Lucila Ramirez
Chula Vista,CA
Summary
Authorized to work in the US for any employer highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Dependable professional with track record of success in field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments. Excited to move up within Kaiser Permanente to further acquire new skills and experience.
Overview
13
13
years of professional experience
Work History
Account Administration Representative
Kaiser Permanente
San Diego, CA
08.2023 - Current
- Verified accuracy of customer information prior to enrolling them into a health plan.
- Answered phone calls promptly and responded to emails within 3 days.
- Performed administrative tasks such as filing documents, updating databases, and preparing correspondence.
- Processed customer applications in order to facilitate enrollment into appropriate health plans.
- Processed changes in insurance policies and periodically reassessed client needs.
- Monitored clients' insurance coverages to ensure changing needs were met.
- Calculated premiums and established payment methods, receiving customer payments and issuing invoices.
- Maintained accurate records of transactions within assigned accounts.
- Provided customer service by responding to inquiries from customers regarding their accounts.
- Investigated discrepancies between actual and expected results in financial records.
- Actively participated in meetings with the Special Accounts RG Unit Based Team regarding new initiatives or changes in existing processes.
- Willingness to learn and participate in projects to assist with other departments.
Account Administration Representative-Contingent Worker
Kaiser Permanente, Rose International Temp Agency
San Diego, CA
07.2022 - 08.2023
- Setting up & maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments & terminations
- Served group representatives with speedy and knowledgeable assistance for eligibility needs.
- Answering, researching, issuing & resolving problems related to medical records numbers (MRN)
- Improved data collection accuracy by structuring systems for desktop spreadsheets.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for assistance.
- Utilized Foundation Systems when inputting applicant information into agency's computer system.
- Participated in new hire training and development tasks.
- Responded to client inquiries and concerns and escalated complex problems to department supervisors.
- Maintained positive working relationship with fellow staff and management.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Pupil Supervisor
El Centro School District
El Centro, CA
12.2019 - 02.2020
- Assisted faculty members or staff with student conferences.
- Maintained detailed documentation of students' attendance and disciplinary actions imposed.
- Supervised planning and implementation of special activities and events.
- Oversaw students involved in in-school suspension and detention.
- Assisted teachers in class supervision and organization during lunch, recess and special activity periods.
- Documented observations and assessments of student behavior to identify patterns and reinforce appropriate behaviors.
- Communicated with other teachers and school administrators to build professional relationships.
- Monitored student progress and assisted students and teachers with resolving problems.
- Implemented policies, procedures and programs to carry out educational standards and goals.
- Conferred with parents and staff to discuss educational activities and policies.
Beauty Advisor
Sally Beauty
El Centro, CA
11.2019 - 02.2020
- Built and deepened productive and positive customer relationships with high-quality service and focus on gaining loyalty.
- Recommended merchandise based on expert product knowledge and client preferences.
- Drove and exceeded sales goals by providing personalized beauty experience based on customer needs.
- Sanitized areas and maintained stock, meeting store cleanliness and visual merchandising standards.
- Capitalized on upselling opportunities for additional products and services to increase sales numbers.
- Displayed merchandise to present visually appealing arrangements that drive sales.
- Assisted customers in feeling relaxed and comfortable with the process.
- Finalized purchases and processed payments.
- Greeted customers to determine wants or needs.
- Maintained knowledge of sales and promotions, return policies and security practices.
- Unboxed new merchandise and restocked shelves in appealing and organized arrangements to promote items.
Merchandise and Customer Service Associate
Sears
El Centro, CA
03.2011 - 01.2019
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication.
- Addressed inquiries, resolved customer issues and managed customer relations.
- Consulted with customers regarding needs and addressed concerns.
- Followed policies and procedures to meet or exceed established performance requirements.
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Handled large amounts of cash and balanced cash drawer daily within prescribed balancing guidelines.
- Met and exceeded productivity targets by handling every interaction with top-notch customer service.
- Trained new hires on products and services, best practices and protocols to reduce process gaps.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
Education
High School Diploma -
Southwest High School
06.2009
Nursing
Imperial Valley College
Imperial, CASkills
- Web Technologies and Services
- Customer Relationship Management
- Document Control
- Strategic Account Development and Management
- Training & Development
- Reliable & Trustworthy
- Data Management
- Critical Thinking
- Team Building
- Flexible Schedule
- Relationship Building
- Customer Service
- Microsoft Office
- Good Work Ethic
- Problem Resolution
- Multitasking and Prioritization
- Customer Data Confidentiality
- Data Entry and Maintenance
- Efficient and Detail-Oriented
- Creative Problem Solving
- Upbeat and Positive Personality
- Spanish Fluency
- Courteous Demeanor
- High-Energy Attitude
- Problem-Solving Abilities
- Lead prospecting
Languages
- Spanish - Fluent
- English - Expert
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Account Administration Representative
Kaiser Permanente
08.2023 - Current
Account Administration Representative-Contingent Worker
Kaiser Permanente, Rose International Temp Agency
07.2022 - 08.2023
Pupil Supervisor
El Centro School District
12.2019 - 02.2020
Beauty Advisor
Sally Beauty
11.2019 - 02.2020
Merchandise and Customer Service Associate
Sears
03.2011 - 01.2019
High School Diploma -
Southwest High School
Nursing
Imperial Valley College
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