Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.
Overview
5
5
years of professional experience
Work History
Claims Representative
Elevance Health (Anthem)
06.2022 - Current
On average each day managed to process over 70 claim submissions, consistently meeting deadlines and maintaining high level of accuracy.
Prevented fraudulent claims by performing rigorous investigations into suspicious cases, safeguarding company resources.
Enhanced accuracy of processed claims with meticulous attention to detail and knowledge of coding systems.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Managed large volume of medical claims on daily basis.
Registered Behavioral Technician
Hopebridge
11.2019 - 01.2021
Established rapport with clients, fostering trust and positive relationships that facilitated learning opportunities.
Assisted Board Certified Behavior Analysts in developing evidence-based strategies for optimal results.
Effectively managed challenging situations by employing de-escalation techniques as needed for client safety and wellbeing.
Participated in ongoing professional development to stay current on best practices within the field of Applied Behavior Analysis.
Receptionist
Caliber Collision
04.2019 - 03.2020
Confirmed appointments, communicated with clients, and updated client records.
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Resolved customer problems and complaints.
Handled cash transactions and maintained sales and payments records accurately.
Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
Cultivated positive relationships with clients through professional demeanor and excellent interpersonal skills.
Demonstrated expert knowledge of auto insurance policies and coverages, allowing for accurate assessment of damages and appropriate claim payouts.
Customer Care Representative II at Elevance Health- Anthem Total Health Total YouCustomer Care Representative II at Elevance Health- Anthem Total Health Total You
Cost of Care Director, Reporting and Analytics at Elevance Health/Anthem Inc.Cost of Care Director, Reporting and Analytics at Elevance Health/Anthem Inc.