Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Hi, I’m

Loraine L. Valdez

Maricopa,AZ
Loraine L. Valdez

Summary

Motivated professional capable of building productive relationships, resolving complex issues and winning customer loyalty. Bringing 20-years background in maintaining customer satisfaction and contributing to company success.

Overview

23
years of professional experience

Work History

Mckesson (Rem X)

Case Manager
10.2022 - 02.2023

Job overview

  • Established and maintained relationships with key stakeholders.
  • Provided leadership, guidance and support to staff members.
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
  • Liaised with social worker to expedite financial assistance not covered by insurance.
  • Evaluated treatment plans against individual goals and healthcare standards.
  • Checked employees' benefits enrollment for accuracy and inputted all data into Software.
  • Observed strict procedures to maintain data and plan participant confidentiality.

McKesson Specialty Health/ RemX

Benefits Specialist/Benefits Verification Specialist
08.2019 - 02.2020

Job overview

  • Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
  • Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties.
  • Checked employees' benefits enrollment for accuracy and inputted all data into Software.
  • Researched and evaluated new benefits programs to select cost-effective providers and coverage levels.

Retail Activation Services, LLC dba Consensus, Cornerstone Staffing, Target Financial

Customer Service Representative
09.2019 - 12.2019

Job overview

  • CONDUCTING CALLS AND CHATS ON A DAILY BASIS FROM STORE PERSONNEL TO ASSIST WITH RESOLUTION ON ISSUES IN THE ORDER PROCESS FLOW
  • REACH OUT TO CARRIERS AS NEEDED TO ENSURE ORDERS ARE COMPLETED IN A TIMELY MANNER AND GUESTS HAVE A POSITIVE PURCHASING EXPERIENCE
  • MAINTAINING INBOUND CALLS FROM RETAIL STORE AND PERSONNEL TO RESOLVE ISSUES RELATED TO ACTIVATION ISSUES
  • SUSTAINING STRONG COMPUTER KNOWLEDGE AND FAMILIARITY OF SOFTWARE/SITE

Tivity Health

CUSTOMER SERVICE REPRESENTATIVE
08.2016 - 08.2018

Job overview

  • HELPED WITH TRAINING CLASSES
  • ANSWER ANY QUESTIONS NEW HIRES HAD
  • TOOK SUPERVISOR CALLS WELL NEW HIRES WERE IN NESTING
  • ANSWER INBOUND CALLS ABOUT FITNESS BENEFITS INCLUDED WITH HEALTH INSURANCE BENEFITS
  • HELP MEMBERS LOCATE GYMS IN THERE AREA OR IF THERE TRAVELING
  • ORDER AND SEND OUT MEMBERS MEMBERSHIP CARD AND PROVIDED MEMBER ID NUMBER
  • ALSO HELP WITH OTHER PROJECTS AND TASKS THAT NEED TO BE DONE

Consumer Cellular

Customer Service Representative
01.2015 - 04.2015

Job overview

  • ANSWER, CLOSE, AND PROCESS INBOUND SALES CALLS
  • REVIEW AND EXPLAIN INVOICES, SERVICE AND EQUIPMENT FEATURES, AND ACCOUNT BALANCE
  • APPROPRIATELY APPLY ADJUSTMENTS AND CREDITS
  • TROUBLESHOOT AND SOLVE SERVICE AND EQUIPMENT ISSUES
  • PROVIDES CUSTOMER SATISFACTION THROUGH EFFECTIVE INTERACTIONS
  • STRIVES FOR ONECALL RESOLUTION
  • DEMONSTRATE POSITIVE AND COOPERATIVE BEHAVIOR WITH CUSTOMERS AND COWORKERS
  • MEETS PRODUCTIVITY, QUALITY AND PUNCTUALITY STANDARDS

Xerox

HR Specialist
09.2014 - 01.2015

Job overview

  • ANSWER AND RESPOND TO INCOMING CALLS FROM EMPLOYEES AND FORMER EMPLOYEES WITH QUESTIONS ABOUT THEIR BENEFITS, PAYROLL
  • TRACK AND LOG ALL TRANSACTIONS RELATED TO
    HUMAN RESOURCES AND/OR BENEFITS PROCESSES
  • FOLLOW UP ON OUTSTANDING ISSUES TO ENSURE RESOLUTION, KEEP THE CUSTOMER INFORMED ON THE STATUS OF RESEARCH
  • CLOSE OUT CASES UPON COMPLETION
  • NOTIFY TECHNICAL ANALYST AND TEAM MANAGER OF POTENTIAL OR RECURRING PROBLEMS REGARDING ISSUES AND PROVIDE MITIGATION
  • COMMUNICATE CONCEPTUAL ELEMENTS OF BENEFITS AND/OR HUMAN RESOURCES RULES, REGULATIONS
    AND HELP OTHER TEAM MEMBERS AS REQUESTED
  • HANDLE CONFIDENTIAL INFORMATION WITH SENSITIVITY AND DISCRETION IN ACCORDANCE WITH DATA PRIVACY REQUIREMENTS
  • ADHERE TO SCHEDULED PHONE TIME DURING SHIFT AND REMAIN FLEXIBLE TO SUPPORT UNANTICIPATED EVENTS THAT DRIVE VOLUME
  • RESPOND TO CUSTOMER INQUIRIES VIA EMAIL
  • ATTEND ALL DEPARTMENTAL MEETINGS AND
    TRAINING CLASSES AS REQUIRED

