Theresa Valdez
Lubbock,TX
Overview
21
21
years of professional experience
1
1
Certification
Work History
Provider/Claim Representative
Centene Corporation
09.2024 - Current
- Provide accurate claim information and status updates to healthcare providers.
- Verify and communicate patient benefits and eligibility details.
- Deliver information regarding prior authorizations, requirements, and approvals.
- Ensure providers receive clear and timely updates to support patient care.
- Maintain compliance with company policies and HIPAA regulations.
CSR - Customer Service Representative
Capital Mortgage Services of Texas
01.2017 - 03.2023
- Assisted clients with inquiries regarding mortgage payments, loan accounts, insurance, and related services.
- Delivered clear and professional communication to resolve customer issues, escalating complex cases when necessary.
- Handled conflict resolution with empathy and professionalism, ensuring positive client experiences.
- Maintained strong attention to detail when reviewing account information and processing client requests.
- Consistently recognized for dependability and ability to manage a high volume of client interactions.
Manager
Amax Auto Insurance
10.2013 - 11.2016
- Joined as an Agent in the company’s first Lubbock office and was promoted to Store Manager within 6 months due to strong performance and leadership.
- Opened and managed new client accounts while ensuring compliance with company standards and policies.
- Oversaw daily office operations, including meeting monthly sales quotas and supervising staff.
- Trained, coached, and supported employees to improve productivity and customer satisfaction.
- Successfully balanced client service with operational management, contributing to office growth and performance.
Customer Service Representative
Vxi Global Solution
01.2009 - 01.2013
- Managed 100% of customer interactions via phone and computer, assisting clients with inquiries about products and services.
- Navigated multiple computer systems simultaneously while maintaining professionalism and accuracy during live calls.
- Delivered a positive customer experience by actively listening, addressing questions, and providing tailored solutions.
- Balanced both customer service and sales responsibilities, consistently meeting client needs while supporting business goals.
- Developed strong multitasking and problem-solving skills in a fast-paced environment.
Data Entry
Greyhound Bus
01.2005 - 01.2008
- Gained foundational experience working with computers, phones, and customer interactions in a fast-paced environment.
- Entered and processed hundreds of business transactions daily, ensuring accuracy and timely documentation of services rendered.
- Maintained detailed records of bus bills (service receipts) to guarantee proper billing and payment for the business.
- Quickly adapted to new systems and processes, exceeding performance expectations and consistently meeting deadlines.
- Built strong organizational and multitasking skills while developing a professional work ethic early in my career.
Education
Diploma - undefined
Monterey High School
Skills
- Customer Service & Client Support
- Claims, Benefits & Eligibility Verification
- Prior Authorization & Insurance Processes
- Data Entry & Documentation Accuracy
- Conflict Resolution & Problem-Solving
- Multitasking in High-Volume Environments
Certification
Driver's License
Timeline
Provider/Claim Representative
Centene Corporation
09.2024 - Current
CSR - Customer Service Representative
Capital Mortgage Services of Texas
01.2017 - 03.2023
Manager
Amax Auto Insurance
10.2013 - 11.2016
Customer Service Representative
Vxi Global Solution
01.2009 - 01.2013
Data Entry
Greyhound Bus
01.2005 - 01.2008
Diploma - undefined
Monterey High School