Summary
Overview
Work History
Education
Skills
Timeline
Certification
Generic

Michelle Guadalupe

Sanford,FL

Summary

Certified Associate in Project Management (CAPM) and detail-oriented professional transitioning into business analysis. Background in insurance, healthcare, and claims administration with experience gathering requirements, documenting processes, and coordinating between stakeholders. Skilled in translating complex information into clear action steps and supporting cross-functional teams. Seeking a Junior Business Analyst role to apply project coordination and analytical skills.

Overview

3
3
years of professional experience

Work History

Bilingual Spanish FMLA Claims Specialist

Compsych
05.2024 - 02.2025
  • Collaborated with cross-functional teams to improve claims processing workflows and enhance service delivery.
  • Reviewed documentation to verify eligibility, maintaining accuracy in claims assessment.
  • Processed FMLA claims efficiently, ensuring compliance with relevant regulations and company policies.
  • Communicated effectively with claimants and employers to gather necessary information and resolve inquiries.

Benefit Verification Specialist- Contract

TalentBridge, Lash Group
11.2023 - 04.2024
  • Verified patient insurance benefits to ensure accurate coverage for Eylea treatments.
  • Collaborated with healthcare providers to gather necessary documentation for benefit approvals.
  • Communicated with patients regarding their insurance status and any required actions.
  • Resolved discrepancies in insurance information to facilitate timely treatment access.
  • Supported the continuous improvement of internal processes by providing feedback on existing systems and suggesting viable solutions for optimization.

Insurance Customer Service Representative

Proctor Financial
09.2021 - 06.2022
  • Responded to customer inquiries regarding policy details and claims processes.
  • Reconciled payments to homeowners’ insurance providers and coordinated internal teams to ensure accurate and timely transactions.
  • Analyzed discrepancies and proposed solutions, reducing delays and ensuing policy reinstatements.

Education

Bachelor of Science - Clinical Psychology

University of Central Florida
Orlando, FL
05.2021

Skills

  • Stakeholder communication
  • Time management and organizational skills
  • Attention to detail and accuracy
  • Conflict resolution
  • Bilingual (English/Spanish)
  • Process documentation
  • Requirements gathering
  • Case evaluation
  • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook

Timeline

Bilingual Spanish FMLA Claims Specialist

Compsych
05.2024 - 02.2025

Benefit Verification Specialist- Contract

TalentBridge, Lash Group
11.2023 - 04.2024

Insurance Customer Service Representative

Proctor Financial
09.2021 - 06.2022

Bachelor of Science - Clinical Psychology

University of Central Florida

Certification

Project Management Institute 

Certified Associate in Project Management (CAPM), 09/2025

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