Veronica Avondale
Macedon,NY
Summary
Results-driven FSA Claims Specialist at Paychex Inc, adept at claims analysis and policy interpretation. Enhanced customer satisfaction through effective communication and streamlined workflows, achieving consistent performance targets. Recognized for mentoring team members and implementing process improvements that reduced claim processing time, showcasing strong attention to detail and collaboration skills.
Overview
28
28
years of professional experience
Work History
FSA Claims Specialist
Paychex Inc
Rochester, NY
05.1998 - 05.2026
- Reviewed and processed claims to ensure compliance with company policies and IRS regulations.
- Collaborated with clients to gather necessary documentation for efficient claims resolution.
- Analyzed claim data to identify trends, ensuring accuracy and timely processing of requests.
- Guided junior staff on best practices in claims management.
- Implemented process improvements that reduced claim processing time and enhanced customer satisfaction.
- Mentored team members to enhance skills in claims analysis and customer service techniques.
- Managed high-volume claim workflows while maintaining quality standards and compliance guidelines.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Assisted with FSA member enrollment
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Assisted with other internal groups with occasional projects to reduce redundancies in data base management.
Education
High School Diploma -
Palmyra-Macedon HIgh School
Palmyra06-1977
Skills
- Claims investigation
- Verbal communication
- Policy interpretation
- Claims analysis
- Documentation review
- Forms validation
- Time management
- Critical thinking
- Customer service
- Organizing and prioritizing work
- Attention to detail
- Teamwork and collaboration
- Multitasking Abilities
- Data entry
- Policy review
- Claims Processing
Timeline
FSA Claims Specialist
Paychex Inc
05.1998 - 05.2026
High School Diploma -
Palmyra-Macedon HIgh School