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Customer Service Manager

Location:
New York City, NY, 10457
Posted:
December 07, 2018

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Resume:

MIRELLA SAUCEDO

*** * ***** **, *****, New York, 10457 * 951-***-**** * ac7wgo@r.postjobfree.com

Work Experience

MINALI PAINTING INC.

Office Manager, Jun 2017 – Present New York, NY

Responsible for processing payroll

Utilizing customer service skills by quoting jobs, and coordinating jobs daily, or as needed

Answered Calls, emails, and assisted customers with any inquiries, or knowledge requested per customer questions

Responsible for managing accounts both payable or receivable

Daily duties include also collecting outstanding balances, handling customer disputes tactfully, and all escalated issues

THE RICHMAN GROUP

Benefits Administrator, Jan 2016 – Mar 2017 Greenwich, CT

Intake, planning, and implementation of day-to day management of benefit plans, including but not limited to, 401K, medical, dental, and vision ancillary lines of coverage

Provide assistance in the daily benefits activities some of which were responding to employee inquiries and employee education of benefit plans

Responsible for overseeing the annual benefits plan design and open enrollment process

Communicate plan provisions, structure and changes on new hire basis, and annual basis when necessary or requested

Consult with insurance broker to obtain trend data, benefit, and plan design offerings, as well as cost; make recommendations for benefit offering changes

Expertise in processing FMLA, NY Paid Family Leave, STD & LTD claims

MARSH & MCLENNAN AGENCY

Benefits Open Enrollment Specialist, Aug 2013 – Jan 2016 San Diego, CA

Prepare and conduct employee benefit presentations to clients across multiple industries, both in person and via webinars to meet client needs

Educate employees on eligibility, existing plans and/or upcoming changes to plans

Lead of the Spanish Focus Group of translations of all benefit related materials

Planning and coordinating with carrier representative to ensure successful open enrollment

Responsible for written correspondence to employees regarding benefits confirmation/revisions/updates

Ability to tactfully deliver unfavorable benefit changes to employees

ADVANCED HOME CARE

Sr. Collections Specialist, Apr 2011 – Aug 2013 Temecula, CA

Work closely with insurance vendors to discuss and review or resolve complex insurance claims/successful in significantly reducing aging report balances

Negotiation with insurance representatives to develop strategic payment solutions for members/responsible for monthly auditing and collections of unpaid claims

Ensure best practices are followed for adverse benefit determinations

FOUNTAIN VALLEY ORTHOTICS

Sr. Billing & Collection Specialist, May 2001 – Mar 2011 Fountain Valley, CA

Initiated and completed all appeals with insurance vendors or clients

Responsible for monthly auditing and collection of unpaid claims, verification for client coverage levels and benefit information

Handled all billing discrepancies and disputes, as well as reviewing and appealing unpaid/denied claims

Provided excellent customer service while successfully collecting & setting up payment installments with patients

Education

LAKE HIGH SCHOOL Garden Grove, CA

High School Diploma

Obtained High School Diploma

CHAPMAN HETTINGA COLLEGE Garden Grove, CA

Human Anatomy, Law & Ethics

Studied Human Anatomy along with Laws & Ethics.

MIKE RUSS FINANCIAL TRAINING Anaheim, CA

California Life & Disability License, Aug 2012

Additional Skills

Proficient in Microsoft Products such as Word, Excel, PowerPoint, and Outlook

Expertise in processing benefits enrollments, FMLA, NY paid family leave, STD & LTD plans/claims

Over ten years solid background within the health industry dealing with benefits

Passion for educating people on how to properly utilize benefits

Excellent customer service skills, utilizing firm communication and interpersonal skills

Very detail-oriented and well organized. Strong analytical, and conclusive skills for problems solving

Ability to multitask and handle multiple projects



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