Krechna Samuels
Alorica
Valdosta,GA
18
years of professional experience
Results-driven Benefits Advisor with expertise in benefits administration and problem-solving. Proven ability to analyze client needs and facilitate workshops, ensuring high levels of employee satisfaction and engagement.
Dedicated professional with a strong background in benefits administration and claims processing. Known for exceptional communication skills and attention to detail, facilitating workshops and enhancing team knowledge to improve client satisfaction and drive operational efficiency.
Work History
Benefits Advisor
1 Year 10 Months- Guided clients through benefits enrollment processes, ensuring accurate understanding of available options.
- Developed training materials to enhance colleague knowledge of benefits systems and policies.
- Analyzed client needs to recommend tailored benefits solutions, improving satisfaction and engagement.
- Facilitated workshops to educate employees on benefit offerings and changes in regulations.
- Streamlined claims processing, accelerating resolution times and improving employee experience.
Claims Representative
3 Years 2 Months- Evaluated and processed claims efficiently, ensuring adherence to regulatory guidelines.
- Resolved customer inquiries regarding claims status and policy coverage with accuracy.
- Collaborated with internal departments to streamline claims processing workflows.
- Mentored junior representatives, enhancing team knowledge of claims procedures and systems.
- Analyzed complex claims for discrepancies, ensuring compliance with company policies and regulations.
Assistant Childcare Director
4 Years- Assisted in developing and implementing educational programs tailored to children's developmental needs.
- Coordinated daily operations, ensuring compliance with licensing regulations and safety standards.
- Facilitated staff training sessions focused on child development and best practices in childcare.
- Collaborated with parents to address concerns and enhance communication regarding children's progress.
- Led initiatives that improved classroom environments, fostering a positive atmosphere for learning.
- Evaluated staff performance, providing constructive feedback to enhance teaching methods and outcomes.
- Managed scheduling and staffing to optimize resource allocation within the childcare center.
Account Representative
2 Years 7 Months- Cultivated strong relationships with clients to enhance satisfaction and retention.
- Managed account inquiries and resolved issues efficiently, ensuring timely responses.
- Collaborated with cross-functional teams to streamline processes and improve service delivery.
- Analyzed client needs to recommend appropriate financial products and services.
- Contacted customers to assess satisfaction and current needs.
- Assisted clients in navigating complex financial and legal processes to reduce risks.
Medical Claims Specialist
3 Years 4 Months- Processed medical claims efficiently, ensuring compliance with regulatory requirements and accuracy in submissions.
- Analyzed claim data to identify discrepancies, improving overall processing efficiency and reducing denial rates.
- Collaborated with healthcare providers to resolve billing issues, enhancing communication and expediting claim resolution.
- Mentored junior staff on claims processing procedures, fostering skill development and team performance.
- Submitted electronic/paper claims documentation for timely filing.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Customer Care Representative
3 Years 3 Months- Resolved customer inquiries and concerns through effective communication and problem-solving techniques.
- Collaborated with team members to streamline workflows and enhance overall service efficiency.
- Trained new employees on customer service protocols and best practices for handling complaints.
- Analyzed customer feedback to identify trends and recommend improvements in service delivery.
- Managed high call volume with exceptional professionalism and efficiency.
- Assisted call-in customers with questions and orders.
- Identified and resolved discrepancies and errors in customer accounts.
Education
GED
No Degree - Business Administration
Skills
Benefits analysis
Employee relations
Benefits administration
Human resources expertise
Teamwork
Problem-solving
Time management
Attention to detail
Leadership skills
Multitasking
Reliability
Excellent communication
Critical thinking
Organizational skills
Professionalism
Adaptability
Written communication
Timeline
Benefits Advisor
Alorica
07.2024 - 05.2026Read More
Claims Representative
Humana
04.2021 - 06.2024Read More
Assistant Childcare Director
Little Angels Child Care Center
03.2017 - 03.2021Read More
Account Representative
Envision Credit Union
06.2014 - 01.2017Read More
Medical Claims Specialist
Tift Regional Medical Center
01.2011 - 05.2014Read More
Customer Care Representative
Mediacom Communications
08.2008 - 11.2011Read More
Southern New Hampshire University
No Degree from Business Administration
Read More
Wiregrass Georgia Technical College
GED
Read More