Jeannette Navarro
Summary
Sales and marketing guru with in-depth knowledge and experience working as a beauty brand ambassador for select MLS (Multi-Level Sales) platforms. Independent representative responsible for generating leads, conducting follow-ups, hosting sales events and parties, and recruiting and training ambassadors. Outgoing, enthusiastic professional with outstanding communication skills and strong ability to identify, develop, and cultivate strategic relationships. Motivated and eager to utilize skills gained through experience to join a reputable, growth-oriented cosmetics company. Highly-ethical, qualified Non-Profit Professional armed with extensive experience developing and executing strategic plans to lead organizations business development, financial growth, and long-term sustainability. Superb ability to succeed in challenging, high-pressure, deadline-driven environments. Hands-on, successful Software Engineer with decades of verifiable success leading teams in delivering appropriate technology solutions for desktop and mobile products. Comprehensive knowledge of platform development, enterprise architecture, agile methodologies, cloud services, and web-based applications. Innovative change agent with a unique mix of high-level technology direction and deep technical expertise. specializing in claims. Proven track record of success in resolving challenging cases and ensuring customer satisfaction. Possesses strong communication skills and the ability to establish strong working relationships with customers. Excellent organizational and problem solving skills to efficiently manage a high volume of claims.
Overview
11
11
years of professional experience
Work History
Claims Specialist
Blue Cross Blue Shield Of Texas
12.2022 - 11.2023
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Followed up with customers on unresolved issues.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
Sales Manager
Frontier Communications
11.2021 - 12.2022
- Handled customer relations issues, enabling quick resolution, and client satisfaction.
- Resolved customer issues quickly to close deals and boost client satisfaction.
- Conducted team meetings to reinforce goals and objectives and set clear expectations about policies and procedures.
- Coached and counseled sales personnel, assisting with individual selling efforts and helping sales representatives reach targets.
Business Owner/Operator
Jeannette's Cleaning Services
11.2018 - 01.2021
- Oversaw end-to-end business processes to maintain proficiency and profitability.
- Consulted with customers to assess needs and propose optimal solutions.
- Trained and motivated employees to perform daily business functions.
- Oversaw business budget planning and administration, accounting functions, purchasing, and bi-weekly payroll to handle financial needs.
- Put together realistic budgets based upon costs and fees for successfully operating business.
- Monitored staff performance, providing final-say assessment over inquiries.
- Employed prompt decision-making and in-depth research to resolve issues.
- Served as principal stakeholder over organization's complete operations.
- Prepared bank deposits and handled business sales, returns and transaction reports.
- Introduced new methods, practices, and systems to reduce turnaround time.
Rural Carrier Associate
USPS
05.2018 - 12.2018
- Maintained records on customers with mail forwarding and change of address requests.
- Sorted mail according to order of address appearance for easy access in field.
- Delivered mail and packages to customers on prescribed route while processing check submissions, money orders, and stamp purchases in field.
- Signed and received mail with signature requirements upon delivery and loading.
Retention Customer Service Representative
AT&T Directv
05.2016 - 02.2018
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Handled customer inquiries and suggestions courteously and professionally.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Answered constant flow of customer calls with minimal wait times.
- Participated in team meetings and training sessions to stay informed about product updates and changes.
- Responded to customer requests for products, services, and company information.
Sales Representative
Dillards Department Store
02.2014 - 08.2017
- Managed customer accounts to secure customer satisfaction and repeat business.
- Trained and mentored new sales representatives.
- Retained excellent client satisfaction ratings through outstanding service delivery.
- Developed and maintained comprehensive understanding of products, services and competitors to enhance sales presentations.
Night Warehouse Supervisor
Dollar General Warehouse
07.2012 - 04.2014
- Cleaned and maintained warehouse in compliance with OSHA safety standards.
- Oversaw upkeep of equipment and physical condition of warehouse, identifying and ordering needed repairs, renovations, and replacements.
- Redesigned warehouse layout to accommodate new equipment, maximize space utilization, and optimize processes.
- Completed timely and accurate daily logs to keep internal reporting accurate and track materials movements.
Education
Associate of Science - Computer Science And Programming
Howard College
Big Spring, TX05.2018
GED -
Early College
Roswell, NM01.2001
Skills
- Claims
- New Policies Processing
- Eligibility Determination
- Data Entry
- Teamwork and Collaboration
- Client Interviews
- Customer Service
- Policy Modifications and Updates
- Claims Processing
- Organizing and Prioritizing Work
- Documentation Skills
- Reporting Skills
- Documentation Abilities
- Documentation Processing
- Skilled in office 365 excell powerpoint spreadsheets outlook
- Critical Thinking
- Microsoft Office
- Coverage Determination
- Medicaid Knowledge
- Number-Savvy
- Decision-Making
- Financial Transactions
- Policy Analysis
- Paperwork Processing
- Policy Review
- Attention to Detail
- Application Review
- Data Entry Software
- Account Management
- Active Listening
- Excellent Administrative Abilities
- Great Mathematical Skills
- Understanding of Medical Terms
- Medical Terminology
- Policy and Procedure Explanations
- Appointment Scheduling
- Insurance Coverage Verification
Languages
Spanish
Native or Bilingual
Timeline
Claims Specialist
Blue Cross Blue Shield Of Texas
12.2022 - 11.2023
Sales Manager
Frontier Communications
11.2021 - 12.2022
Business Owner/Operator
Jeannette's Cleaning Services
11.2018 - 01.2021
Rural Carrier Associate
USPS
05.2018 - 12.2018
Retention Customer Service Representative
AT&T Directv
05.2016 - 02.2018
Sales Representative
Dillards Department Store
02.2014 - 08.2017
Night Warehouse Supervisor
Dollar General Warehouse
07.2012 - 04.2014
Associate of Science - Computer Science And Programming
Howard College
GED -
Early College
Similar Profiles
Kaitlyn ThompsonKaitlyn Thompson
Customer Advocate II at Blue Cross Blue Shield of TexasCustomer Advocate II at Blue Cross Blue Shield of Texas
Justin FloresJustin Flores
Claims Technician at Blue Cross Blue Shield of TexasClaims Technician at Blue Cross Blue Shield of Texas
Shannon Clark BSN RNShannon Clark BSN RN
Medical Reviewer II at HCSC, Blue Cross Blue Shield of TexasMedical Reviewer II at HCSC, Blue Cross Blue Shield of Texas
Sharnita HenrySharnita Henry
Primary Nurse Case Administrator at Blue Cross Blue Shield of TexasPrimary Nurse Case Administrator at Blue Cross Blue Shield of Texas
Mikia ParksMikia Parks
Claims Specialist at State FarmClaims Specialist at State Farm