Yesenia Paneto-Ramirez
Palm Coast,Florida
Summary
Detail-oriented professional with excellent communication, interpersonal and creative thinking skills. Aiming to leverage my abilities to successfully fill the vacancy in the role. Frequently praised as hardworking by my peers, I can be relied upon to help your department achieve its goals. With my over a decade of experience and a proven knowledge of back office operations, administrative support and claims handling customer service, I am capable of successfully filling the Claim Specialist role in Total Loss
Overview
16
16
years of professional experience
Work History
Claims Associate
Statefarm Auto Claims
04.2023 - Current
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Followed up with customers on unresolved issues.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of claims handling.
- Communicated verification and authorization status updates with all parties involved
- Increased customer satisfaction rates through empathetic handling of customer concerns and timely resolutions.
- Provided exceptional customer service by addressing inquiries promptly and resolving issues professionally.
- Updated claims system to track claim status and provide relevant information to other department.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Developed and implemented strategies to improve claim processes.
- Managed high-volume claim caseloads, ensuring accurate documentation and adherence to company policies.
- Reviewed outstanding requests and redirected workloads to complete handling of claims within scope on time.
- Checked documentation for accuracy and validity on updated systems.
- Help and support for fellow Claims Associates on best practices and procedures.
- Determined appropriateness of payers to protect organization and minimize risk.
- Posted payments to accounts and maintained records.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Collaborated with team members to develop strategies for efficient claims processing and improved customer experiences.
- Supported risk management efforts by analyzing trends in claim data to identify potential areas of concern
Administrative Assistant
Flagler Palm Coast High School
02.2019 - Current
- Leveraged CRM system to update contact lists and perform data entry.
- Monitored and coordinated venue reservations and travel arrangements, facilitating meetings and events
- Utilized sign-in and badge systems to screen and monitor visitors
- Designed and streamlined departmental forms, fostering data entry and retrieval
- Screened incoming telephone calls, routing to appropriate personnel
- Maintained calendars and schedules to set appointments for management team
- Provided cross-coverage support for other administrative personnel
- Prepared purchase requisitions and requests for payment, informing managers of resources required. Coordinated travel arrangements and reconciliation of expense reports
- Proofread and edited correspondence to fix typographical errors or mistakes in grammar
Executive Administrative Assistant
Brokerloop.com
10.2007 - 10.2018
- Fostered a positive work environment by addressing employee concerns and facilitating team-building activities.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Scheduled appointments and handled calenders for senior leadership.
- Developed and maintained automated alert systems for important deadlines.
- Answered phones, handled calls and fielded appointment requests to assist supervisors
- Managed and organized confidential information to maintain privacy
- Adhered to security policy to protect employees, guests and visitors
Education
John Jay College of Criminal Justice
New York, NY09.1999
Skills
- Bilingual - Fluent in Spanish and English
- Data Entry
- Documentation
- Microsoft Access
- Document Retrieval
- Cash Deposit Preparation
- Google Docs
- Customer Service
- Travel Administration
- Back Office Operations
- Excel Spreadsheets
- Workflow Planning
- Database Organization
- Self Starter
Personal Information
Title: Administrative Assistant
References
References available upon request
Timeline
Claims Associate
Statefarm Auto Claims
04.2023 - Current
Administrative Assistant
Flagler Palm Coast High School
02.2019 - Current
Executive Administrative Assistant
Brokerloop.com
10.2007 - 10.2018
John Jay College of Criminal Justice
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