Julian Rocha
Fresno
Summary
Dynamic Disability Insurance Program Representative with The State of California, adept at claims processing and eligibility determination. Proven track record in managing case files and enhancing client communication, ensuring compliance and accuracy. Strong analytical skills and a commitment to customer service drive successful outcomes in complex situations.
Overview
21
21
years of professional experience
Work History
Disability Insurance Program Representative
The State of California - Paid Family Leave
Fresno
04.2017 - Current
- Assisted clients in understanding disability insurance policies and procedures.
- Processed claims, ensuring compliance with state regulations and guidelines.
- Coordinated communication between clients and healthcare providers for documentation needs.
- Managed case files, maintaining accurate records and documentation for audits.
- Researched, analyzed, and interpreted medical records to determine eligibility for benefits.
Program Technician
Covered California
Fresno
09.2014 - 03.2017
- Assisted applicants with enrollment in health insurance programs.
- Processed application documents for accuracy and completeness.
- Collaborated with team members to resolve client inquiries efficiently.
- Maintained updated knowledge of health care regulations and policies.
- Supported outreach efforts to increase program awareness among communities.
Senior Product Tester
Electronic Recyclers International Inc.
Fresno
06.2013 - 08.2014
- Conducted usability testing to enhance user experience for software applications.
- Mentored junior testers on best practices and testing methodologies.
- Created documentation for testing processes and product specifications.
- Implemented automated testing tools to streamline testing workflows.
Service Technician
Patton Amusement
Fresno
06.2012 - 05.2013
- Diagnosed equipment issues using diagnostic tools and techniques.
- Performed routine maintenance on machinery and systems to ensure efficiency.
- Documented service records and maintenance logs for equipment repairs.
- Communicated with customers to explain technical issues and recommended solutions.
Service Technician
Pelco
Fresno
12.2004 - 09.2011
- Communicated with customers to explain technical issues and recommended solutions.
- Implemented process improvements to enhance workflow and service delivery.
- Diagnosed problems and determined solutions for various customer issues.
- Examined previously completed work for accuracy.
Education
Associate of Science -
San Joaquin Valley College
Fresno, CA09-2003
Skills
- Claims processing
- Case management
- Documentation management
- Problem solving
- Customer service
- Analytical thinking
- Excellent communication
- Time management
- Team collaboration
- Continuous learning mindset
- Eligibility determination
- Data compilation
- Adaptability and flexibility
- Analytical skills
References
References available upon request.
Timeline
Disability Insurance Program Representative
The State of California - Paid Family Leave
04.2017 - Current
Program Technician
Covered California
09.2014 - 03.2017
Senior Product Tester
Electronic Recyclers International Inc.
06.2013 - 08.2014
Service Technician
Patton Amusement
06.2012 - 05.2013
Service Technician
Pelco
12.2004 - 09.2011
Associate of Science -
San Joaquin Valley College
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