Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Modesty Beza

San Antonio

Summary

Experienced with creating and delivering comprehensive training programs tailored to diverse audiences. Utilizes engaging instructional methods to facilitate effective learning and skills development. Track record of enhancing team performance through interactive and collaborative training sessions.

Overview

10
10
years of professional experience

Work History

Trainer

UnitedHealthcare
04.2021 - Current
  • Provided one-on-one mentoring to help individuals reach their full potential within the organization.
  • Coached employees on best practices, providing constructive feedback to support their professional growth.
  • Trained and mentored new personnel hired to fulfill various roles.
  • Mentored new hires, resulting in stronger staff development and increased productivity.

Claims Representative

UnitedHealthcare
03.2021 - Current
  • Followed up with customers on unresolved issues.
  • Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
  • Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
  • Developed in-depth understanding of insurance policies and procedures.

Dental service (ISET/CSM)

United Health Care
11.2020 - Current
  • Typing skills flow with the caller
  • Took ownership of customer issues and followed problems through to resolution.
  • Explain information in detail
  • Resolved customer complaints while prioritizing customer satisfaction and loyalty.
  • Review information for members to get a better understanding
  • Dental service (ISET/CSM)

Customer Service Representative

Conduit Global (Verizon)
10.2019 - 10.2021
  • Handle 40 - 50 calls per day
  • Answer incoming customer inquiries
  • Engage with clients in a friendly and professional manner while actively listening to their concerns
  • Offer support and solutions to customers in accordance with the company's customer service policies
  • Other duties as requested

Call Center Agent

CVS Caremark
01.2019 - 08.2019
  • Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors
  • Triages resulting rework to appropriate staff
  • Documents and tracks contacts with members, providers and plan sponsors
  • Guides the member through their members plan of benefits
  • Provides the customer with related information
  • Explains member's rights and responsibilities in accordance with contract
  • Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management

Volunteer

Haven for Hope
03.2015 - 06.2015
  • Assisted with special events and programs.
  • Maintained clean, neat, and operational facilities to serve program needs.
  • Supported engaging, fun, and smooth-running events by helping with organization and planning.
  • Used strong interpersonal communication skills to convey information to others.

Education

High School -

Kipp University Prep High School
San Antonio, TX

Skills

  • New hire training
  • Microsoft office
  • Microsoft outlook, word, and Excel
  • Problem resolution
  • Customer communications
  • Insurance claims review
  • Documentation and reporting

Languages

English
Full Professional

Timeline

Trainer

UnitedHealthcare
04.2021 - Current

Claims Representative

UnitedHealthcare
03.2021 - Current

Dental service (ISET/CSM)

United Health Care
11.2020 - Current

Customer Service Representative

Conduit Global (Verizon)
10.2019 - 10.2021

Call Center Agent

CVS Caremark
01.2019 - 08.2019

Volunteer

Haven for Hope
03.2015 - 06.2015

High School -

Kipp University Prep High School

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Modesty Beza