Yvette Perez Gutierrez
Paramount,CA
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
9
9
years of professional experience
Work History
Claims Representative
Cigna
08.2023 - Current
- Processed 1supplemental Wellness and Hospital care claims
- Resolved escalated claims
- Contributed to claim projects
- Interpreted different supplemental claims policies and coverage
- Competent in entering, updating, and maintaining accurate records
- Familiarity with claims software( Majesco, Inspro, SA portal, WMT, Bazinga, Knowledge Exchange, Ofac,)
- Ability to set up follow ups and notate claims properly with details of claim process
- Attention to detail to assure claims are process accurately
- Ability to work effectively as part of a team
- Capable of managing and resolving conflicts that arise during claim process
- Efficiently reaching out to facilities to collect accurate information for prompt claims processing.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Updated claims system to track claim status and provide relevant information to other department.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
Accounting Administrative Assistant
IN-MOTION-DESIGN
07.2020 - 08.2023
- Responded to customer issues to provide immediate resolution and improve retention
- Liaise with vendors and clients to address payment status and billing inquiries
- Oversaw staff correspondence, record tracking and data communications, resulting in improved automation of office operations
- Created spreadsheets in Microsoft Excel for record-keeping and reporting
- Matched invoices with purchase order and packing lists to confirm accurate shipments and billing functions
- Organized files, developed spreadsheets, and scanned documents, maintaining front desk and reception area in neat and organized fashion
- In charge of Scan Based Trading program.(Sending orders to correct stores, sending product refills, printing shipping labels, keeping track to not ship duplicate orders
- Processed Online orders.
Event Bartender
SALON BRANDY
04.2015 - 03.2020
- Enhanced customer experience by providing personalized drink recommendations and engaging in friendly conversation.
- Assisted in event setup procedures by arranging bar stations and stocking necessary items in an orderly fashion.
- Effectively handled high-pressure situations during peak hours without compromising the quality of customer service or drink preparation.
- Proactively monitored inventory levels for essential supplies, minimizing downtime due to stock shortages during events.
Education
BACHELOR OF SCIENCE - HUMAN RESOURCES MANAGEMENT -
Cal State University of Long Beach
Long Beach, CA12.2020
ASSOCIATE OF SCIENCE - BUSINESS ADMINISTRATION -
Cerritos College
Norwalk, CA05.2017
Skills
- Time Management
- Microsoft Office
- Policy understanding
- Documentation Review
- Conflict Resolution
- Claims Processing
- Customer Service
- Attention to Detail
- Critical Thinking
- Interpersonal Communication
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Claims Representative
Cigna
08.2023 - Current
Accounting Administrative Assistant
IN-MOTION-DESIGN
07.2020 - 08.2023
Event Bartender
SALON BRANDY
04.2015 - 03.2020
BACHELOR OF SCIENCE - HUMAN RESOURCES MANAGEMENT -
Cal State University of Long Beach
ASSOCIATE OF SCIENCE - BUSINESS ADMINISTRATION -
Cerritos College
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