Victoria Estrada-Serrano
Woodlake,CA
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
8
8
years of professional experience
Work History
Claims Processor
Employer Driven Insurance Services
05.2021 - Current
- Evaluated accuracy and quality of data entered into agency management system.
- Followed up with customers and providers on unresolved issues.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Benefit Advisor
Employer Driven Insurance Services
05.2021 - Current
- Developed strong communication and organizational skills through working on group projects.
- Worked effectively in fast-paced environments.
- Responded to customer requests for products, services, and company information.
- Promptly responded to inquiries and requests from customers.
- Educated customers about billing, payment processing and support policies and procedures.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Trained staff on operating procedures and company services.
- Investigated and resolved customer inquiries and complaints quickly.
- Followed up with customers about resolved issues to maintain high standards of customer service.
Customer Service Representative
Cigna
05.2017 - 04.2021
- Responded to customer requests for products, services, and company information.
- Educated customers about billing, payment processing and support policies and procedures.
- Investigated and resolved customer inquiries and complaints quickly.
- Met customer call guidelines for service levels, handle time and productivity.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Placed outbound customer service or customer satisfaction calls to follow up on issues.
Education
Career Diploma - Medical Billing And Coding
Penn Foster Career School
Scranton, PA01-2026
Skills
- Claims review
- Payments posting
- Claims
- Medical terminology
- Insurance claims processing
- Customer service
- Telephone etiquette
- HIPAA
Timeline
Claims Processor
Employer Driven Insurance Services
05.2021 - Current
Benefit Advisor
Employer Driven Insurance Services
05.2021 - Current
Customer Service Representative
Cigna
05.2017 - 04.2021
Career Diploma - Medical Billing And Coding
Penn Foster Career School
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