin support unit. Volunteered to work Overtime for Employment Development Department, Unemployment Insurance Branch during Covid-19 Health Emergency. Volunteered to help in the Virtual Call Center.
Motor Vehicle Representative
State of California, DMV
03.2018 - 05.2018
- I am an enthusiastic individual with a positive attitude that provides the public excellent customer service. This was accomplished through my Interpersonal, mathematical, and cashiering skills. I provide my bilingual skills (Spanish) to the customer as well as employees.
- I assist Clientele with registering and titling of vehicles and vessels, the issuance of identification cards, driver and occupational licenses, and motor Carrier permits; inspect documents for authenticity, signatures and completeness of information; provide applicants with the necessary forms and study material; give and correct written and oral exams; administer vision tests; take photographs and fingerprints as necessary; review and analyze driving records, accident reports, court and other documents and act to initiative modify or remove actions against individuals Driver license; vehicle verifications and collect the proper amount of fees and issue receipts. I also possess great cash handling and data entry Experience. Currently Range C technician.
Sales Associate
Nordstrom's INC.
01.2012 - 02.2012
- Sales support for all departments, back stock, customer service. Cashiering and strong verbal communication with the public. Assisted with Returns and check outs, balanced register at the end of the shift.
- Assisted customers in selecting merchandise and enhancing their shopping experience.
- Maintained store presentation by organizing displays and ensuring product availability.
- Processed transactions accurately and efficiently at the cash register.
- Handled customer complaints professionally, ensuring satisfaction and a positive experience.
- Engaged with customers through effective communication to build lasting relationships.
- Helped customers find specific products, answered questions, and offered product advice.
- Greeted customers and provided exceptional customer service.
- Assisted customers with product selection, sizing and styling.
- Worked with fellow sales team members to achieve group targets.
- Provided accurate information about products, prices and services.
- Built and maintained relationships with peers and upper management to drive team success.
- Restocked shelves to ensure sufficient inventory levels.
- Maintained up-to-date knowledge of store merchandise and policies.
- Sold various products by explaining unique features and educating customers on proper application or usage.
- Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
- Processed transactions using a point-of-sale system.
- Used technology resources to assist customers in locating and selecting items.
- Demonstrated product features and benefits for customers' needs.
- Conducted inventories on a regular basis to track stock levels.
- Attended weekly team meetings to review performance goals and objectives.
- Performed floor moves, merchandising, display maintenance and housekeeping to keep sales areas well-stocked, organized and current.
- Placed special orders or called other stores to find desired items.
- Analyzed sales data to identify trends and adjust sales strategies accordingly.
Medical Assistant
Chula Vista Cardiology Clinic
02.2006 - 02.2007
- Administrative duties include: answering telephones, greeting patients, updating and filing patients' medical records, filling out insurance Forms, handling correspondence, scheduling appointments, arranging for hospital admission and laboratory services, and handling billing and Bookkeeping.
Sales Associate/ Cosmetics Counter Manager
Robinsons-May Department Stores
02.1999 - 03.2003
- Sales goals, customer service, answering phone, cash register, ordering merchandise and making schedules for my team. Check if sales goals were met at the end of the week. Interacted with the customers and planned makeover events.
- Supervised daily operations of cosmetic counter and staff activities.
- Trained and mentored team members on product knowledge and sales techniques.
- Managed inventory levels and reordered products to maintain stock availability.
- Developed visual merchandising strategies to enhance product displays and appeal.
- Engaged customers with personalized consultations to meet their cosmetic needs.
- Coordinated promotional events to drive customer engagement and increase sales.
- Analyzed sales data to identify trends and adjust inventory accordingly.
- Ensured compliance with company policies and procedures during daily operations.
- Resolved customer complaints in a professional manner.
- Greeted customers at counter, delivered personalized customer service, finalized sales and maintained store appearance.
- Developed and maintained relationships with customers to ensure repeat business.
- Advised customers on the latest trends in cosmetic products.
- Planned and implemented promotional events, communicating advertising, and sales information to beauty advisors and retail managers.
