VALERJANA GRISHAJ

• Proven expertise in customer service through daily support of members in a fast‑paced office environment
• Strong command of Salesforce and multiple health‑insurance–related systems, with the ability to learn new platforms quickly
• Experienced in resolving member inquiries, eligibility issues, coverage questions, and claims concerns with accuracy and professionalism
• Consistently recognized for clear communication, patience, and a solutions‑focused approach
• Ability to work effectively under pressure while maintaining high service standards
• Skilled at managing in‑person assistance, and complex cases with attention to detail
• Adept at de‑escalating challenging situations and guiding members through processes step‑by‑step
• Collaborative team member who contributes to smooth office operations and positive member experiences
• Strong problem‑solving skills and ability to navigate multiple systems simultaneously to provide timely resolutions
• Committed to maintaining compliance, confidentiality, and quality standards in all member interactions

• Supported daily operational processes to ensure efficient workflow and coordination between internal teams and external vendor partners.
• Maintained regular communication with vendors to address questions, provide updates, and ensure smooth operational support.
• Assisted with operational and performance reporting, including creating reports when needed to support team tracking and process improvement.
• Helped onboard new staff by providing guidance on internal systems, workflows, and compliance requirements.
• Provided QA and basic IT support by troubleshooting issues and escalating concerns to the appropriate teams when necessary.
• Ensured administrative processes and documentation followed company policies and compliance standards.
• Delivered excellent administrative and customer service to customers, vendors, business partners, and internal colleagues by managing inquiries via phone, email, and in person in a timely and professional manner.