Julie Zamarron
Lyford
Summary
Detail-focused claims processor with over 5 years of experience in customer service, data entry and claims processing. Demonstrates proficiency in Microsoft Office, Salesforce, and contact tracing, with a strong background in case investigation and claims processing. Passionate about leveraging analytical skills to enhance operational efficiency and deliver exceptional service.
Overview
4
4
years of professional experience
Work History
Claims Processor, CSR (inbound and Outbound)
Mohela
08.2022 - Current
- Efficiently processed PSLF applications, consistently meeting daily and weekly quotas, significantly improving departmental productivity.
- Review and process incoming claims, ensuring compliance with company policies and regulations.
- Coordinated with borrowers and employers through outbound calls to gather missing PSLF application information, ensuring timely processing.
- Accurately enter claims information into the system and verify the authenticity of documentation submitted by clients.
- Communicate with claimants and healthcare providers to gather additional information, clarify details, and resolve discrepancies.
- Collaborate with the legal and compliance teams to ensure claims meet company guidelines and regulations.
- Resolved claim disputes, ensuring client satisfaction and adherence to company protocols.
- Tracked and updated claims status for clients, ensuring timely responses and resolution of inquiries.
- Processed claims denials and appeals, researching issues and providing follow-up to resolve claims.
- Provided exceptional customer service as an inbound call center representative, addressing federal student aid inquiries and resolving issues.
- Enhanced PSLF application accuracy and efficiency by meticulously performing data entry and verification tasks
- Consistently met and exceeded daily and weekly quotas for claims and PSLF application processing, enhancing departmental performance.
Case Investigator
IBM
01.2021 - 02.2022
- Conducted interviews with COVID-19 positive individuals in Rhode Island, gathering critical health data.
- Recorded symptom onset dates, close contacts, and vaccination details for accurate tracking.
- Provided CDC-based isolation guidance and answered queries, ensuring community safety.
- Documented detailed notes for each call, enhancing data accuracy and follow-up efficiency.
- Delivered compassionate and supportive service, fostering trust and compliance.
- Collaborated with public health officials to track COVID-19 cases, ensuring accurate data collection and community safety.
- Meticulously documented patient interactions and close contacts, supporting effective outbreak management and data integrity.
- Guided COVID-positive individuals through isolation protocols, providing clear information and emotional support during challenging times.
- Analyzed contact tracing data to identify patterns and trends, contributing to strategic public health responses.
- Achieved high accuracy in case documentation, enhancing the effectiveness of contact tracing efforts and reducing community spread.
OUTBOUND CONTACT TRACER
IBM
01.2021 - 02.2022
- Contacted exposed or symptomatic individuals, conducted wellness assessments, and documented interactions.
- Guided Rhode Island community on quarantine protocols, addressing concerns and providing support.
- Maintained detailed call records, ensuring accurate tracking and follow-up
- Delivered friendly and informative service to staff, students, and community members.
- Coordinated with school district staff to conduct pre-clearance assessments, enhancing safety protocols for students and employees.
- Executed contact tracing calls, significantly contributing to the containment of COVID-19 by providing clear, actionable health advice.
- Performed detailed wellness assessments and meticulously recorded call notes, ensuring thorough follow-up and data accuracy.
- Analyzed contact tracing data to identify trends, improving public health response strategies and decision-making processes.
- Partnered with local health departments to streamline data sharing and enhance community health initiatives.
- Ensured meticulous documentation of all interactions, maintaining high accuracy in records and compliance with health regulations.
Education
Bachelor of Science - Animal Science - Pre-Vet, Biology
TEXAS A&M UNIVERSITYKINGSVILLE
Kingsville, TX08.2020
Skills
- Customer Service
- Microsoft Office
- Salesforce
- InContact
- DCC CRM
- ClX
- Contact Tracing
- Case Investigation
- Call Center
- Data Entry
- Application Processing
- Analytical Thinking
- Claims Processing
- Detail-Oriented
- Data Analysis
- Team Collaboration
- Problem-Solving
- Operational Efficiency
Timeline
Claims Processor, CSR (inbound and Outbound)
Mohela
08.2022 - Current
Case Investigator
IBM
01.2021 - 02.2022
OUTBOUND CONTACT TRACER
IBM
01.2021 - 02.2022
Bachelor of Science - Animal Science - Pre-Vet, Biology
TEXAS A&M UNIVERSITYKINGSVILLE
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