Michelle Shelley
Alpaugh
Summary
Client-focused and detail-oriented professional with over 10 years of experience in Health Insurance. Proven ability to resolve complex issues, coordinate efficiently across teams, and maintain strong client relationships. Skilled in both medical and dental claims processing, legal document management, and administrative operations.
Overview
23
23
years of professional experience
Work History
Client Business Liasion
Employer Driven Insurance Services
Visalia
11.2020 - Current
- Processed insurance claims efficiently for timely resolution.
- Reviewed policy documents to ensure compliance with regulations.
- Communicated clearly with clients regarding claim statuses and requirements.
- Collaborated with adjusters to gather necessary information for claims processing.
- Maintained accurate records of claims in the management system.
- Assisted clients in understanding their coverage and claim procedures.
- Educated patients about their insurance coverage and benefits available.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
Legal Assistant
The law office of Grego Hagopian
Visalia
12.2010 - 07.2017
- Managed case files and organized legal documents for attorney review.
- Assisted attorneys in preparing for court hearings and client meetings.
- Drafted correspondence, pleadings, and other legal documents as needed.
- Filed legal documents with courts and ensured compliance with procedural rules.
- Scheduled appointments, hearings, and meetings for attorneys and clients efficiently.
- Provided administrative support to attorneys by managing calendars; scheduling appointments; organizing files; preparing correspondence; filing court documents; and obtaining necessary signatures.
Five Star Coordinator
Chrslyer,Jeep,& Dodge/ BMW of Visalia
Visalia
07.2006 - 06.2009
- Facilitated communication between teams to streamline workflow and project updates.
- Greeted and assisted car buyers and service clients by enhancing the customer experience.
- Managed and implemented training programs for the sales team to meet certification requirements.
- Analyzed service performance data and introduced improvements to boost satisfaction.
Customer Service Representative
CIGNA Healthcare
Visalia
08.2002 - 05.2005
- Handled 100-plus calls daily from providers and members regarding eligibility and benefits.
- Upheld privacy and security requirements for customer information.
- Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.
- Researched new products and services available from providers to ensure the best value for the company's benefit offerings.
Education
Criminal Justice
College of The Sequoias
Visalia, CA01-2010
Skills
- Customer service
- Insurance knowledge
- Claims processing
- Client communication
- Data accuracy
- Time management
- Customer relationship management
Timeline
Client Business Liasion
Employer Driven Insurance Services
11.2020 - Current
Legal Assistant
The law office of Grego Hagopian
12.2010 - 07.2017
Five Star Coordinator
Chrslyer,Jeep,& Dodge/ BMW of Visalia
07.2006 - 06.2009
Customer Service Representative
CIGNA Healthcare
08.2002 - 05.2005
Criminal Justice
College of The Sequoias
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