Dynamic Customer Service & Sales Specialist with Healthcare & Claims

Jezebel “Bella” Sanchez-Molina

305-***-**** ************@*****.***

Summary

Results-oriented in customer service and sales, leveraging data-driven decision-making and thriving in high-paced, multitasking environments.

Cordial communication skills with advanced proficiency in written, verbal, and editorial tasks, including proofreading and content refinement.

Proven ability to resolve challenges efficiently through prompt follow-up and strategic problem-solving.

Bilingual fluency in Spanish and English—both written and spoken—with culturally aware communication.

Technically adept with comprehensive experience across Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Access), QuickBooks, Publisher, Adobe Illustrator & Photoshop. Skilled in CRM systems and platforms including Salesforce, SharePoint, Taleo, Avionte, Oracle, Citrix, and CAD tools. Advanced knowledge of Excel functions (pivot tables, X/VLOOKUP, formulas).

Education

Bachelor of Arts in Marketing & CAD Design American Intercontinental University – Atlanta, GA

Certified Dental Assistant (Radiology & Expanded Functions) DATS Dental Training – Tampa, FL

Licensed Pharmacy Technician – St. Louis, MO

Florida 620 All Lines Adjuster License

SBWC Workers’ Compensation Adjuster certification Atlanta, GA 2023

Verification Specialist (BVS) Cencora (MMC temporary Contract) September 2025- December 2025

Ensured 100% documentation accuracy by verifying patient benefits, cost-shares, and provider options across diverse payer plans.

Accelerated patient access to care by triaging incomplete cases, navigating insurance restrictions, and managing prior authorizations/appeals.

Optimized reimbursement workflows by reporting access barriers and reimbursement trends to senior management to drive process improvements.

Adjuster/ Pilot Catastrophe Services Remote FEMA certified, Inside and Outside Auto, Total Loss (Auto), RV, Marine, Inside and Outside Property Adjuster training March 2023- July 2025

Investigated and resolved 50+ insurance claims monthly, reducing payout costs by 15% through thorough damage assessments and fraud detection.

Conducted on-site inspections and collaborated with experts to accurately evaluate damages and determine claim settlements.

Reviewed complex policy details and ensured compliance with regulations, maintaining a 95% customer satisfaction rate.

Negotiated fair settlement agreements with claimants and legal representatives, successfully closing claims efficiently and minimizing disputes.

Prepared comprehensive reports and documentation to support claim decisions and facilitate communication between stakeholders.

Claims Specialist I Blue Cross Blue Shield of Arkansas – Remote Oct 2024 - May 2025

Processed claims with accuracy, interpreting benefits and resolving edits and audits

Determined eligibility, investigated pending claims, and routed issues appropriately

Collaborated with internal teams and medical providers to resolve inquiries

Generated correspondence and completed forms to obtain supporting documentation

Maintained performance standards for productivity and quality

Applied knowledge of ICD, CPT, HCPCS codes and internal processing manuals

Pursued ongoing training to support claims processing proficiency and compliance

Risk and Safety Bilingual Claims Specialist Douglas County Government November 2023 -Feb 2024

Processed workers’ compensation claims and ensured complete, accurate documentation

Calculated benefits per jurisdictional guidelines and authorized compensation

Coordinated medical treatment plans and return-to-work strategies with providers

Partnered with legal teams and represented the county during hearings and mediations

Prepared compliance reports and submitted documentation to regulatory agencies

Conducted risk analysis to identify claim trends and enhance workplace safety

Provided administrative support to Risk, Loss Prevention, and Transit Safety teams

Maintained DMV records, handled sensitive documentation, and supported onboarding

Communicated with county employees, supervisors, adjusters, agencies, and the public to resolve issues

Set up compensation payments and tracked benefit processing for county injured employees.

Legal Assistant- A B Olmos & Associates- Jan 2023 - September 2023

Drafted legal documents including pleadings, discovery requests, correspondence and other litigation documents.

Coordinated depositions and hearing.

E-filed documents with local, state and federal courts.

Compilated and organized case information and documents.

Created and maintained case chronologies.

Prepared for and attending depositions, arbitrations, trials and hearings; and performed legal research in Family law, annulments, divorce, child and support custody, modifications, legitimations, adoptions, contempt, and domestic violence actions.

Marketing Manager/ Pharmacy Tech. Bwell Pharmacy St. Louis, MO Dec 2019 - Dec 2020

Led on-site and digital healthcare campaigns aligned with regulatory standards

Collaborated across teams to launch new products and refine positioning

Created compliant marketing materials and managed multi-channel promotions

Tracked performance metrics and reports delivered to stakeholders

Handled prescription processing, inventory control, and insurance coordination

Supported onboarding, events, and client relationships to boost engagement.

Bilingual Recruiter– Orlando, FL Feb 2018 - Nov 2019

Led end-to-end recruitment and onboarding processes

Drove revenue growth and increased market share

Strengthened client relationships and streamlined team collaboration

Monitored KPIs and optimized marketing strategies

Managed payroll, HR records, and compliance

Developed marketing collateral and assisted with benefits setup

Prospected new leads and achieved staffing targets at recruitment events.

Bilingual Claims Assistant Corvel Corporation Tampa, FL Feb 2017 – January 2018

Registered new claims, updated existing claims, and verified accuracy in Care Mc database system.

Facilitated department support to adjusters, team leaders, claimants, and defense attorneys.

Marketing Executive Panda Security Orlando, FL Dec 2013 - Jan 2017

Led marketing campaigns across digital and traditional channels for cybersecurity products.

Created customer-focused content: ads, blog posts, social media, and email blasts.

Analyzed market trends and performance metrics to optimize strategies.

Coordinated events and product launches to enhance brand presence.

Supported B2B sales, client onboarding, and account renewals.

Resolved technical and billing issues, collaborating with tech support.

Managed transactions, disputes, and account setups via Salesforce.

Legal Executive Assistant Lincare Holdings – Clearwater, FL 2008 - 2010

Provided comprehensive administrative support to six attorneys, including calendar management, appointment scheduling, and multi-line call handling.

Prepared, filed, and maintained confidential legal documentation such as court filings, deposition packets, and discovery materials.

Coordinated legal proceedings by liaising with clients, witnesses, and vendors to arrange hearings, depositions, and related schedules.

Streamlined office operations by managing supply orders, incoming mail, and legal database systems, ensuring efficiency and compliance.

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