Victoria Barreto
Philadelphia,PA
Summary
Dynamic Application Specialist with a proven track record at American Disability Alliance, excelling in claims processing and customer relationship management. Adept at analyzing insurance policies and resolving conflicts, leveraging strong communication skills and expertise in SAP to enhance client satisfaction and streamline operations. Committed to delivering exceptional service and support.
Overview
5
5
years of professional experience
Work History
Application Specialist
American Disability Alliance
Philadelphia, Pennsylvania
08.2024 - 07.2026
- Reviewed and evaluated claims to determine coverage and liability.
- Researched applicable policies to determine coverage eligibility for customers.
- Analyzed claim information to determine coverage of insurance policies.
- Supported clients in navigating disability services and resources.
- Completed day-to-day duties accurately and efficiently.
Claims/Billings Specialist
Plymouth Rock Insurance
Horsham, USA
10.2023 - 07.2024
- Delivered customer care and solutions for billing and account inquiries, enhancing client understanding and resolution time.
- Generated and processed new and outdated bills
- Coordinated communication between clients and claims adjusters, streamlining resolution processes and improving client experience.
- Handled 90+ customer calls daily, addressing inquiries and delivering support to ensure customer satisfaction.
- Conducted regular reviews of insurance policies to identify potential improvements.
Claims Representative
Hartford Steam Boiler (HSB)
Wayne, USA
08.2022 - 09.2023
- Processed insurance claims from initial submission through final resolution, ensuring timely and fair outcomes.
- Investigated claims, reviewing details and gathering evidence from policyholders to ensure accurate claim processing. made by policyholders
- Communicated with clients to gather information and clarify claim details, enhancing customer understanding and satisfaction.
- Attach the correct policy to the submitted claims
- Answer any policy questions by the customers/insureds
Brand Ambassador/ Caterer
Aramark
Philadelphia, USA
10.2021 - 05.2022
- Represented Aramark’s brand and services to enhance brand awareness.
- Prepare and serve food orders at monthly events for 100+ guests and ensure that health and safety regulations are respected
- Facilitated improvements by sharing insights with management, leading to enhanced team efficiency. and improvement techniques to the managers of the company
Billing Health Assistant
Accolade / Independence Blue Cross
Philadelphia, USA
02.2021 - 08.2021
- Delivered quality customer service for health insurance billing inquiries, addressing concerns for 10+ clients each shift
- Managed invoicing processes, prepared pro forma bills, generated final invoices, resolved discrepancies, monitored customer accounts, and tracked exceptions
- Supported clients with healthcare inquiries and benefits information, ensuring clarity and understanding.
- Educated patients on health plans and services available through the organization.
Education
Bachelor of Science - Business Administration
La Salle University
Philadelphia, PA05-2022
Skills
- Claims Processing
- Claims Analysis
- Claims management
- Policy Analysis
- Billing management
- Application Integration
- SAP
- Microsoft Office
- Client Support
- Customer relationship management
- Backup operations
- Interpersonal communication
- Communication strategies
- Conflict resolution
On Campus Leadership And Involvement
Business Leadership Fellows Program, Member, 08/18, 08/19
Timeline
Application Specialist
American Disability Alliance
08.2024 - 07.2026
Claims/Billings Specialist
Plymouth Rock Insurance
10.2023 - 07.2024
Claims Representative
Hartford Steam Boiler (HSB)
08.2022 - 09.2023
Brand Ambassador/ Caterer
Aramark
10.2021 - 05.2022
Billing Health Assistant
Accolade / Independence Blue Cross
02.2021 - 08.2021
Bachelor of Science - Business Administration
La Salle University