Demonstrated exceptional organizational skills and adaptability while effectively managing a high-volume caseload in dynamic environments, fostering clear communication with stakeholders.
Overview
8
8
years of professional experience
Work History
Payment Reconciliation Team Member
Sutter Health — Deposit Services Department (Contracted)
Rancho Cordova, CA
02.2025 - Current
Process and reconcile daily financial transactions and deposits with a high degree of accuracy.
Research discrepancies, verify supporting documentation, and resolve issues in compliance with internal controls.
Maintain detailed records and reports supporting audit and regulatory requirements.
Collaborate with internal departments to ensure timely, accurate processing and issue resolution
Evaluated and processed claims documents from third parties to ensure compliance and accuracy.
Mercury Insurance — Auto Insurance Claims Adjuster
02.2023 - 02.2024
Managed a full caseload of insurance claims from initial report through resolution.
Conducted investigations by reviewing statements, photos, estimates, and supporting documentation.
Determined coverage and liability in accordance with policy terms and state regulations.
Negotiated settlements with claimants, vendors, and legal representatives.
Maintained thorough claim documentation using Guidewire, Mitchell, and Microsoft Office tools.
Managed billing, collections, deposits, and account reconciliation with a high level of accuracy.
Reviewed documentation for accuracy and researched discrepancies to resolution.
Communicated professionally with customers, technicians, and management to resolve issues.
Processed payroll data and addressed employee inquiries related to hours and pay.
Bell Marine Co. — Customer Service & Administrative Assistant
02.2018 - 12.2021
Provided front-line customer service while handling cash transactions and account records.
Maintained logs, reports, and financial documentation with strong attention to detail.
Assisted with payroll processing and accounts receivable using QuickBooks and PAYCHEX.
Communicated effectively with vendors, drivers, and internal teams.
Education
High School Diploma - undefined
Hiram Johnson High School
Sacramento, CA
Skills
Assisted in investigating claims to determine validity and support resolution processes Evaluated evidence and documentation to aid in decision-making Collaborated with team members to streamline investigation procedures
Conducted thorough liability determinations to assess risk exposure
Conducted thorough review of medical and wage documentation to ensure compliance and accuracy
Facilitated settlement negotiations to achieve favorable outcomes for all parties involved
Assisted in maintaining compliance with regulatory policies Supported teams in understanding and implementing compliance requirements Aided in the preparation of documentation for regulatory reviews
Assisted in organizing case files and maintaining documentation systems Supported team members in managing case-related information efficiently Contributed to the overall effectiveness of file management processes
Facilitated effective communication between customers, employers, and stakeholders
Administered claims systems utilizing Guidewire and Mitchell platforms
Utilized Microsoft Office Suite to assist in document creation and data management Supported team members in preparing presentations and reports Aided in organizing project schedules using Excel spreadsheets
Assisted in organizing tasks to meet deadlines with precision Supported team members in maintaining high levels of accuracy in project deliverables Contributed to effective scheduling to optimize workflow
ADDITIONAL EXPERIENCE
SAS Retail Services — Team Lead (2016–2018)
Tri-City Technologies — Mail Fulfillment (2009–2016)
Walmart — Department Manager / Price Verifier (2011–2015)
Famous Burgers — Assistant Manager (2009–2011)
Timeline
Payment Reconciliation Team Member
Sutter Health — Deposit Services Department (Contracted)
02.2025 - Current
Mercury Insurance — Auto Insurance Claims Adjuster
EOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical GroupEOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical Group