Vanessa Lopez-Castaneda
Sacramento
Summary
Experienced professional with a diverse skill set acquired in a dynamic and collaborative setting. Seeking a transition into a new field, specializing in data analysis and process optimization. Demonstrated proficiency in problem-solving and strategic planning. Excited to apply transferable skills to make a valuable contribution in a new role, offering unique perspectives and innovative solutions.
Overview
8
8
years of professional experience
Work History
Lead Mediation Specialist
Wells Fargo
01.2024 - Current
- Championed the adoption of new software tools that streamlined workflows across multiple departments.
- Followed all company policies and procedures to deliver quality work.
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
- Verified AOP(Add on product) claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Small Business Customer Service Representative
Wells Fargo
08.2022 - 12.2023
- Educated and connected customers to the necessary technology to share the value of mobile banking options
- Interacted/built effective relationships with both customers and employees ensuring the utmost integrity and professionalism
- Knowledge and understanding of retail compliance controls, risk management and loss prevention
- Great understanding of resolving complex issues presented by both customers and employees
Member Service Representative
CA Community Credit Union
03.2022 - 08.2022
- Processed claims for both auto and signature loan; posted payments to loans
- Answered phone calls received, processed any incoming mail, compiled correspondences to other members as needed
- Completed/processed multiple applications including: Membership, ATM Card, Payroll Deduction, Direct Deposit, etc
Professional Service Representative
Faneuil
03.2020 - 07.2021
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Cashier/Retail Associate
T.J. MAXX
10.2016 - 03.2021
- Ensured that all customers receive excellent service through direct salesmanship, and prompt and courteous service
- Responded to all customer queries with accuracy and courtesy
- Achieved all set sales goals while providing outstanding customer service
Education
General Education
American River College
Skills
- Customer relations
- Analytical thinking
- Documentation management
- Expert in Epiq Facilitator
- Claims investigation
- Advanced oral and written communication skills
- Caseload management
- Claims file management processes
Languages
Spanish
Professional Working
Timeline
Lead Mediation Specialist
Wells Fargo
01.2024 - Current
Small Business Customer Service Representative
Wells Fargo
08.2022 - 12.2023
Member Service Representative
CA Community Credit Union
03.2022 - 08.2022
Professional Service Representative
Faneuil
03.2020 - 07.2021
Cashier/Retail Associate
T.J. MAXX
10.2016 - 03.2021
General Education
American River College
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