Frandley Louis
Fort Lauderdale,Florida
Summary
Motivated and disciplined professional with diverse experience in claims analytics, administrative support, and customer service. Skilled in building strong relationships, delivering accurate work with exceptional attention to detail, and communicating effectively across all levels. Adaptable and quick to learn new processes, with proven ability to manage multiple tasks under tight deadlines. Recognized for flexibility, reliability, and consistently exceeding performance expectations. Strong organizational, problem-solving, and coordination skills with a track record of being a dependable team player and trusted asset to employers.
Overview
10
10
years of professional experience
Work History
Senior living property specialist
Hotwire Communications
Fort Lauderdale, FL
10.2023 - 04.2025
- Build relationships with property management teams and Boards of Directors.
- Make outbound calls to schedule technicians, installations, change orders, and troubleshoot issues for property residents.
- Ensure scheduled appointments are completed in a timely manner.
- Collaborated with team members to resolve technical issues during installations.
- Educated customers on system operations and maintenance procedures.
- Taught customers basic use of equipment based on service package and answered questions.
- Performed troubleshooting by inspecting equipment and measuring signals to identify issues.
- Processed and reviewed billing statements for accuracy and compliance.
- Managed customer inquiries regarding billing issues and payment processing.
- Coordinated with internal teams to resolve disputes and clarify billing details.
- Provide quality assurance (QA) for customer documentation, ensuring it's uploaded correctly to their files.
Verify that service orders are properly documented and closed.
Perform property audits to ensure contractual obligations are met and services are provided according to agreements. - Monitor results and manage key metrics to maintain and improve customer satisfaction at assigned communities.
Customer Service Associate
Nation benefits
Plantation, FL
11.2022 - 01.2023
- Responded to member questions regarding plan benefits and provisions.
- Provided beneficiaries with information about plan benefits and eligibility determinations.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Monitored and tracked customer orders to meet lead times and drive on-time delivery.
- Informed customers of shipping dates and tracking and order information.
- Communicated with current customers regarding backorder availability, future inventory and special orders.
- Answered customers' questions about products, prices and availability.
SENIOR ABILITY ANAYLST
The Hartford
Plantation, FL
09.2017 - 04.2021
- Ensures claim documentation reflects a solid understanding and application of Federal, State, and
- Company leaves of absence
- Achieve fair, equitable and timely claim determinations
- Maintains positive customer relationships leveraging telephone and other communication (i.e., texting) to keep customers informed of their claim status
- (i.e., client, employer representative, attending physicians, etc.)
- Provide timely and effective claim service; handle administration of STD and FMLA/LOA disability claims arising under disability insurance or leave of absence policies
- Dedicate your focus to ensuring our customers have a positive and pleasant experience
- Maintain metrics and performance guarantees.
ENROLLMENT SPECIALIST
Teleperformance
Boca Raton, FL
01.2015 - 04.2017
- Prepares, compiles, and sort documents for data entry into state databases
- Obtain additional information for incomplete documents
- Combines and rearranges data from source documents where required
- Enters data from source documents into prescribed databases
- Scan documents into document management system or databases
- Audit completed work for accuracy
- Store source documents in designated locations for future reference
- Ensures reference documents are appropriately returned to storage for future reference
- Comply with all data integrity and security policies
- Monitor and update information in databases to ensure funding count cycles are accurate
- Prepare, transmit, maintain, and respond to requests for other official documents
- Consults with appropriate company staff in maintaining electronic and hard-copied records to include immunization, schedules, and procedures
- Performs administrative tasks in support of HR functions
- Provides other administrative assistance as required
- May perform other duties as assigned
- Researches and resolves the complex provider issues and appeals for prompt resolution.
Education
Certification - Medical Coding
DeVry University
06.2025 - 08.2025
High School Diploma -
Dillard High School
Fort Lauderdale, FLSkills
- Customer Service
- Medical Insurance
- HIPAA Compliance
- Insurance Verification
- Office Administration
- Business Planning
- Recordkeeping and Data Input
- Eligibility Determination
- Documentation and Paperwork
- Policy and Procedure Explanations
Education and Training
other,other
Timeline
Certification - Medical Coding
DeVry University
06.2025 - 08.2025
Senior living property specialist
Hotwire Communications
10.2023 - 04.2025
Customer Service Associate
Nation benefits
11.2022 - 01.2023
SENIOR ABILITY ANAYLST
The Hartford
09.2017 - 04.2021
ENROLLMENT SPECIALIST
Teleperformance
01.2015 - 04.2017
High School Diploma -
Dillard High School