Valerie Arce
Peoria,AZ
Summary
At Ebix Health Administration Exchange, I spearheaded initiatives that significantly enhanced claims processing efficiency and fostered strong relationships with external partners. My expertise in claims analysis and exceptional interpersonal skills have consistently improved organizational performance, demonstrating a commitment to professionalism and continuous improvement.
Overview
22
22
years of professional experience
Work History
Sr. Claims Analyst II
Ebix Health Administration Exchange
08.2002 - Current
- Reduced claim processing time by streamlining workflow and implementing efficient case management strategies.
- Negotiated successful outcomes for clients by leveraging strong analytical skills and knowledge of insurance policies.
- Played a critical role in interdepartmental initiatives aimed at improving overall organizational performance within the context of claims handling operations.
- Maintained up-to-date knowledge of industry trends and regulatory changes, applying insights to enhance claim processing effectiveness.
- Established productive relationships with external partners such as medical providers, repair facilities, and law enforcement agencies to facilitate accurate claim assessments.
- Served as a subject matter expert on complex claim cases, offering consultation and guidance to colleagues in need of assistance.
- Provided exceptional customer service by addressing client concerns promptly and maintaining open lines of communication throughout the claims process.
- Enhanced overall team performance by providing mentorship, guidance, and training to junior claims analysts.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Examined claims forms and other records to determine insurance coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Documented information gathered in field and uploaded data to company database for efficient processing using SharePoint.
Accountant
Ebix Health Administration Exchange
08.2002 - Current
- Handled day-to-day accounting processes to drive financial accuracy.
- Reconciled accounts and reviewed expense data, net worth, and assets.
- Documented cash, credit, fixed assets, accrued expenses, and line of credit transactions.
- Gathered financial information, prepared documents, and closed books.
- Assisted in reducing outstanding accounts receivable balances by diligently following up on overdue invoices.
- Streamlined month-end closing processes, resulting in reduced time spent on financial reporting tasks.
- Collaborated with external auditors during the annual audit process to provide necessary documentation and address any concerns or findings promptly.
- Streamlined monthly financial reporting processes, significantly reducing time required for report generation and analysis.
- Facilitated smoother audit processes by maintaining organized and comprehensive financial documentation.
- Provided journal entries and performed accounting on accrual basis.
- Prepared working papers, reports and supporting documentation for audit findings.
- Maintained integrity of general ledger and chart of accounts.
- Collected and reported monthly expense variances and explanations.
- Tracked funds, prepared deposits and reconciled accounts.
Education
High School Diploma -
Maryvale High School
Phoenix, AZ02-1980
Skills
- Claims processing efficiency
- Strong negotiation skills
- Critical thinking
- Professionalism and integrity
- Strategic Decision-making
- Continuous improvement mindset
- Fraud detection techniques
- Technical writing proficiency
- Claims analysis expertise
- Team leadership experience
- Claims review
- Claims analysis
- Claims
- Interpersonal and written communication
- Policy interpretation
- Document workflow
- Accounting spreadsheets
- Teamwork
- Teamwork and collaboration
- Customer service
- Problem-solving
- Insurance policy knowledge
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Claims investigation
- Multitasking Abilities
- Reliability
- Excellent communication
- Computer skills
- Customer service and support
- Organizational skills
- Team collaboration
- Team leadership
- Decision-making skills
- Active listening
- Effective communication
- Adaptability and flexibility
- Verbal and written communication
- Decision-making
- Workload prioritization
- Teamwork skills
- Claims processing
- Verbal communication
- Relationship building
- Team building
- Claims adjustment
- Claims evaluation
- Task prioritization
- Self motivation
- Report and records review
- Coaching and mentoring
- Interpersonal skills
- Conflict resolution
- Goal setting
- Computer literacy
- Professionalism
Languages
Spanish
Limited Working
Timeline
Sr. Claims Analyst II
Ebix Health Administration Exchange
08.2002 - Current
Accountant
Ebix Health Administration Exchange
08.2002 - Current
High School Diploma -
Maryvale High School
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