Heather Roldan

• Assisted clients with personal hygiene tasks, ensuring dignity and respect in care delivery.
• Assisted with feeding and monitored intake to help patients achieve
• Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
• Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
• Contributed to a positive home atmosphere by engaging clients in conversation and recreational activities tailored to their interests.
• Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.
• Transported individuals to events and activities, medical appointments, and shopping trips.

• Processed claims efficiently, ensuring adherence to regulatory guidelines and company policies.
• Reviewed and analyzed claims documentation to identify discrepancies and verify accuracy.
• Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
• Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
• Utilized specialized software to process incoming claims, enter data and generate reports.
• Evaluated accuracy and quality of data entered into agency management system.
• Reduced claim processing time for faster customer service and improved satisfaction rates.
• Reduced processing times for claims, employing advanced software tools for data management.
• Generated, posted and attached information to claim files.
• Verified client information by analyzing existing evidence on file.
• Checked documentation for accuracy and validity on updated systems.
• Processed and recorded new policies and claims.
• Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.

Intake of benefits for mental health therapy sessions through the program for member and dependents.

Conducted a thorough assessment to locate the best provider.

Researched options for in-person visits or virtual care.

Provided details regarding other programs available to member and dependents such as work life balance, financial assistance or personal care.

• Educated members on benefits programs, fostering greater understanding and utilization of services offered.
• Resolved conflicts by addressing member concerns promptly, contributing to increased retention rates.
• Participated in training sessions, enhancing personal knowledge and contributing to team skill development.
• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
• Verified customer identification and documentation for compliant transactions.
• Assisted members with account management, including updating personal information and setting up automated payments.