Karla Aguilar Roman
Dallas,TX
Summary
Background in logging and allocating claims, processing paperwork and updating tracking spreadsheets. Adept at sorting and prioritizing work with excellent judgment and analytical problem-solving abilities. Highly organized with strong communication skills and a disciplined nature.
Overview
3
3
years of professional experience
Work History
Remote Customer Care Representative
Sedgwick
Dallas, TX
09.2023 - 04.2024
- Resolved customer complaints promptly and professionally.
- Maintained a detailed record of all customer interactions, transactions, comments, and complaints.
- Ensured compliance with company policies regarding privacy laws and data protection regulations.
- Utilized problem-solving techniques such as root cause analysis to identify recurring issues that could be addressed proactively.
Claims Assistant
Tristar Risk Management
Irving, TX
10.2022 - 08.2023
- Assisted in the preparation of documents for claims processing.
- Performed data entry into internal systems to process claims requests.
- Conducted research into medical terminology related to healthcare claims processing activities.
- Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
- Analyzed and assessed legal paperwork, such as contracts and court orders, to facilitate claims processing.
Administrative Assistant
Dma Claims Services
Irving, TX
02.2021 - 06.2022
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Handled confidential documents in an organized fashion according to established protocol.
- Managed incoming calls while providing information or transferring callers to appropriate personnel.
- Documented changes in claim statuses using specialized software systems.
Education
Associate of Science - General Studies
Mountain View College
Dallas, TX05-2020
High School Diploma -
David W Carter High School
Dallas, TX05-2017
Skills
- Data Entry
- Insurance knowledge
- Coordinating documents
- Tracking spreadsheets
- Claims Processing
- Managing records
- Microsoft Office
- Data Analysis
Languages
Spanish
Full Professional
Timeline
Remote Customer Care Representative
Sedgwick
09.2023 - 04.2024
Claims Assistant
Tristar Risk Management
10.2022 - 08.2023
Administrative Assistant
Dma Claims Services
02.2021 - 06.2022
Associate of Science - General Studies
Mountain View College
High School Diploma -
David W Carter High School
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