Stephanie Rodriguez
Hackensack
Summary
Skilled claims processing professional with extensive experience in reviewing and validating insurance claims. Strong focus on accuracy, problem-solving, and effective communication. Known for collaborative approach and adaptability to changing needs. Proficient in claims software, data entry, and customer service.
Overview
14
14
years of professional experience
Work History
Benefits Analyst
Amalgamated Life Insurance
White Plains, NY
09.2024 - Current
- CLAIM PROCESSOR - LIFE & AD&D CLAIMS
- Processed claims accurately, ensuring compliance with company policies and fund regulations.
- DOCUMENT REVIEW
- Reviewed and analyzed claim documentation for completeness and validity, minimizing errors in processing.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- DATA ENTRY
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Added accurate data entry into computer system to complete processing.
- CUSTOMER SERVICE
- Responded to customer inquiries, providing detailed explanations of insurance claim processing and claims statuses.
- ADOBE
- EXCEL
- WORD
- CHILD SUPPORT PORTAL
Customer Service Associate
Sedgwick Pharmacy
Bronx, NY
01.2022 - 05.2024
- Provide excellent customer service by greeting and aiding customers with their inquiries, purchases, and product recommendations.
- Address customer concerns, questions, and requests with a friendly and helpful attitude, ensuring a positive and satisfying experience.
- Accurately handle cash transactions, process credit/debit card payments, and provide correct change to customers.
- Provide information on over-the-counter medications, health, and wellness products, and aid customers in finding items within the store.
- Adhere to pharmacy regulations and policies, including privacy and confidentiality requirements, procedures for handling restricted or controlled medications per legal and ethical guidelines.
- Communicate effectively with pharmacists and colleagues to address customer needs, inventory management, and any issues that may arise during daily operations.
Enrollment Agent
Identogo
Bronx, NY
08.2018 - 04.2020
- Fingerprinting clients
- Entering clients' demographics into database
- Collect and process payments
Sales Associate
Gap Factory Outlet
Myrtle Beach, SC
05.2012 - 01.2017
- Provide excellent customer service by aiding shoppers with product selection, fitting, and answering inquiries about sizes, styles, and promotions.
- Communicate details about materials, sizing, and care instructions for various products.
- Process customer transactions accurately, handle cash, and run point-of-sale systems efficiently.
- Assist with keeping a visually appealing store layout by organizing and replenishing merchandise on the sales floor.
- Communicate effectively with colleagues and managers to address customer needs and resolve any issues that may arise during daily operations.
Education
Associate's degree - Applied Science in Electronic Medical Records
Miller Motte College Online
Graduated GED - undefined
Eastside House Settlement
Skills
- Data entry
- Documentation and reporting
- Customer Service
- Sales
- Multitasking Abilities
- Leadership
- Time management
- Inventory Management
- Pharmacy Processing
- Retail Operations
- Teamwork
- Product Knowledge
- Computer Software
- Claims processing software
- Claims review
LANGUAGES
English
Spanish Fluent
Timeline
Benefits Analyst
Amalgamated Life Insurance
09.2024 - Current
Customer Service Associate
Sedgwick Pharmacy
01.2022 - 05.2024
Enrollment Agent
Identogo
08.2018 - 04.2020
Sales Associate
Gap Factory Outlet
05.2012 - 01.2017
Graduated GED - undefined
Eastside House Settlement
Associate's degree - Applied Science in Electronic Medical Records
Miller Motte College Online