Elizabeth Benitez-Hernandez

**** ***** ***, ***** *********, CA 95660 916-***-****

ac8ny3@r.postjobfree.com

OBJECTIVE

I am a highly skilled and self-motivated customer service representative with exceptional customer service experience pursuing to become a leader on your team. Seeking a position where my skills can add value to your company.

PROFESSIONAL PROFILE

Auto Claims Processor/Claims Operation Assistant I

The Best IRS/Esurance-Assignment- October 2016 to Current

•Processes total loss paperwork associated with auto damage claims.

•Processes paperwork and forwarding to our salvage vendor.

•Receives and issue vendor payments.

•Proceeds with alternative titling options of salvage files as directed by management.

•Applies clearly defined procedures and policies to accurately maintain claim files.

•Coordinates with other departments to ensure timely and appropriate responses.

•Researches, resolves and responds to claims inquiries verbally or in writing.

•Consistently performs established performance metrics for high level data entry including quality, production and turnaround.

•Handles escalated internal and external calls to provided problem resolution.

•Performs inventory reduction.

•Expedite, research, and resolve complex issues.

•Consistently performs established performance metrics, such as quality and production.

Member Processor/Provider Information Enrollment

Blue Shield of California- August 2015 to August 2016

•Applies clearly defined procedures and policies to accurately maintain provider file maintenance.

•Coordinates with other departments to ensure timely and appropriate responses.

•Educates internal and external customers regarding contractual responsibilities, and updates to policies and procedures, improving overall customer satisfaction in the process.

•Researches, resolves and responds to provider inquiries verbally or in writing.

•Consistently performs established performance metrics for high level data entry including quality, production and turnaround.

•Handles escalated internal and external calls to provided problem resolution.

•Performs inventory reduction, routine to mid-level.

•Expedite, research, and resolve complex issues.

•Consistently performs established performance metrics, such as quality and production.

•Continuous BlueShield training in Provider Information and Enrollment Operations.

California Arizona Commercial ACA/ Claims/Medical Representative

Health Net –Sept 2013-August2015

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•Responding promptly to member inquiries.

•Determine level of reimbursement based on established criteria: contracts, plans, and employer groups. Coordinate special payment agreements with providers based on contract terms.

•Meet established expectations and takes responsibility for achieving results.

•Processing orders, forms, applications and requests for information

•Ensure compliance with government regulations and requirements (NCQA, DOC, HCFA).

•Process all adjustment issues, as they occur to comply with company service standards and to ensure achievement of company goals.

•Promoting the company’s products and services to customers

•Handling objections professionally

•Interpreting Health Net’s Policy and Procedures as relates to claim issues, providing interpretation and clarification on contracts and benefits.

•Research/adjust all difficult, complex requests for overpayment, underpayment, refund, contract issues, and stop loss to ensure compliance with departmental and company policies and procedures. Conducts cost containment analyses.

Loan Processing Service

Escrow Assistant- May 2012-August 2013

•Prepared HUD/settlement statement and disbursement from lender instructions.

•Revised closing documents accurately.

•Verified for organization, grammatical errors and accuracy prior to approval for signing.

•Maintained verbal and written communication with lenders and clientele.

•Extensive experience and knowledge of all aspects of title requirements.

•Prepared and processed reverse mortgage packages; claimed inbound/outbound wired funds; audited and disbursed files.

•Assisted with concerns and issues prior to closings.

•Handled aggressive and stressful deadlines.

HomEq Servicing

Loan Service Specialist I - January 2007 - October 2010

•Communicated with customers internally and externally concerning status of accounts. Researched and resolved basic transactional issues.

•Processed supporting documentation to assist with resolution of account delinquency.

•Processed incoming work within established timeframes in accordance with department policies and procedures.

•Processed accounts in pre-foreclosure, foreclosure, bankruptcy, claims and REO status according to state and investor guidelines.

•Made recommendations to management to resolve property condition issues, exceeded set goals and met aggressive deadlines.

•Exceeded Customer Service goals in providing timely and accurate information to existing customers and Investors.

United States Automobile Association

Administrative Support Associate II- October 1999-July 2006

•Initiated litigation processes and oversaw internal legal information system entries to open litigation files. Received and prepared all litigation subpoenas and prepared in-suit files for litigation needed by Staff and Outside Council.

•Received invoices and processed payment for Council or Litigation Manager approved case files.

•Accessed, supported, and maintained Internal Legal Information System Database for Regional Council Office.

•Processed all legal correspondences, reports, memos, logs and mail for litigation cases.

PERSONAL PROFILE

Education:

Techskills of Sacramento

Valley High School, Sacramento, CA

Qualifications:

Spanish-Bilingual

Title Company Experience

Knowledge of Insurance and Tax Documentation

Excellent Facilitation Skills

Self-Starter Motivator-Positive Attitude

Excellent communications skills both written/oral

Adapt and Embrace constant change

Highly organization skills and great ability to multitask

Contact this candidate