Customer Service Specialist
Resume:
JEANETTE
BLANCO
CLAIMS SPECIALIST
ad3qja@r.postjobfree.com
Bakersfield, CA 93311
CONTACT
Dependable and service-oriented
professional with expertise in
processing and coding claims,
ensuring all required criteria are met
before eligible payments are issued
to claimants. Proven track record of
meeting targets, with strong
analytical skills and attention to
detail. Well-versed in working and
collaborating in a fully remote
professional environment.
CAREER OBJECTIVE
Claims Analyst
California Employment Development Department, Bakersfield, CA Bilingual Customer Service Specialist
California Public Health Department, Bakersfield, CA Finance Assistant
Urners Furniture, Bakersfield, CA
EXPERIENCE
November 2021 - Present
Review employer protests of unemployment claims for potential eligibility issues.
•
Make outbound calls as needed to interview employers for information verification to resolve any noted issues and discrepancies .
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Determine protest status, and process claims with confirmed eligibility issues for potential adjudication and determination by the California Employment Development Department.
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Document employer interactions, along with actions taken to supplement case notes.
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• Collaborate with subject matter experts to address unique issues. Attention to HIPPA and protecting PII, fundamental knowledge to utilize multiple different systems for verification of sensitive information.
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• Assisting other team members in day to day operations. June 2020 - February 2021
• Answered numerous phone calls for the CDC help hot line.
• Track all calls covered any vaccination related questions or concerns. Scheduled Covid 19 vaccine appointments in different counties of California.
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• Followed Guidelines for the state of California. Spoke clearly and persuasively in positive or negative situations,
• listening to customers to get clarification and respond to questions. Used job-related software to complete contract forms, prepare change of address records.
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• Managed stressful situation calm and collective.
• Managed over load.
• Manager skills.
February 2015 - July 2017
• Processed invoices, following up with clients, suppliers and partners.
• Updated financial information in spreadsheets and databases.
• Revised financial spreadsheets, updating with daily transactions.
• Received, record and bank cash, checks and vouchers. Debited, credited and totaled accounts on computer spreadsheets and databases, using specialized accounting software.
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Performed financial calculations, such as amounts due, interest charges, balances, discounts, equity and principal.
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West High School, Bakersfield, CA
EDUCATION
June 2011
SKILLS
• Spanish Interpreting
• Sharepoint
• CRM Systems
• Call Center Operations
• Smartsheet's
• Productivity Standards
• Database Research
• Microsoft Office
• Claims Evaluations
• Eligibility Determinations
• Accounts Payable and Accounts Receivable
• Office 365
• Case Analyzation
• Investigate Claims
• Analysis
• Quality Control
• Schedule Management
• Accounting Spreadsheets
• 3270 HHSDS Session/DOS based systems
LANGUAGES
• Spanish
Fluent
Rosana Barrancos — Maximus
Team Leader - Project Management
ad3qja@r.postjobfree.com
REFERENCES
Co Worker
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