Jaquelin Rangel
North Las Vegas,NV
Summary
Highly motivated case manager, seeking a challenging position that will allow me to utilize my skills and abilities. I'm a positive team player prepared to take on any challenges. An energetic self-starter with a successful record in customer service and case management.
Overview
7
7
years of professional experience
Work History
Workers' Compensation Case Manager
David Boehrer Law Firm
Henderson, NV
06.2023 - 05.2024
- Ensured timely payment of benefits by working closely with insurers and providers.
- Coordinated medical care for injured workers including referrals for specialist services.
- Reviewed employer's current processes for compliance with applicable laws and regulations.
- Monitored progress of injured workers through medical treatment, rehabilitation and job retraining programs.
- Helping the injured employee understand his or her condition and treatment details.
- Complete accurately all necessary forms and analyze data as needed.
- Facilitating approvals for treatment.
- Maintained detailed case files documenting all pertinent information related to the claim.
Customer Service Representative
Invest America Insurance
Las Vegas, NV
02.2019 - 09.2023
- Answered customer inquiries and provided accurate information regarding products and services.
- Resolved customer complaints promptly and efficiently.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- Developed strong relationships with customers by providing personalized assistance and support.
- Maintained a high level of professionalism when dealing with difficult customers.
- Provided exceptional customer service to ensure customer satisfaction.
- Handled inbound and outbound calls to qualify individuals interested in purchasing insurance coverage.
Front Desk Agent
Caesars Palace Hotel And Casino
Las Vegas, NV
10.2021 - 06.2023
- Provided information about hotel amenities, services, and local attractions.
- Managed cash drawer responsibly throughout shift.
- Processed payments accurately and efficiently.
- Verified accuracy of room rates and other charges during check-in process.
- Inputted guest information into computer system accurately and securely.
- Addressed customer needs in a timely manner.
- Provided excellent customer service while upholding company policies.
- Assisted with check-in and check-out procedures for guests.
- Maintained cleanliness of lobby area at all times.
- Resolved customer complaints promptly and courteously.
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
- Assisted guests at check-in, providing information on various services within hotel.
- Contacted housekeeping or maintenance staff to report room or building issues.
- Kept records of room availability and guest accounts, manually or using computers.
- Issued room keys and escort instructions to bellhops.
- Computed bills, collected payments and made change for guests.
- Recorded guest comments or complaints, escalating to management for immediate resolution.
- Verified customer credit to establish payment method for accommodations.
- Answered guest inquiries, recommending shopping, dining or entertainment.
Workers' Compensation Claims Assistant
Focus Plumbing
Las Vegas, Nevada
09.2018 - 02.2019
- Maintained a database of all current workers' compensation cases.
- Conducted research into claims using internal databases and external sources.
- Provided customer service to claimants, employers, insurance companies, attorneys. regarding their inquiries or requests for assistance.
- Assisted with the preparation of claim forms and related documents for processing.
- Reviewed claims to ensure accuracy and compliance with state regulations.
- Gathered medical records and other documentation to support claim decisions.
- Calculated benefits due based on applicable laws, policies, procedures and guidelines.
- Ensured proper coding was used when entering data into system databases.
- Tracked deadlines associated with filing appeals or completing paperwork for new claims and appeals.
Customer Service Representative
Bravo Insurance
Las Vegas, NV
12.2016 - 02.2019
- Answered customer inquiries and provided accurate information regarding products and services.
- Resolved customer complaints promptly and efficiently.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- Identified opportunities for upselling additional products or services based on customer needs.
- Maintained a high level of professionalism when dealing with difficult customers.
- Analyzed claims data to determine potential areas of improvement for policyholders' protection.
Education
High School Diploma -
Delta Academy
Las Vegas, NV05-2016
Skills
- Microsoft Word
- Microsoft Outlook
- Filevine
- Claims Management
- Relationship Building
- Case Evaluation
- Willing to Learn
- Goal Setting
- Critical Thinking
- Prioritizing and Planning
- Data Analysis
- Customer Service
- Decision-Making
- Business Relationship Management
- Sales Support
- Communication Management Professional
- Organizational Skills
- Adaptability and Flexibility
- Problem-Solving
- Professional Demeanor
- Excellent Communication
- Teamwork and Collaboration
Languages
Spanish
Native/ Bilingual
Timeline
Workers' Compensation Case Manager
David Boehrer Law Firm
06.2023 - 05.2024
Front Desk Agent
Caesars Palace Hotel And Casino
10.2021 - 06.2023
Customer Service Representative
Invest America Insurance
02.2019 - 09.2023
Workers' Compensation Claims Assistant
Focus Plumbing
09.2018 - 02.2019
Customer Service Representative
Bravo Insurance
12.2016 - 02.2019
High School Diploma -
Delta Academy
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