HARRAH'S AK-CHIN CASINO

GUEST SERVICES REPRESENTATIVE
10.2013 - 03.2014

Job overview

  • A CASHIER FOLLOWING ESTABLISHED PROCEDURES INCLUDING ACCURATE RECORD KEEPING, POSTING OF CHARGES, BILLING DISPUTES AND CASH PAYMENT HANDLING
  • ACCURATELY INFORMS GUESTS OF SHOWS, FACILITIES, SERVICES AND ROOM AMENITIES AVAILABLE AT HARRAH'S
  • ASSISTS GUESTS BY ATTEMPTING TO HONOR SPECIAL REQUESTS FOR SPECIFIC ACCOMMODATIONS AND PRESENTS OPTIONS WHEN THOSE REQUESTS CANNOT BE MET
  • FOLLOWS UP WITH EACH GUEST AS NEEDED
  • OFFERS ASSISTANCE TO GUESTS WITH LUGGAGE, IN THE ABSENCE OF A BELL PERSON, TO REDUCE WAIT TIME FOR GUESTS
  • ASSIST GUESTS AT TIMES WITH CONDUCTING INTERNET SEARCHES (I.E
  • MAP QUEST DIRECTIONS, PRINTING BOARDING PASSES, ETC.)
  • PERFORMS SHIFT WORK COMPLETELY AND ON TIME AS ASSIGNED
  • MAINTAIN ENERGY LEVEL AND REMAIN ATTENTIVE WHILE

HARRAH'S AK-CHIN CASINO

PBX OPERATOR
10.2013 - 03.2014

Job overview

  • ANSWER PHONES AND USE SWITCH BOARD TO TRANSFER CALL TO THE RIGHTDEPARTMENT OR PERSON
  • ANSWER ALL AND ANY QUESTIONS THE CUSTOMERMAY HAVE
  • ENTER IN BEVERAGE RECEIPTS FOR FOOD AND BEVERAGEDEPARTMENT

EXPRESS SCRIPTS

PHARMACY TECHNICIAN - DATA ENTRY
04.2009 - 05.2010

Job overview

  • PROCESS ALL NEW AND REFILL PRESCRIPTIONS
  • OPEN ORDERS AS NEEDED, VERIFY ELIGIBILITY PROOF AND INPUT PRESCRIPTIONS WHILE MAINTAINING PRODUCTIVITY AND QUALITY STANDARDS
  • DOCUMENT CORRESPONDENCE AND FOLLOW UP IN SYSTEM
  • PREPARE AUDIT SHEETS AND PROVIDE FEEDBACK TO SUPERVISOR, FORWARD INCOMPLETE OR REJECTED SCRIPTS TO APPROPRIATE DEPARTMENT FOR RESOLUTION AND TRACK STATUS IN THE SYSTEM
  • INITIATE AND DOCUMENT CORRESPONDENCE AND FOLLOW UP IN SYSTEM
  • LOG ORDER STATUS
  • PROVIDE AUDIT REPORTS TO MANAGEMENT
  • WORK COLLABORATIVELY WITH OTHER TEAM MEMBERS AND SUPERVISOR TO ENSURE THAT BEST PRACTICES ARE SHARED
  • ASSIST WITH RESEARCH OF LOST OR MISSING ORDERS PER INTERNAL DEPARTMENT REQUESTS

BASHAS PHARMACY, PERFORM COUNTER SERVICE

EXTERNSHIP
10.2008 - 11.2008

Job overview

  • PATIENT INFORMATION, RING SALES ON THE REGISTER AND COMPLETE SALES TRANSACTIONS OF CASH, CREDIT OR DEBIT
  • DIRECT CUSTOMERS TO THE LOCATIONS OF OTC ITEMS, RESPOND TO ALL PHONE CALLS IN A PROFESSIONAL AND COURTEOUS MANNER
  • HANDLE PATIENT CALLS AND DIRECT DOCTOR'S OFFICE TO THE PHARMACIST
  • TAKE PATIENT REFILL REQUEST OVER THE TELEPHONE, Accept VERBAL AUTHORIZATION FOR REFILL PRESCRIPTIONS, MAINTAIN COMPUTER PATIENT FILES AND PRESCRIPTION LABELS, PRESCRIPTION PREPARATION
  • COUNT, POUR AND RECONSTITUTE DRUGS WITH PHARMACIST VERIFICATION
  • AFFIX PRESCRIPTION LABELS

