KARLY MAE TREVINO
San Antonio
Summary
Knowledgeable and dedicated customer service professional with extensive experience in the dental insurance industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Overview
3
3
years of professional experience
Work History
Customer Service Representative
Aetna
01.2018
- Assisted members with insurance benefits, eligibility, reimbursements and expediting appeals
- Job consisted mostly speaking with provider offices, Doctors, and case workers to review medical claims, and ensure pre-authorizations for upcoming surgeries, MRI’s, CT-Scans ect
- Were approved on time
- 2
Insurance Rep
Healthcare, Specialty Benefits
10.2020 - Current
- As specialty benefits advocate, I handle high volume inbound calls advising members and providers about specific dental insurance accounts
- I review and edit dental claims, go over full coverage break downs which include dental coding, costs and coverages, pre-authorizations, and network verifications
- As well as helping members file appeals and go over their claims in depth to help educate while providing friendly and reassuring customer service
- I am also trained in both commercial dental and Medicare/Medicaid dental.
Education
Kaplan University
Davenport, IAHigh school diploma -
Sandra Day O'Connor High School
Helotes, TX06.2015
Skills
- Multi-tasking / Organizational
- Soft Skills / Customer Engagement
- Always have Resolutions
- Resourceful / Outgoing
- Reliable
Timeline
Insurance Rep
Healthcare, Specialty Benefits
10.2020 - Current
Customer Service Representative
Aetna
01.2018
Kaplan University
High school diploma -
Sandra Day O'Connor High School
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