Strong dedication to helping customers resolve issues and cultivating a positive image of the company. Excel in both team environments and alone. Proven ability to listen attentively, solve problems quickly and efficiently, and create high-quality professional relationships with customers.
Hi, I’m
Tierra Ventimiglia
Hallsville,TX
Summary
Overview
10
years of professional experience
1
Certification
Work History
United Healthcare Group
Claims Analyst
02.2020 - 04.2024
Job overview
- Researched claims and incident information to deliver solutions and resolve problems.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Processed and recorded new policies and claims.
- Delivered exceptional customer service during all stages of the claim process, fostering positive relationships with clients.
- Contributed to the company''s overall success by consistently meeting or exceeding performance metrics in the areas of claim handling efficiency, customer satisfaction, and loss prevention.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
Aetna, A CVS Health Company-Remote
Claims Representative
05.2019 - 01.2020
Job overview
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Verified client information by analyzing existing evidence on file.
- Posted payments to accounts and maintained records.
- Processed and recorded new policies and claims.
ETech Communications-Nacogdoches, TX
Customer Care Advocate
09.2014 - 04.2019
Job overview
- Assisted call-in customers with questions and orders, conferred with customers about concerns with products or services to resolve problem-solving, advocated for customers, helped customers into their accounts
- Improved customer satisfaction by addressing and resolving complaints efficiently.
- Responded to customer needs through competent customer service and prompt problem-solving.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Assisted call-in customers with questions and orders.
- Investigated and resolved customer inquiries and complaints quickly.
Education
Stephen F Austin State UniversityNacogdoches, TX
Bachelor's degree from Communications
05.2019
University Overview
Skills
- Microsoft Excel
- Microsoft Office
- Windows
- Technical Support
- HIPAA
- Live chat
- Claims
- Microsoft Outlook
- Time management
- Customer service
- Typing
- Cash handling
- Medical office experience
- Claim Form Analysis
- Benefits review
- Payment Processing
- Medicare
- Epic
- Clerical experience
- Claims Processing
Certification
- First Aid Certification
- CPR Certification
Timeline
Claims Analyst
United Healthcare Group
02.2020 - 04.2024
Claims Representative
Aetna, A CVS Health Company-Remote
05.2019 - 01.2020
Customer Care Advocate
ETech Communications-Nacogdoches, TX
09.2014 - 04.2019
Stephen F Austin State University
Bachelor's degree from Communications
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