Justin Flores
San Angelo,Texas
Summary
Seeking a position in a professional environment with challenging work to enhance skills. Committed to self-improvement, strong work ethic, and contributing to organizational success. Passionate about learning new skills and taking on challenges.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Claims Technician
Blue Cross Blue Shield of Texas
11.2024 - Current
- Process 25-30 claims per day
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
- Maintained confidentiality of patient finances, records, and health statuses.
- Calculated adjustments, premiums and refunds.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Posted payments to accounts and maintained records.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Determined appropriateness of payers to protect organization and minimize risk.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Verified client information by analyzing existing evidence on file.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Checked documentation for accuracy and validity on updated systems.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Notified insurance agents and accounting departments of policy cancellations and changes.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Paraprofessional
Bradford Elementary School
08.2021 - 11.2024
- Meeting and greeting students every morning to ensure they make it to school and to start their days of positively
- Follow daily rotation schedule for proper support for teachers and students on a daily basis as needed
- Assist teachers with instructional tasks, including material prep, setting up activities as well as classroom organization
- Provide one on one or small group instruction and support to students who need extra support with lessons or assignments
- Support teacher(s) in managing classroom behavior by implementing positive behavior strategies and interventions
- Monitor student behavior during instructional time, lunch time as well as other non-instructional to ensure safety
- Help with clerical duties such as running off copies, laminating, taking attendance, grading, and maintain student records
- Facilitate communication between teachers, students, administration including relaying information and updates
- Prepare and organize instructional resources including worksheets, visual aids and learning centers
- Assist in maintaining a safe and healthy classroom , including first aid and ensuring compliance with safety protocols
- Accompany and supervise students on off-campus activities as well as field trips
- Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
Bakery Department Partner
H-E-B
06.2021 - 08.2021
- Provide and maintain a well stocked department
- Take stock counts for inventory and sales purposes
- Customer Service
- Prepare, package and merchandise fresh product daily during hours of operation
- Facilitated open communication channels between coworkers and leadership to maintain clear and effective communication
- Sanitize and organize work stations on a daily basis to ensure safe and clean work environment
Call Center Representative
Performant Corp.
12.2020 - 02.2021
- Company Overview: This job required special Government clearance from The Department of Education due to the sensitive information that was being accessed and handled on a daily basis
- Answering inbound calls politely and respond to borrowers inquires in a timely manner.
- Enter in borrower's Social Security Number and/or account number in to data center to pull up borrowers account information on student loan(s)
- Answer any and all questions borrowers may have regarding their account information and student loans.
- Document and report on borrowers feedback to improve to improve the borrowers experience.
- Manage and update customers databases with notations after each call for each borrower
- This job required special Government clearance from The Department of Education due to the sensitive information that was being accessed and handled on a daily basis
Blanker Cartoner (BC) Operator/Stand Alone Blanker (SAB) Inspector and Operator
Ethicon Inc.
02.2017 - 10.2020
- Man and Operate BC Machine(s)
- Trouble shoot issues and faults that come about while working on BC and SAB machines
- Inspect and preform quality control of individual suture product pieces for any critical defects that may have occurred during earlier production processes
- Re-open boxes, inspect boxes and their contents for any packing defects that may occur while going through the packing process in BC machines
- Send boxes of product through a(n) over-wrapping machines to be wrapped in a protective plastic wrap
- Inspect the wrapping for any defects that may occur during wrapping
- Pack wrapped boxes into shipping containers to be sent out and distributed.
- Operate SAB Machines
- Preform inspection and quality control at SAB machines
- Hand pack product into various box types depending on product type
- Input batch information and issue components into company specific system and data base
Footwear Sales Associate
Academy Sports & Outdoors
11.2015 - 02.2017
- Greeting customers and preform customer service
- Find items for customers
- Check stock and inventory
- Log items in system computers
- Rework product on shelves and displays
- Unload truck using manual and automatic pallet jacks
- Preformed other duties as assigned
- Rework and clean department on closing shifts
- Travel to different store locations to reconcile stock counts
Education
High School Diploma -
Christoval High School
Christoval, TX05-2015
Skills
- Claims analysis
- Investigation techniques
- Electronic authorization processing
- Adaptability
- Collaborative relationships
- Interpersonal communication
- Multi-tasking
- Time management abilities
- Critical thinking
- Paperwork processing
- Teamwork
- Professionalism
- Data transcription
Certification
- Certified Line Inspector, L1/ L2 Machine Operator, Ethicon Inc. - 2017-2020
Languages
English
Native or Bilingual
Timeline
Claims Technician
Blue Cross Blue Shield of Texas
11.2024 - Current
Paraprofessional
Bradford Elementary School
08.2021 - 11.2024
Bakery Department Partner
H-E-B
06.2021 - 08.2021
Call Center Representative
Performant Corp.
12.2020 - 02.2021
Blanker Cartoner (BC) Operator/Stand Alone Blanker (SAB) Inspector and Operator
Ethicon Inc.
02.2017 - 10.2020
Footwear Sales Associate
Academy Sports & Outdoors
11.2015 - 02.2017
High School Diploma -
Christoval High School
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