Demonstrated experience with Salesforce.
Demonstrated experience with Zendesk.
Demonstrated experience with QNXT.
Demonstrated experience with VBA.
Brighton Health Plan Solutions
Provide front-line support to members and providers regarding benefits, eligibility, and claims., Resolve escalated issues while maintaining compliance with HIPAA and company policies., Utilize Salesforce and Zendesk for case management and documentation., Deliver accurate and timely information to ensure customer satisfaction and retention.
Sendero Health Plans
Assisted members with inquiries regarding health plan benefits, coverage, and claims status., Processed requests in QNXT system with high attention to accuracy., Collaborated with internal teams to resolve provider and member escalations., Consistently exceeded performance metrics for call resolution and service quality.
Aetna Health Texas
Supported complex claims processing and member issue resolution., Mentored and trained new representatives on QNXT and Salesforce systems., Monitored compliance with regulatory standards and internal guidelines., Recognized for improving resolution turnaround time and enhancing customer satisfaction.
High School Diploma
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Demonstrated experience with Microsoft Office Suite.
