Adaptable support and operations specialist with a proven ability to resolve operational issues and streamline backend workflows. Passionate about untangling process challenges to improve service reliability, accuracy, and customer satisfaction.
Overview
7
7
years of professional experience
Work History
Operations Associate-Claims Adjustment Team
Alma Community Network
New York, New York
08.2023 - Current
Resolved denied claims by corresponding with insurance companies and clients through phone, chat, and Zendesk ticketing system.
Reviewed and re-submitted electronic claims with 97% accuracy, adjusted provider payouts, and posted payments promptly on the CRM platform.
Flagged potential fraudulent claims to relevant teams, preventing revenue loss for the company.
Generated superbills for over 30 daily transactions, ensuring efficient payment and billing processes.
Family Reunion Coordinator
Fowlin, Satchell, and Mckay Family Reunion 2024
Negril, Jamaica
06.2023 - 07.2024
Successfully organized a multi-day family reunion for 125 guests, in collaboration with a five-member committee.
Managed event finances, including expense tracking and dues collection, using Excel, Google Sheets, Zelle, and Eventbrite.
Evaluated venues in Negril, Jamaica for family activity day and formal dinner.
Developed detailed event itinerary, including contingency plans for smooth execution.
Business Consultant
Donnelley Financial Solutions
Phoenix, Arizona
05.2022 - 04.2023
Achieved 100% accuracy and timely submission of online SEC filings and XBRL documents.
Proofread filing documents to ensure compliance prior to SEC submission.
Tracked and logged order issues in Salesforce, resolving billing discrepancies for vendors.
Collaborated with departments to improve task distribution and address escalated issues.
Benefits Service Associate II
Conduent
Secaucus, New Jersey
03.2018 - 04.2022
Oversaw benefit administration for multiple clients, ensuring compliance with regulatory requirements.
Resolved coverage disputes by collaborating with insurance carriers, county courthouse officials, and internal teams, reducing resolution time by 75%.
Guided clients in selecting optimal benefit options based on needs and budget.
Reviewed personal documents and Protected Health Information (PHI) to assess benefit eligibility.
Education
Bachelor of Arts, BA - Psychology
North Carolina Agricultural and Technical State University
Skills
Billing and revenue cycle management
Claims processing
Efficient task management
Regulatory compliance
Technical proficiency in Google Suite and Microsoft Office
Compassionate communication
Phone support and live chat
Root cause analysis
Event coordination
Financial tracking
Electronic payments and wire transfers
Invoice and refund processing
Billing dispute resolution
Cultural awareness
Claim resolution
Benefit administration
Timeline
Operations Associate-Claims Adjustment Team
Alma Community Network
08.2023 - Current
Family Reunion Coordinator
Fowlin, Satchell, and Mckay Family Reunion 2024
06.2023 - 07.2024
Business Consultant
Donnelley Financial Solutions
05.2022 - 04.2023
Benefits Service Associate II
Conduent
03.2018 - 04.2022
Bachelor of Arts, BA - Psychology
North Carolina Agricultural and Technical State University