Sandra DeLaCruz

Instacart shoppers, or full-service shoppers, are independent contractors who shop for and deliver groceries to customers on behalf of Instacart, a grocery delivery service.

• Instacart shoppers, or full-service shoppers, are independent contractors who shop for and deliver groceries to customers on behalf of Instacart, a grocery delivery service
• Selecting items: Following customers' shopping lists and choosing the correct items from the store
• Packing: Loading groceries into bags or insulated coolers
• Delivering: Bringing the order to the customer's specified location
• Maintained high satisfaction ratings by completing orders quickly and making good selections for customers.
• Reviews orders prior to pick up for accuracy and purchase-by dates.

Responsible for identifying sales opportunities for insurance plans and overseeing a portfolio of clients.

• Responsible for identifying sales opportunities for insurance plans and overseeing a portfolio of clients
• Identifies prospective clients through leads and referrals
• Schedules client meetings
• Performs follow-up calls as needed
• Advises on insurance coverage
• Conducts periodic policy reviews
• Prepares insurance proposals
• Completes requirements and submits to underwriters.
• Built strong relationships with clients through consistent communication and excellent customer service.

Interprets and explains controlling laws and regulations affecting the operations of entities being audited. Review and study previous audits to determine if problem areas are present. Conducts correspondence relating to fieldwork and prepares necessary reports thereon.

● Research prior audits, applicable statutes, industry-related revenue rulings, and court decisions.

● Identify aspects that need to be audited, include them in the audit plan, and submit the plan for approval as necessary.

● Construct the scope and appropriate audit procedures based on complexity and time constraints impacting audit resources and personnel assignment.

● Coordinate with other sections, divisions, departments, jurisdictions, and agencies on audit issues.

● Determine if records or processes comply with industry standards or auditing controls.

● Perform field audits, including all taxpayer liabilities - on-site or off-site - following the audit work plan.

● Determine records for review to address audit program steps sufficiently and meet testing objectives.

● Determine if records are incomplete and whether it is possible to reconstruct them or if the incomplete records negatively impact the audit objective.

● Conduct review conferences with taxpayers or their agents (corporate controllers, attorneys, and CPAs) to determine issues, report on audit progress, and explain and clarify audit requirements and findings.

● Write (or assist with writing) narrative reports, including an explanation of audit procedures, interpretation of supportive statutory authority, explanation of taxpayer’s records and methods of operation, determination, and conclusions, including support.

● Determine if the audit file folder contains the necessary and required information.

Examine and analyze business and income tax accounts. Issue or deny refund requests to assess tax, penalties, and interest. Answer taxpayer inquiries regarding specific tax account problems.

• Examine and analyze business and income tax accounts
• Issue or deny refund requests to assess tax, penalties, and interest
• Answer taxpayer inquiries regarding specific tax account problems
• Offering and maintaining excellent customer service through soft skills, empathy, and understanding while maintaining confidence and sticking to factually based answers and viable alternatives
• Deescalate tensions with demanding customers by offering viable alternatives, education, and additional resources
• Request, reissue, or deny refunds
• Wholly and accurately enter information into the system from all forms, including DR 0100, CR 0100, DR 0104, and DR 0145
• Transfer business profiles from one taxpayer account to another
• Reset passwords and troubleshoot other taxpayer login difficulties
• Explaining tax Regulations, Statutes, policies, and procedures clearly and accurately
• Transfer payments from one taxpayer account to another when applicable
• Determine if delinquent penalties should be adjusted or waived
• Research Statutes and Regulations
• Addresses other resources using web and network applications to provide up-to-date and accurate information to walk-ins
• Working on additional accounts and documents in between walk-ins
• Print licenses and direct customers to the proper location for additional information
• Keep forms and publications throughout the office stocked and up-to-date.

Issue licenses or permits to qualified applicants. Obtain necessary information, record data, advise applicants on requirements, collect fees, and issue licenses.

