Detail-oriented professional seeking a position where my customer service expertise, legal knowledge, and strong clerical skills contribute to improved efficiency and productivity. Skilled in analytical thinking, problem-solving, and delivering high-quality administrative support. Strong understanding of legal and medical terminology.
Overview
13
13
years of professional experience
Work History
Member Experience Advisor
Nations Benefits
Miramar, FL
09.2023 - 05.2024
Delivered exceptional customer service by addressing member inquiries and resolving issues promptly.
Implemented strategies to enhance member experience using surveys and feedback insights.
Assisted members with applications and related processes upon arrival.
Analyzed member feedback to refine services and improve satisfaction rates.
Provider Services Representative
Sunshine State Medicaid
Miami, FL
11.2020 - 08.2023
Assisted clients with insurance coverage questions and billing inquiries.
Guided customers through the online portal for self-service options.
Resolved complaints and escalated complex issues to senior staff when necessary.
Paralegal / Legal Assistant
Vernis & Bowling
North Miami Beach, FL
05.2019 - 10.2019
Managed incoming calls from opposing counsel regarding pending mediation cases.
Utilized Adverant Total Office (ATO) for scheduling and case coordination.
Organized subpoenas for medical providers and opposing counsel.
Drafted legal documents, including motions and briefs, to support litigation.
Prepared and coordinated trial exhibits, documentation, and digital materials.
Medical Inpatient Coordinator
Anthem, Inc.
Miami, FL
08.2016 - 02.2019
Served as provider relations proxy for credentialing and contractual concerns.
Verified member eligibility across all lines of business, including coordination of benefits.
Collaborated with nurses and medical directors to determine medical necessity.
Investigated and resolved customer complaints to ensure satisfaction.
Reviewed prior authorizations for medications and medical services.
Scheduled appointments with provider offices on behalf of members.
Clerk II
Miami-Dade Clerk of Courts
Miami, FL
12.2010 - 07.2016
Assisted customers with inquiries and service requests.
Filed, scanned, and entered departmental documents and data.
Processed arrears adjustments.
Provided comprehensive clerical support for routine and special tasks.
Ensured accuracy and compliance of legal documents.
Supported positive customer experiences by addressing policy questions and concerns.