Nicole Arambula
Greenfield,CA
Summary
Dedicated professional with strong customer relationship management and conflict resolution skills. Known for efficiently processing applications and enhancing client understanding of benefits.
Overview
22
22
years of professional experience
Work History
CSR
Social Security Administration, SSA
Salinas, California
04.2005 - 05.2026
- Informed clients about eligibility requirements and application processes for social security benefits, enhancing their understanding of available services.
- Guided clients through eligibility requirements and application processes for benefits, ensuring clarity and compliance.
- Assisted clients with inquiries regarding social security benefits and services.
- Processed applications for retirement, disability, and survivor benefits efficiently.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Achieved high customer satisfaction by effectively resolving issues with knowledgeable, friendly service.
- Resolved customer complaints promptly and efficiently.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Developed positive relationships with customers through friendly interactions.
- Provided exceptional customer service to ensure customer satisfaction.
Medical Claim Processor
Medical Billing
Salinas
06.2004 - 04.2005
- Processed a high volume of claims on a daily basis using established time frames.
- Communicated with healthcare providers to clarify claim details.
- Resolved discrepancies in claim submissions through thorough investigation.
- Investigated discrepancies in medical billing information such as incorrect codes or amounts due.
- Worked collaboratively with providers' offices to ensure timely reimbursement on submitted claims by providing missing documentation or correcting errors that caused delays in payment processing.
- Ensured compliance with insurance company policies and procedures related to the processing of claims.
- Reviewed insurance policies for compliance with industry standards.
- Collaborated with team members to enhance workflow efficiency.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
Education
GED -
Mt Toro High School
Salinas, CA01-1998
Skills
- Benefits processing
- Claims adjudication
- Social security knowledge
- Compliance verification
- Medical terminology
- Regulatory knowledge
- Customer relationship management
- Problem solving
- Effective communication
- Conflict resolution
- Time management
- Document handling
- Client outreach
- Customer education
- Active listening
- Professional demeanor
- Punctuality and reliability
Timeline
CSR
Social Security Administration, SSA
04.2005 - 05.2026
Medical Claim Processor
Medical Billing
06.2004 - 04.2005
GED -
Mt Toro High School