Summary
Overview
Work History
Education
Skills
Timeline
Generic

Thalia Inostroza

Orlando

Summary

Results-driven and detail-oriented professional with a proven track record in healthcare and customer service. Demonstrates exceptional
leadership, problem-solving, and communication skills. Seeking a customer success role to leverage expertise in driving
operational excellence, fostering team success, and delivering outstanding customer experiences.

Overview

3
3
years of professional experience

Work History

Claims Resolution Specialist

Highmark Inc.
01.2022 - Current
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
  • Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.

Claims Processing Specialist

Geo Blue
09.2023 - 09.2024
  • Enhanced customer satisfaction with timely claim resolution through effective communication and followup.
  • Reduced claim errors by conducting thorough investigations and obtaining all necessary documentation.
  • Streamlined the appeals process for denied claims, resulting in faster resolution times for clients.
  • Identified potential fraudulent claims through careful analysis of trends, patterns, and inconsistencies.

Front of House Supervisor/ Server

Bravo Italian Kitchen
10.2022 - 10.2023
  • Oversee and coordinate daily responsibilities and tasks to ensure proper and fluent transition throughout the shift.
  • Provide support to management to ensure objectives in sales, customer satisfaction, and labor are met.
  • Cross-train in every department to provide unlimited support.
  • Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
  • Addressed customer complaints or concerns professionally, ensuring swift resolution and maintaining positive relationships.

Education

Associate of Applied Science -

Reading Community College

Skills

  • Coding expertise
  • Problem-solving
  • Time management
  • Attention to detail
  • Multilingual education
  • Relationship building and management

Timeline

Claims Processing Specialist

Geo Blue
09.2023 - 09.2024

Front of House Supervisor/ Server

Bravo Italian Kitchen
10.2022 - 10.2023

Claims Resolution Specialist

Highmark Inc.
01.2022 - Current

Associate of Applied Science -

Reading Community College

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Thalia Inostroza