Pamela Uzueta
Burnsville,MN
Summary
Personable professional with exemplary customer service skills. Knowledgeable in tackling issues and concerns with poise. Looking to take a dedicated career as a Customer Service Executive to the next level.
Overview
8
8
years of professional experience
Work History
Claims Funding Coordinator
Flyte HCM
05.2021 - Current
- Managed Member Services department
- Delivered five-star member experience through personable inbound and outbound phone calls(about 50 calls per day), digital channels and other forms of member contact
- Identified necessary changes, examining related documents to determine if claim was eligible to be processed
- Communicated with members to acquire missing information for claims as well as supported agents with claims issues.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Set up, stored and updated customer files, department records and regulatory paperwork.
- Reconciled accounts and reviewed expense data, net worth, and assets.
- Handled day-to-day accounting processes to drive financial accuracy.
- Maintained up-to-date knowledge on professional accounting standards to manage financial recordkeeping.
- Gathered financial information, prepared documents, and closed books.
Benefits Customer Service Representative
Aerotek/Willis Towers Watson
07.2020 - 05.2021
- Monitored open claims status to determine progress and resolve issues
- Managed complaints and provided alternatives and solutions to meet customer needs
- Documented, researched and resolved customer service issues
- Handled other support tasks, freeing up managers to take on more pressing responsibilities.
- Guided customers through pension planning and setting up trusts and living wills
- Reviewed wide-ranging financial data and statements with detail-oriented and knowledgeable approach
- Supported over 100 members per day with understanding requirements, application procedures and legal rights
- Answered members questions about benefits and claim procedures
- Delivered fast and friendly service to handle questions and service complaints.
Customer Service Representative
Thomson Reuters
03.2019 - 09.2019
- Managed over 100 customer calls and emails efficiently in fast paced call center environment daily
- Anticipated needs and resolved problems to keep customers happy
- Delivered fast and friendly service to handle questions and service complaints
- Built trusting relationship with customers to better understand needs
- Received 99% customer satisfaction rate while employed here.
- Referred unresolved customer grievances to designated departments for further investigation.
- Operated multiple computer systems and utilized search tools to find information
- Resolved incidents and service requests through SAP and CRM configuration.
Front Desk Receptionist
Chicago Lake Family Dental
09.2018 - 02.2019
- Guided patients with completing forms in compliance with HIPAA regulations
- Protected confidential guest and business information.
- Organized master calendar, scheduling appointments, meetings and events for staff
- Input data into job-related software for storage, retrieval and archiving.
- Corresponded with insurance companies to check claims
- Compiled and input insurance information for new patients
- Resolved authorization and payment problems with patient's insurance providers.
Front Desk Receptionist
Diamond Dental/Signal Hills Dental
12.2016 - 07.2018
- Guided patients with completing forms in compliance with HIPAA regulations
- Protected confidential guest and business information.
- Organized master calendar, scheduling appointments, meetings and events for staff
- Maintained well-organized physical and digital records.
- Corresponded with insurance companies to check claims
- Compiled and input insurance information for new patients
- Resolved authorization and payment problems with patients insurance providers.
Education
High School Diploma -
El Colegio Charter School
Minneapolis, MN12.2015
Skills
- Excellent Customer Service
- Conflict Resolution/Problem Solving
- Positive & Enthusiastic
- Good Verbal And Written Communication
- Time Management & Task Prioritization
- Analytical Thinking
- Ability To Work Independently
- Microsoft Office
- Teamwork and Collaboration
- Written Communication
- Adaptability and Flexibility
- Problem-solving abilities
Languages
Spanish
Native or Bilingual
Timeline
Claims Funding Coordinator
Flyte HCM
05.2021 - Current
Benefits Customer Service Representative
Aerotek/Willis Towers Watson
07.2020 - 05.2021
Customer Service Representative
Thomson Reuters
03.2019 - 09.2019
Front Desk Receptionist
Chicago Lake Family Dental
09.2018 - 02.2019
Front Desk Receptionist
Diamond Dental/Signal Hills Dental
12.2016 - 07.2018
High School Diploma -
El Colegio Charter School
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