- Inspired beauty and confidence to help customers embrace individual styles.
- Reported feedback from customers regarding product performance, quality issues or other concerns.
- Trained and supervised counter personnel in customer service techniques.
- Encouraged customers to try new products through personal recommendations.
- Provided demonstrations of cosmetic products to potential buyers.
- Ensured compliance with company policies and procedures at the counter level.
- Established relationships with local media outlets for advertising campaigns.
- Created weekly schedules for counter employees based on store traffic patterns.
- Monitored stock levels to ensure sufficient supply of products.
- Collaborated with vendors to negotiate prices on merchandise purchases.
- Informed customers of current promotions, events and services, booking appointments for scheduled events.
- Managed cash registers accurately while processing transactions efficiently.
- Organized promotional events to increase sales volume.
- Provided guidance on makeup techniques during special events such as weddings or proms.
- Possessed acute knowledge of beauty products, brands and latest trends.
- Inspected displays regularly for cleanliness, accuracy and organization.
- Reviewed sales reports, daily metrics, and observational selling techniques to devise strategies to improve revenue.
- Assisted customers with product selection, application and purchase decisions.
- Developed and motivated counter associates, monitored customer service level and built sales through training team members and maintaining counter stock and visual presentation.
- Facilitated in-store product training with vendor representatives, enabling employees to increase product knowledge.
- Followed safety and maintenance standards to keep beauty tools and customer areas clean and organized.
- Analyzed sales data to identify areas of improvement or opportunities for growth.
- Participated in team meetings to discuss strategies for increasing sales volumes.
- Hosted special events and holiday sales to spark interest in product lines and achieve sales goals.
- Conducted daily meetings with staff members to review goals and objectives.
- Implemented merchandising displays and promotional products to meet marketing standards.
- Attended trainings and seminars to gain product line proficiency.
- Educated clients on the benefits of products with full consultation and cosmetic application.
- Balanced cash registers at end of shifts to ensure accuracy.
- Trained, managed and motivated employees to promote professional skill development.
- Delegated work to staff, setting priorities and goals.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
- Coached staff on strategies to enhance performance and improve customer relations.
- Used Point of Sale register system to complete transactions.
- Researched out-of-stock items to find additional inventory in other store locations.
- Conducted department walkthroughs to assess and remedy factors such as cleanliness, inadequate stock levels and poor merchandising.
- Mentored newly hired staff in upselling techniques to improve sales.
- Kept department on-target to meet sales and profit objectives by minimizing waste and pursuing revenue generation opportunities.
- Oversaw daily operations, maintained client relations, and managed IT systems.
- Built lasting client relationships by organizing and planning sales events.
- Supported long-term business strategies, generating guest relations feedback for process improvements.
- Cultivated store brand and accomplished strategic business initiatives through close collaboration with district manager.
- Collaborated with company departments to guarantee cohesive branding and strategic product placement.
Junior's department Sales Associate
Robinsons-May
National City, California
09.1998 - 02.1999
- Operated cash register to process customer transactions accurately.
- Assisted customers with product selection and inquiries.
- Maintained merchandise displays and ensured store organization.
- Processed sales transactions efficiently at the point of sale.
- Collaborated with team members to enhance customer service experience.
- Oversaw inventory management and restocked shelves regularly.
- Trained new associates on store policies and procedures.
- Implemented visual merchandising standards to attract customers.
- Resolved customer complaints promptly and professionally.
- Welcomed customers upon entry and offered assistance immediately.
- Generated weekly sales reports for management review.
- Performed daily store opening and closing procedures.
- Analyzed market trends and competitor activity to identify opportunities for growth.
- Managed multiple tasks simultaneously while ensuring accuracy of work.
- Organized backroom stock and maintained inventory levels.
- Addressed customer conflicts to ensure satisfaction.
- Collaborated with team members to achieve common goals.
- Adhered to all safety and security regulations while handling merchandise.
- Ensured shelves were adequately stocked with product for customer convenience.
- Processed returns, exchanges and refunds according to established procedures.
