Summary
Overview
Work History
Education
Skills
Timeline
Generic
JACQUES VALESCOT

JACQUES VALESCOT

Brandon,FL

Summary

Dynamic sales professional with a proven track record at Spectrum Communications, excelling in customer service and upselling techniques. Adept at navigating complex insurance regulations and leveraging strong negotiation skills to drive revenue growth. Recognized for consistently exceeding sales goals and enhancing customer satisfaction through effective communication and problem-solving abilities.

Overview

19
19
years of professional experience

Work History

INBOUND SALES AND MARKETTING REP

SPECTRUM COMMUNICATIONS
06.2023 - Current
  • Maximize sales opportunities by effectively answering and handling inbound sales calls in an effort to acquire new customers and solicit existing customers by selling them additional products and services
  • Actively and consistently support all efforts to simplify and enhance the customer experience
  • Establish and maintain a high level of customer satisfaction, professionalism and courtesy during all sales transactions
  • Consistently meet or exceed weekly and monthly sales activity goals by utilizing sound telephone based selling techniques
  • Respond to inbound sales calls promptly and efficiently, as outlined by the required call handling metrics, to include productive time, schedule adherence, handle time, after call work, etc
  • Effectively and efficiently sell products and services to prospective customers and maximize additional revenue from existing customers by selling incremental products and services through use of recommended sales techniques
  • Identify and maximize upselling and cross selling sales opportunities
  • Ability to learn and master order processing billing system regarding all aspects of sales order entry, order inquiries, and other tools and functions as they relate to the inbound sales function
  • Have a full understanding of and consistently demonstrate proficiency at explaining all products and services to existing and prospective customers
  • Acquire and demonstrate thorough knowledge of competitors’ pricing, packaging and products in an effort to discuss side by side comparisons of Charter’s and competitors’ products and services
  • Promote and communicate current marketing campaigns and promotions
  • Work with other departments, as necessary, to resolve customer issues
  • Perform other duties as required by supervisor

Data Claim Verification

Corvel Corporation
Tampa, FL
07.2013 - 07.2018
  • Work closely with Capture Center to ensure bills received are scanned properly and bill images data sent to Scan One for Optical Character recognition (OCR) processing.
  • Review and adjust bills that do not successfully pass through E-bill, pending for provider configuration, claimant information, authorization validation, enter ICD 9 or ICD10, and correct procedure codes.
  • Resolve claims number issues and claimant eligibility with Corvel business client adjuster via emails.
  • Sent letters to providers for additional documents needed for claims processing.
  • Adjust, pay or deleted claims out of Care MC System that not valid for bill entry, redirect bills to appropriate Corvel sites for processing.
  • Balance multiple priorities.
  • Process claims per fee schedule and States guidelines.
  • Process claims with multiple form types: UB04/DWC-9/DWC-9 and CMS 1500.
  • Review CPT Code for accuracy and billing error, follow Workers Compensation and Auto Billing guidelines and fee schedules.
  • Verify claim date of Accident/injury for proper coverage.

Manager Auto sales and repair

D & S auto shop
Tampa, FL
11.2011 - 07.2013
  • Buy and sell cars at Auto auctions.
  • Forecast sales for upcoming months and compile the necessary reports.
  • Evaluate vehicle value and determines best course of action for claim auto repair.
  • Gather all relevant information regarding specific claims.
  • Develops reports on loss/damage.
  • Negotiate with third person parties for resolution claim including Auto adjusters and Parts Store.
  • Determined repair needs, labor and times required for repair.
  • Negotiated price on repairs with parts shops, kept customer updated on repair process and responded to inquiries.
  • Ensure all results comply with local, state and federal regulations.

Medical Biller and Coder

Coram Healthcare
Tampa, FL
11.2009 - 12.2011
  • Analyzing patient records on to verify all necessary documents needed are on file to bill a claim to Medicare.
  • Determine the correct codes for patient claims.
  • Use CPT codes to bill insurance providers.
  • Ship medical supplies.
  • Maintain patient confidentiality and information security.
  • Medicare and Medicaid DME billing use correct code and appropriates documents needed, determine primary and secondary insurance.
  • Analyzes MRA reports to identify and confirm unreported and/or unresolved medical conditions of members based on supportive medical documentation.
  • Follow Medicare guidelines, rules and regulations.

Senior claims specialist/ auditor

Well Care Health Plans, Inc.
Tampa, FL
04.2006 - 11.2009
  • Conducts daily quality reviews of operations to verify eligibility, enrollment, claims process, price.
  • Also, provider configuration contracts loads.
  • Tracks and maintains quality results for appropriate distribution.
  • Communicates audit results in a structured report format.
  • Identifies and quantifies issues and recommend audit criteria to validate financial impact.
  • Navigates audit tools and prepares ad hoc reports using Microsoft Excel or Access to summarize audit findings.
  • Audit daily a claim percentage for each claim specialist.

Education

Business Administration - bachelor’s in business administration

Columbia College/HCC
Orlando, FL, United States
06.2025

Associate of Science - Life And Health Insurance

Xcel SOLUTION
Orlando, FL
05-2025

Network Technician -

MedCerts SCHOOL
Tampa, FL, United States
01.2025

License: Professional Claims Adjuster - 6-20 all lines Adjuster

Central Insurance School
Clearwater, FL, United States
01.2018

Diploma - Medical Billing and Coding

Concorde Career Institute
Tampa, FL, United States
01.2005

Skills

  • Customer service
  • Organization
  • Multi-tasking
  • Insurance regulations
  • Microsoft Office
  • Networking
  • Marketing
  • Inbound sales
  • Independent work
  • Problem identification
  • Creative solutions
  • Balancing priorities
  • Cold calling
  • Sales pitch development
  • Upselling techniques
  • Sales process
  • Negotiation tactics
  • Processing payments
  • Sales strategy
  • Problem-solving
  • Multitasking Abilities

Timeline

INBOUND SALES AND MARKETTING REP

SPECTRUM COMMUNICATIONS
06.2023 - Current

Data Claim Verification

Corvel Corporation
07.2013 - 07.2018

Manager Auto sales and repair

D & S auto shop
11.2011 - 07.2013

Medical Biller and Coder

Coram Healthcare
11.2009 - 12.2011

Senior claims specialist/ auditor

Well Care Health Plans, Inc.
04.2006 - 11.2009

Business Administration - bachelor’s in business administration

Columbia College/HCC

Associate of Science - Life And Health Insurance

Xcel SOLUTION

Network Technician -

MedCerts SCHOOL

License: Professional Claims Adjuster - 6-20 all lines Adjuster

Central Insurance School

Diploma - Medical Billing and Coding

Concorde Career Institute
JACQUES VALESCOT
Want your own profile? Build for free at Resume-Now.com