J.C. PENNYS, WORKED REGISTER AND DID EXCHANGES

CASHIER/ REPLENISHMENT
01.2006 - 05.2007

Job overview

  • PERFORMED ALL REGISTER DUTIES/INCLUDING Exchanges
  • ORGANIZING STOCK ROOM
  • SCANNING AND DELIVERY OF MERCHANDISE TO APPROPRIATE DEPARTMENTS

CENTRIX

Collections Specialist
08.2004 - 01.2006

Job overview

  • CONSTRUCTED OUTBOUND CALLS ON DELINQUENT AUTO LOANS
  • COLLECTED PASS DUE AMOUNTS AND SET UP PAYMENTS FOR CUSTOMERS

HUERFANO COUNTY GOVERNMENT

DATA ENTRY
03.2004 - 07.2004

Job overview

  • ANSWERED PHONES, FILED
  • DATA ENTRY OF FILES INTO SYSTEM

DOTTER ABSTRACT AND FARMERS INSURANCE

Secretary/Title Search Assistant
08.2003 - 03.2004

Job overview

  • SEARCHED FOR PROPERTY TITLES
  • ANSWERED PHONES
  • FILED
  • TYPED Polices

HUERFANO COUNTY GOVERNMENT

SECRETARY
05.2000 - 09.2000

Job overview

  • ANSWERED PHONES, FILING, POST BOOKS, DEPOSIT MONEY, ENVELOPES,TYPED AND COPIED PAPERS, COUNTED MONEY

Education

Pima Medical Institute
Tucson, AZ

Pharmacy Technician Certification

John Mall High School
Walsenburg, CO

High School Diploma
06-2004

Skills

  • AUDIT REPORTS
  • BILLING
  • Call center
  • CASHIER
  • Computer knowledge
  • CUSTOMER SATISFACTION
  • Customer Service
  • FILING
  • OFFICE
  • REFILL PRESCRIPTIONS
  • RECORD KEEPING
  • RESEARCH
  • Retail
  • P > TELEPHONE/Multi Lines
  • Program Eligibility
  • Medication Side Effect Knowledge
  • Patient and Caregiver Education
  • Quality Assurance Controls
  • Optimize Staff Performance
  • Research
  • Data Entry and Analysis
  • Case Notes
  • Injection Administration
  • Income Verification
  • Insurance Regulations
  • Treatment Planning
  • Medical Records Management
  • Weapons Screening
  • Crisis Management Plans
  • Premises Patrols
  • Screen Personnel
  • Reporting Skill
  • Corrective Actions
  • Verbal and Written Communication
  • Bagging Inspection/ Screening
  • CPR Certified
  • Detailed Activity Logs
  • Monitor CCTV
  • Property Patrol
  • Security Operations Experience
  • Adaptable and Flexible
  • Foot and Vehicle Patrol
  • Federal and State Regulation Compliance
  • X-Ray (Radiograph) Machines
  • Screening Wands
  • Customer Inquiries
  • Government Security Clearance

Accomplishments

  • Successfully completed two-week security training program.
  • Established and maintained anti-hijack and major theft protocol.
  • Documented and resolved issues

Timeline

Case Manager

Mckesson (Rem X)
10.2022 - 02.2023

Customer Service Representative

Retail Activation Services, LLC dba Consensus, Cornerstone Staffing, Target Financial
09.2019 - 12.2019

Benefits Specialist/Benefits Verification Specialist

McKesson Specialty Health/ RemX
08.2019 - 02.2020

CUSTOMER SERVICE REPRESENTATIVE

Tivity Health
08.2016 - 08.2018

Customer Service Representative

Consumer Cellular
01.2015 - 04.2015

HR Specialist

Xerox
09.2014 - 01.2015

GUEST SERVICES REPRESENTATIVE

HARRAH'S AK-CHIN CASINO
10.2013 - 03.2014

PBX OPERATOR

HARRAH'S AK-CHIN CASINO
10.2013 - 03.2014

PHARMACY TECHNICIAN - DATA ENTRY

EXPRESS SCRIPTS
04.2009 - 05.2010

EXTERNSHIP

BASHAS PHARMACY, PERFORM COUNTER SERVICE
10.2008 - 11.2008

CASHIER/ REPLENISHMENT

J.C. PENNYS, WORKED REGISTER AND DID EXCHANGES
01.2006 - 05.2007

Collections Specialist

CENTRIX
08.2004 - 01.2006

DATA ENTRY

HUERFANO COUNTY GOVERNMENT
03.2004 - 07.2004

Secretary/Title Search Assistant

DOTTER ABSTRACT AND FARMERS INSURANCE
08.2003 - 03.2004

SECRETARY

HUERFANO COUNTY GOVERNMENT
05.2000 - 09.2000

Pima Medical Institute

Pharmacy Technician Certification

John Mall High School

High School Diploma

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Loraine L. Valdez