Administrative professional with over 7 years of experience
Results-driven professional with over 7 years of experience in customer service, claims management and adjudication, conflict resolution, and operational coordination. Holds an MBA and a certified C1 Advanced level... More
Managed customer service and access operations for VIP lounges and corporate benefit programs. Verified program eligibility and compliance while guiding clients through policy and regulatory updates. Generated operational reports and successfully resolved high-priority customer service claims. Managed the full lifecycle of customer claims, resolving over 150 customer service cases weekly. Coordinated communication between clients and internal departments to guarantee timely case resolutions. Administered complex cases while strictly meeting established response time frames (SLAs).
Managed the full lifecycle of customer claims, resolving over 150 customer service cases weekly. Coordinated communication between clients and internal departments to guarantee timely case resolutions
Analyzed and validated over 200 medical claims weekly in strict compliance with insurance coverage policies. Identified documentary inconsistencies and potential fraud cases for escalation and specialized review. Determined coverage eligibility and payout amounts based on specific contractual conditions.
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