Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Grievances and Appeal Specialist
Humana
Miami, FL
06.2022 - 12.2022
Resolved escalated customer service issues pertaining to denied claims or unresolved appeals cases.
Generated comprehensive reports detailing outcomes of appealed claims as well as any corrective actions taken as a result of an investigation.
Responded promptly to inquiries from clients or external parties regarding appeal status or process updates.
Conducted research on medical records, financial data, and other relevant documents to support appeals.
Reviewed appeal requests to ensure accuracy of information submitted.
Participated in team meetings focused on discussing recent developments in healthcare regulations impacting the organization's appeal process.
Prepared written summaries of key findings from completed appeal investigations for senior management review.
Coordinated and planned investigations of claims to confirm compensability and coverage.
Fligth Atendant
Swift Air
Grensboro
01.2019 - 05.2022
Provide outstanding customer service to all passengers and ensure passenger and cabin safety
Comply with company policies and federal regulations.
Assisted other staff members in completing tasks as needed.
Interacted positively with guests and coworkers to build professional relationships.
Monitored main areas to replenish inventory items when supplies ran low.
Eliminated safety hazards, removed soiled items, and collected trash from customer areas.
Maintained high standards of customer service during high-volume work shifts and fast-paced operations.
Served guests with enthusiastic, helpful demeanor to promote positive, memorable experiences.
Resolved guest complaints to maintain complete customer satisfaction.
Participated in ongoing training to enhance job skills and knowledge.
LEAD FLIGTH ATTENDANT
XTRAIRWAYS
CORAL GABLES
01.2015 - 12.2018
Praised for quick thinking; decisive, life-saving actions; and ability to calm anxiety-stricken passengers during in-flight medical situations and emergency scenarios ranging from passenger illnesses, injuries, cardiac arrests, and strokes
Managed passenger safety during rejected takeoffs, cabin depressurizations and emergency landings
Earned exemplary ratings on performance reviews at both airlines
Recognized for superior service delivery and above and beyond approach to meeting passenger needs and ensuring their safety, comfort, and well-being.
Education
Some College (No Degree) - Nursing
UAGM University
Miami, FL
06-2026
Skills
Leadership
Conversational spanish
Public Speaking
Safety
Personable
Verbal communication
Customer Service
Data Entry
Multitasking
Certification
FAA - Certification
Certified in First Aid, CPR and Automatic External Defibrillators (AED)