Summary
Overview
Work History
Education
Skills
References
Timeline
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Gilberto Bejarano

Avondale,AZ

Summary

Personable business professional bringing successful 8-year career in financial roles within large and fast-paced corporations. Release-planning specialist trained in advanced Excel modeling. Creative solutions architect with real-time problem-solving flexibility.

Overview

13
13
years of professional experience
8
8
years of post-secondary education
1
1
Language

Work History

Claims Business Process Analyst Senior

Optum
Phoenix, AZ
10.2022 - Current
  • Created data models to support decision-making processes.
  • Actively participated in continuous improvement initiatives, fostering a culture of innovation and growth within the organization.
  • Assessed business processes and identified ways to boost improvement.
  • Identified patterns and trends in large data sets and provided actionable insights.
  • Presented findings from process analyses to senior management, securing buy-in for recommended improvements and facilitating implementation efforts.
  • Established strong relationships with internal clients to better understand their needs and expectations related to process improvements.
  • Analyzed data to identify root causes of problems and recommend corrective actions.

Team Manager

State 48
Phoenix, AZ
08.2023 - Current
  • Enhanced team performance by implementing strategic coaching techniques and fostering a supportive environment.
  • Organized and oversaw special events such as birthday parties, tournaments and team-building activities.
  • Streamlined administrative tasks for efficient team management, improving overall organization.
  • Organized successful fundraising events to support team operations and raise awareness within the community.
  • Encouraged open communication between players and coaching staff, fostering a culture of accountability and continuous learning.
  • Built trust with athletes and coaching staff by being courteous, respectful, responsible and professional at all times.
  • Monitored budget and expenditures, keeping facility within budget.
  • Ordered equipment for all sports and kept meticulous records on athletic equipment inventory.
  • Managed budgets responsibly, ensuring optimal allocation of resources for team success.

Claims Representative

Optum
Phoenix, AZ
01.2019 - 10.2022
  • Checked documentation for accuracy and validity on updated systems.
  • Developed and implemented strategies to improve claim processes.
  • Served as a subject matter expert on specialized claims, providing guidance and support to other team members when needed.
  • Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
  • Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.

Clinical Administrative Coordinator

United HealthCare
Phoenix, AZ
04.2016 - 01.2019
  • Managed supervisor itinerary and appointments and streamlined scheduling procedures.
  • Utilized electronic health records software proficiently, enabling quick access to vital patient information when required.
  • Contributed to a positive work environment by fostering collaboration among team members and maintaining open lines of communication.
  • Streamlined administrative processes for increased efficiency in supporting clinical staff members.
  • Coordinated, monitored, assigned, and documented patient and clinical care activities.
  • Kept high average of performance evaluations.
  • Supported clinical staff by coordinating schedules, handling appointment confirmations, and updating patient records as needed.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Built strong relationships with patients and families for optimized care satisfaction.

Warehouse Manager

El Jalisciense
Phoenix, AZ
03.2013 - 04.2016
  • Responsible for the processes and systems of organizing and managing order productivity
  • Overseeing the maintenance of warehouse and labor-management systems as well as being involved in operating automated storage and retrieval systems
  • Supervise out of state shipments
  • Handle incoming phone calls and outgoing with customers
  • Fulfillment of customer orders
  • Assisting with the shipping and receiving process
  • Closing procedures and maintenance of warehouse.

Sales Associate/ Delivery Driver

La Mexicana
Phoenix, AZ
09.2012 - 03.2013
  • Responsible for ensuring high levels of customer satisfaction through excellent sales services
  • Assess customer's needs and aid information on product features
  • Delivering merchandise in timely manner
  • Ensuring merchandise is consistently stocked
  • Performing sales and providing customer service
  • Promoting services and merchandise
  • Maintaining inventory.

Maintenance Worker

Darcie's Casa Bonitas
Phoenix, AZ
08.2011 - 09.2012
  • Responsible for scheduling, coordinating, directing, and performing routine and comprehensive custodial maintenance of assigned facilities
  • Provide cleaning services to houses, schools, and other business buildings
  • Cleans and disinfects restrooms.

Education

Associate of Arts - Accounting And Business Management

Glendale Community College
Glendale, AZ
08.2010 - 11.2013

High School Diploma -

Washington High School
Phoenix, AZ
08.2005 - 05.2010

Skills

Problem-Solving

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References

  • Amy Finin, UHC Manager, (602) 434-9721
  • Saud Zazueta, UHC Supervisor, (602) 770-1318

Timeline

Team Manager

State 48
08.2023 - Current

Claims Business Process Analyst Senior

Optum
10.2022 - Current

Claims Representative

Optum
01.2019 - 10.2022

Clinical Administrative Coordinator

United HealthCare
04.2016 - 01.2019

Warehouse Manager

El Jalisciense
03.2013 - 04.2016

Sales Associate/ Delivery Driver

La Mexicana
09.2012 - 03.2013

Maintenance Worker

Darcie's Casa Bonitas
08.2011 - 09.2012

Associate of Arts - Accounting And Business Management

Glendale Community College
08.2010 - 11.2013

High School Diploma -

Washington High School
08.2005 - 05.2010
Gilberto Bejarano