• Issue licenses or permits to qualified applicants
• Obtain necessary information, record data, advise applicants on requirements, collect fees, and issue licenses
• Evaluate application information to verify completeness and accuracy and determine whether applicants are qualified to obtain desired licenses
• Assemble photographs with printed license information to produce completed documents
• Collect prescribed fees for licenses
• Verify the authenticity of documents, such as foreign identification or immigration documents
• Handles and resolves more difficult customer complaints and concerns
• Operate specialized photographic equipment to obtain photographs for driver's licenses or photo identification cards
• Teaching the necessary knowledge and skills to perform job tasks efficiently and accurately to Technician I and II positions
• Perform overrides and audit documents for accuracy as necessary
• Maintain records of applications made or licensing fees collected
• Perform routine data entry or other office support activities, including creating, sorting, photocopying, distributing, or filing documents
• Clearing Gates in Central Server
• Perform the duties of a Technician I and II in a Driver License Office
• Travel between multiple Driver's License Offices.

Admits patients by gathering and recording physician, patient, and payment responsibility information, answering questions, and providing hospital and hospital services information.

• Admits patients by gathering and recording physician, patient, and payment responsibility information, answering questions, and providing hospital and hospital services information
• Pre-admits patients by receiving physician bookings, interviewing patients, and entering patient information into the pre-admissions database
• Explains hospital admission policies, time of admission, and room selection to patients and answers inquiries
• Secures payments by screening insurance information and notifying patients of self-paying admissions
• Greets patients and parents; enters demographic and insurance information; confirms pre-admission information; obtains signatures on legal consent and acknowledgment documents; receives payments and issues receipts; distributes patient information literature
• Verifies patient identity by checking identification, preparing and placing the identification band on the patient, and notifying the nurse unit of the patient’s arrival
• Serves and protects the community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards
• Accomplishes admissions and hospital mission by completing the necessarily related results
• Answer telephone calls in a professional manner
• Collecting copays
• Back-up to Radiology Department
• Training new employees in the Admissions Representative role.

Focused on reviewing member financials and performing audits.

• Focused on reviewing member financials and performing audits
• Identified, researched, developed, and recommended solutions to problems/issues with accumulators
• Reviewed all management-level reports for validity, accuracy, and trends
• Managed requests from pharmacy and behavioral health vendors
• Handled and distributed urgent emails from customer service representatives and plan sponsor liaisons
• Assisted on a project to test a macro focusing on loading rejected claims that did not post to members’ financials
• Assisted supervisor on projects and urgent requests
• Able to pay attention to detail and multi-task effectively
• Consistently achieved top-quality scores on monthly reviews and evaluations
• Received awards for Excellence and Integrity
• Acknowledged for good attendance.

Reviewed and adjudicated medical claims by claims processing guidelines.

• Reviewed and adjudicated medical claims by claims processing guidelines
• Processed 100+ medical claims for members with PPO, EPO, POS, and HMO plans
• Pended claims to the proper department if claims needed further review before adjudication
• Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulations, protocols, and third-party requirements regarding billing
• Performed billing and coding procedures for ambulance, emergency, inpatient, and outpatient services
• Received monthly certificates/awards for 100% quality and meeting TAT
• Awarded with 5 Aetna awards for excellence and quality
• Rewarded for saving money on high-dollar claims.

Handled over 100 inbound calls per day with a goal of complete customer satisfaction.

• Handled over 100 inbound calls per day with a goal of complete customer satisfaction
• Answered phone calls and assisted members with questions on benefits and medical claims
• Reviewed and reprocessed claims in question that were denied or processed incorrectly while the member was on the line
• Provided benefit information such as deductibles, coinsurance, and coverage
• Contacted providers on behalf of members regarding claims that were reconsidered for payment
• Effectively dealt with difficult and angry members
• Maintained a high level of professionalism while delivering excellent service
• Highly effective at multitasking and navigating numerous screens.