Kevin Jorge Briseno
Los Angeles
Summary
Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance. With 15 years of experience to deliver great service at all times. Dependable and service oriented professional with expertise in processing and coding claims. Proven track record of meeting targets, with strong and analytical skills and attention to detail. Well-versed in working and collaborating in fully remote professional
Overview
19
19
years of professional experience
1
1
Certification
Work History
Security
LA Fitness
11.2024 - Current
- Monitored facility access points to ensure compliance with security protocols.
- Conducted regular patrols to identify and mitigate potential security risks.
- Collaborated with law enforcement to respond effectively to incidents and emergencies.
- Make sure the parking lot is safe
- Run downs inside the gym facility to make sure no no disruptions are happening between members
- Occasionally remove gym equipment throughout the gym
- Keep the environment safe
Life Insurance Agent
PHP Agency Inc.
03.2020 - Current
- Communicated with clients to understand needs and identify best policies for each case.
- Calculated premiums and established payment methods.
- Contacted prospective customers to present information and explain available services.
- Provided leadership and training for new agents regarding industry best practices and company policies.
- Developed marketing strategies to compete with other individuals or companies selling insurance.
- Explained coverage options to potential policyholders, answering questions or concerns.
- Sought out new clients and developed clientele by networking to find new customers.
- Achieved repeat business and referrals through personalized services.
Quality Assurance Analyst
TEKsystems
06.2023 - 08.2023
- Recommended improvements to systems and procedures for increased productivity.
- Worked with team members to create efficient workflows, resulting in high productivity.
- Communicated regularly with management to discuss quality trends.
- Maintained self-study program to enhance QA knowledge and skills.
- Used quality monitoring system to compile and track individual and team performance.
- Conducted internal audits to measure adherence to established QA standards.
Claims Processor
ManpowerGroup/Maximus
12.2021 - 03.2023
- Verified claim data correctness in preparation for processing.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
- Reviewed history records to determine benefit eligibility for services.
- Maintained comprehensive database for enrollment data, claim submission and payment information.
- Conducted and documented comprehensive investigations to negotiate settlements or deny claims.
- Collaborated with fellow team members to manage large volume of claims.
- Organized information by using spreadsheets, databases or word processing applications.
- Prioritized and organized task to efficiently accomplish service goals.
Health Coach
Herbalife Ltd.
07.2011 - 01.2022
- Worked with team members to create efficient workflows, resulting in high productivity.
- Communicated regularly with management to discuss quality trends.
- Improved general health of clients by sharing nutrition information and fitness tips.
- Monitored clients' progress and compared to pre-determined health targets.
- Presented health education talks at training workshops and conferences in local area.
- Presented public talks to promote specific topics and work of organization.
- Enhanced awareness of health resources and worked to connect individuals with programs.
- Educated community members on disease prevention, vaccines and mental health resources.
Customer Service Representative
ACE Cash Express Inc.
06.2006 - 07.2021
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- Developed strong customer relationships to encourage repeat business.
- Consulted with customers to resolve service and billing issues.
- Calculated income, assets and liabilities to meet lender requirements.
- Set up and activated customer accounts.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Processed payday loans and personal loans.
- Money transfers from country to country.
- Processed audit reports.
Education
Bachelor of Arts - Psychology
California State University - Los Angeles
Los Angeles, CA06.2012
Associate of Arts - Psychology
East Los Angeles College
Monterey Park, CA06.2009
High School Diploma - undefined
Roosevelt High School
Los Angeles, CA07.2006
Skills
- Recruiting
- Analysis
- Complaint resolution
- Team Building
- Employee training
- Transaction reconciliation
- Claims review
- Payments posting
- Insurance plan verification
- Communications
- Problem Solver
- Adaptive team player
- Coaching experience
- Document editing
- Database entry
- Reliable and trustworthy
Certification
- Life License - 2020-present
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Security
LA Fitness
11.2024 - Current
Quality Assurance Analyst
TEKsystems
06.2023 - 08.2023
Claims Processor
ManpowerGroup/Maximus
12.2021 - 03.2023
Life Insurance Agent
PHP Agency Inc.
03.2020 - Current
Health Coach
Herbalife Ltd.
07.2011 - 01.2022
Customer Service Representative
ACE Cash Express Inc.
06.2006 - 07.2021
Associate of Arts - Psychology
East Los Angeles College
High School Diploma - undefined
Roosevelt High School
Bachelor of Arts - Psychology
California State University - Los Angeles
Life License
Certified to provide financial services such as, life insurance services, final expense, fixed index annuities, term insurance, permanent insurance.
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