Nicole Madrid
West Jordan,UT
Summary
Detail-oriented and efficient claims processor with over 5 years of experience in reviewing, validating, and resolving flexible benefit claims. Proven track record of managing high-volume workloads while ensuring accuracy and compliance with company policies and regulations. Adept at collaborating with cross-functional teams to streamline processes and improve customer satisfaction.
Overview
8
8
years of professional experience
Work History
Email and Chat Correspondent
National Benefit Services LLC
09.2023 - Current
- Consistently analyzed and handled processing of FSA claims.
- Ensured timely response to participant inquiries within established deadlines.
- Handled multiple assignments concurrently, maintaining high organization.
- Assessed status and outlined requirements of health claims.
- Provided quality thorough responses through account research and fact checking.
- Routinely achieved and exceeded KPI standards.
- Regularly outperformed set daily and weekly task completion goals.
Compliance Specialist and Interal Audit
National Benefit Services LLC
09.2018 - 08.2023
- Imported enrollment data from large Excel spreadsheets.
- Manually transcribed application details from PDFs into the system.
- Handled ticket requests for account modifications as well as benefit changes.
- Executed comprehensive reviews of completed tasks to ensure work met established standards.
- Designed annual changes and plan set up for new plan year benefits.
Service Center Representative
National Benefit Services LLC
03.2017 - 09.2018
- Worked effectively in fast-paced environments.
- Frequently examine and discuss submitted claims.
- Proficient in independent and collaborative environments.
- Demonstrated capacity for rapid learning and adjustment to changing circumstances.
- Excellent communication skills, both verbal and written.
Skills
- Flexible health benefit knowledge
- Deadline management
- Proofreading
- Checking facts
- Customer satisfaction
- First interaction resolution
- Problem-solving
- Attention to detail
- Account verification
- Multitasking
- Reliability
- Active listening
- Effective communication
- Email and phone etiquette
- Professional demeanor
Timeline
Email and Chat Correspondent
National Benefit Services LLC
09.2023 - Current
Compliance Specialist and Interal Audit
National Benefit Services LLC
09.2018 - 08.2023
Service Center Representative
National Benefit Services LLC
03.2017 - 09.2018
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