Rebecca Ojeda
Overview
9
9
years of professional experience
Work History
Claims Analyst
Crum & Forster
Remote
03.2024 - Current
- Analyzed travel insurance claims to determine coverage, ensuring accurate decision-making.
- Verified documents to ensure accuracy of information provided by the insured customers.
- Ensured compliance with federal and state regulations governing insurance industry operations.
- Managed workload effectively to ensure timely processing of claims within designated deadlines.
- Communicated with policyholders to explain claims processes, coverage, and decisions.
Enrollment Advisor
San Joaquin Valley College, Inc.
Remote
04.2023 - 03.2024
- Offering encouragement, support, and guidance to prospective students with their educational goals.
- Building rapport with students to find a good match between their interests and what the programs have to offer.
- Assisting students with filling out and submitting applications for admission.
- Managing and updated student records.
- Helping students to take steps needed for their educational preparation and success.
Team Lead-Claims Analyst
Aston Carter
Remote
02.2022 - 03.2023
- Fostered positive employee relationships through communication, training and coaching.
- Evaluated and assisted team members with complex case issues.
- Assisted with technical and system issues.
- Delegated daily tasks to team members to optimize group productivity.
- Followed specific methods and procedures to help suggest eligibility determinations.
- Verified claim data correctness in preparation for processing.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
Private Contractor- Support Associate
Elfin Support
Remote
06.2021 - 01.2022
- Worked for a major financial institution assisting clients with their brokerage accounts.
- Answer incoming customer service and app-based inquiries regarding stock market accounts.
- Gather and record customer information and concerns.
- Perform basic troubleshooting and technical support.
- Utilized Salesforce and soft phone systems to assist customers with account servicing.
Team Lead-Student Employee
Follett Higher Education Group
Chico, CA
12.2016 - 08.2018
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Scanned merchandise using point-of-sale system for accurate purchase totals.
- Picked products from designated locations using various tools and transferred to appropriate areas for further processing.
- Labeled boxes and placed in outbound collection areas.
Education
Bachelor of Arts - Psychology
California State University - Chico
Chico, CACrisis Intervention Counselor Certification -
Catalyst Domestic Violence Services
Chico, CAAssociate - Interdisciplinary Studies - Social & Behavioral Sciences
San Joaquin Delta College
Stockton, CASkills
- Team Leading
- Supervisor
- Leading Zoom Meetings
- Counseling
- Crisis Intervention
- Conflict Mediation
- Claims Processing
- Case Processing
- Microsoft Office
- Excel
- Amazon WorkSpaces
- Outlook
- Zendesk CRM
- SharePoint
- Salesforce
- Otech
- Claims Evaluation
Timeline
Claims Analyst
Crum & Forster
03.2024 - Current
Enrollment Advisor
San Joaquin Valley College, Inc.
04.2023 - 03.2024
Team Lead-Claims Analyst
Aston Carter
02.2022 - 03.2023
Private Contractor- Support Associate
Elfin Support
06.2021 - 01.2022
Team Lead-Student Employee
Follett Higher Education Group
12.2016 - 08.2018
Bachelor of Arts - Psychology
California State University - Chico
Crisis Intervention Counselor Certification -
Catalyst Domestic Violence Services
Associate - Interdisciplinary Studies - Social & Behavioral Sciences
San Joaquin Delta College