- Utilized point-of-sale system accurately to process transactions quickly.
- Participated in training programs designed to enhance job performance.
- Maintained current knowledge of promotions, policies regarding payment, exchanges, refunds.
- Provided excellent customer service by anticipating customer needs, responding promptly to inquiries, and resolving complaints courteously.
- Tracked shipment information in order to properly receive incoming shipments from vendors.
- Demonstrated knowledge of store products and services to increase sales opportunities.
- Monitored inventory levels throughout the day to ensure adequate supply of product was available for purchase by customers.
- Conducted price changes within the department as directed by management.
- Placed weekly replenishment orders with vendors for inventory restocking.
- Attended staff meetings regularly to stay informed about new products or promotions.
- Supported audit compliance to enforce department and stockroom controls.
- Discussed strategic objectives to establish department priorities, mentoring staff with feedback and consistent follow-up.
- Communicated with merchant and vendor partners to coordinate merchandise returns and damaged products.
- Executed departmental budgets to minimize operating expenses and maximize revenue.
- Increased departmental sales, implementing strategic sales and marketing initiatives to drive growth.
- Unboxed new merchandise and restocked shelves in appealing and organized arrangements to promote items.
- Performed floor moves, merchandising, display maintenance and housekeeping to keep sales areas well-stocked, organized and current.
- Stocked shelves and supplies and organized displays to focus customer attention on specific items.
Cashier
FEDCO General Store
03.1997 - 08.1998
- Processed customer transactions efficiently and accurately at busy checkout lanes.
- Operated cash register, delivering friendly and efficient customer service.
- Operated cash register or POS system to receive payment by cash, check and credit card.
- Processed cash, credit, and check payments in accordance with store policies, ensuring transaction accuracy.
- Maintained organized cash register area, ensuring cleanliness and readiness for service.
- Greeted customers and answered any questions they had about the store's products and services.
- Assisted management with various tasks, contributing to smooth store operations.
Education
Associate of Science - Medical Assistant
UEI College
01-2010
Associate of Arts - Photography
Southwestern College
01-1999
Skills
- Claims processing
- Claims proficiency
- Claims analysis
- Eligibility determination
- Claims referral management
- Benefits administration
- Benefits processing
- Medical terminology expertise
- Certification review
- Risk assessment
- Confidentiality maintenance
- Data entry accuracy
- Documentation skills
- Reports generation
- Microsoft Excel
- Amazon Connect
- Claims processing systems
- Case management tools
- Adobe Connect
- Microsoft Word
- Problem solving
- Analytical skills
- Process improvement
- Attention to detail
- Time management
- Multitasking Abilities
- Organizational skills
- Record keeping
- Appointment scheduling
- Bilingual in English and Spanish
- Bilingual communication
- Bilingual in English and Spanish
- Relationship management
- Interpersonal skills
- Effective communication
- Strong communication
- Training and mentoring
- Team collaboration
- Team building
- Professionalism and tact
- Telephone etiquette
- Personal accountability
- Client assessment
- Claim verification
- Telephone etiquette
- Organizational skills
- Personal accountability
- Team collaboration
- Appointment scheduling
Timeline
Disability Insurance Program Representative
State of California, EDD State Disability Insurance
12.2023 - 04.2026
Supervising Program Technician III
Housing and Community Development
01.2023 - 12.2023
Disability Insurance Program Technician II Lead
State of California, EDD State Disability Insurance
05.2018 - 01.2023
Motor Vehicle Representative
State of California, DMV
03.2018 - 05.2018
Sales Associate
Nordstrom's INC.
01.2012 - 02.2012
Medical Assistant
Chula Vista Cardiology Clinic
02.2006 - 02.2007
Sales Associate/ Cosmetics Counter Manager
Robinsons-May Department Stores
02.1999 - 03.2003
Junior's department Sales Associate
Robinsons-May
09.1998 - 02.1999
Cashier
FEDCO General Store
03.1997 - 08.1998
Associate of Science - Medical Assistant
UEI College
Associate of Arts - Photography
Southwestern College