Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Toniell Valadez

Arlington,TX

Summary

Experienced health insurance representative with a solid understanding of insurance offerings, dedicated to enhancing patient interactions. Expertise in patient communication and healthcare navigation, ensuring efficient appointment coordination. Recognized for strong problem-solving abilities and empathetic approach to patient care. Upholds confidentiality and provides outstanding support in healthcare environments.

Overview

14
14
years of professional experience

Work History

Health Concierge Member Services

Aetna Health Insurance
01.2011 - Current
  • Provides targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement.
  • Utilizes resources to assist customers in understanding components of the Aetna products claims, accumulators, balances, and cost sharing.
  • Coordinates efforts both internally and across departments to successfully resolve service issues.
  • Identifies member needs beyond the initial inquiry by answering the unasked questions.
  • Takes ownership of each customer contact to resolve their issues and connect them with additional services as appropriate, providing claim status information, benefit coverage interpretations, and explaining plan eligibility.

Education

Diploma -

James Bowie High School
Arlington, TX
01.2003

Skills

  • 10 years of experience in the customer service
  • Dependable
  • Can work without supervision
  • Cross-department collaboration
  • Insurance verification
  • Healthcare
  • Customer service
  • Member engagement
  • Medical insurance

References

References available upon request.

Timeline

Health Concierge Member Services

Aetna Health Insurance
01.2011 - Current

Diploma -

James Bowie High School

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