Alyssa Ornelas
Pacoima
Summary
Dedicated Senior Claims Specialist with a proven track record in enhancing claim handling efficiency and customer satisfaction through effective communication and problem-solving.
Overview
12
12
years of professional experience
Work History
Senior Claims Specialist
First American Home Warranty
Santa Rosa
01.2015 - Current
- Coordinated resolution processes, enhancing claim handling efficiency.
- Resolved customer complaints promptly and efficiently.
- Boosted customer satisfaction ratings by promptly answering questions, offering effective solutions, and quickly resolving issues.
- Provided exceptional customer service through effective communication and problem-solving skills.
- Handled customer inquiries across various channels, ensuring timely responses and resolutions.
- Resolved escalated issues by collaborating with partners (plumbing, HVAC companies) to provide updates on part status and schedule service appointments for customers.
- Conducted regular follow-up calls with customers during their active claim.
- Initiated contact with customers by phone or email concerning claim status updates.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Medical Assistant
Singh, Balbir - Balbir Singh, MD
Van Nuys
10.2013 - 01.2014
- Administered injections and performed basic laboratory tests.
- Measured vital signs and took medical histories to prepare patients for examination.
- Assisted with patient intake and medical history documentation.
- Coordinated patient scheduling and managed appointment reminders to optimize clinic workflow.
- Prepared examination rooms and ensured cleanliness and organization.
- Maintained accurate medical records through efficient filing, charting, transcription, and data entry into electronic health record system, ensuring data accessibility.
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Sorted charts and documents to streamline workflow in the clinic.
- Participated in team meetings to enhance workflows and support initiatives for improved patient population outcomes.
Education
High School Diploma -
Sunburst Youth Acadamy
Los Alamitos, CA06-2012
Some College (No Degree) - Medical Assistant
Everest College
Reseda, CASkills
- Claims processing
- Customer service expertise
- Attention to detail
- Problem-solving
- Analytical thinking
- Time management
- Prioritization skills
- Multitasking skills
- Effective communication
- Written communication
- Teamwork skills
- Customer support
Languages
Spanish
Limited
References
References available upon request.
Timeline
Senior Claims Specialist
First American Home Warranty
01.2015 - Current
Medical Assistant
Singh, Balbir - Balbir Singh, MD
10.2013 - 01.2014
High School Diploma -
Sunburst Youth Acadamy
Some College (No Degree) - Medical Assistant
Everest College