Yolanda L. Sanchez Luna
La Habra
Summary
Dynamic and motivated shift manager with over 7 years of experience in the food industry, dedicated to upholding customer satisfaction and managing financial transactions proficiently. Recognized as a committed team player, consistently bringing a positive attitude and welcoming demeanor to every interaction. Eager to leverage extensive training and skills in a challenging career opportunity that significantly contributes to organizational success. Passionate about fostering an engaging work environment while driving operational excellence.
Overview
16
16
years of professional experience
Work History
Benefits Specialist
Nation Benefits
11.2022 - 11.2023
- Analyzed benefits data to identify trends, implementing enhancements for improved employee satisfaction.
- Collaborated with cross-functional teams to develop and execute communication strategies for benefits enrollment.
- Provided expert guidance on complex benefit inquiries, resolving issues effectively and efficiently.
- Reviewed and updated benefits documentation, maintaining accuracy and alignment with organizational goals.
- Administered employee benefits programs, ensuring compliance with regulatory requirements and company policies.
- Submitting benefits order for their OTC benefits or Grocery Benefits
- Following up with shipping orders
- Submitting replacement orders as well
Authorization Coordinator
New Century Health
11.2021 - 11.2022
- Coordinated patient authorization processes to ensure timely approvals and adherence to regulatory requirements.
- Managed documentation and verification for insurance authorizations, enhancing accuracy and efficiency of submissions.
- Collaborated with healthcare providers to resolve authorization issues, fostering effective communication and streamlined workflows.
- Developed training materials for new staff on authorization protocols, improving team knowledge and operational consistency.
- Maintained consistent follow-up on status of prior authorization requests.
Sales Associate
Don Robertos Jewelry
10.2019 - 10.2021
- Assisted customers in selecting jewelry, enhancing overall shopping experience.
- Developed strong product knowledge to provide informed recommendations to customers.
- Processed transactions efficiently using point-of-sale systems, ensuring accurate sales reporting.
- Maintained visual merchandising standards to promote product visibility and appeal.
- Collaborated with team members to achieve sales goals and improve store performance.
- Resolved customer inquiries and concerns promptly, fostering positive relationships and loyalty.
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Built relationships with customers to encourage repeat business.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Managed returns, exchanges and refunds in accordance with store policy.
- Answered customer questions about sizing, accessories, and merchandise care.
- Provided positive first impressions to welcome existing, new, and potential customers.
Customer Service Representative
Dream Catchers Int
12.2018 - 08.2019
- Handled all incoming customer inquiries via email and live chats, ensuring timely responses. Online order and credit card handling. Resolved payment and order disputes, enhancing customer satisfaction and trust. Developed call center scripts. Provided technical support for customers via phone and online channels.. Explained products and benefits, assisting customers in making informed purchasing decisions. Respond to all claim inquiries
- Collaborated with cross-functional teams to streamline order fulfillment processes.
- Led initiatives to enhance customer engagement through personalized email marketing programs.
- Interacted with and sold to e-commerce customers and delivered prompt and courteous service.
- Ensured smooth integration between e-commerce systems and third-party applications such as payment gateways and shipping providers.
- Streamlined order fulfillment processes, enhancing efficiency and reducing shipping timeframes.
- Managed inventory levels for accurate stock-keeping, reducing backorders and maintaining customer satisfaction.
- Displayed positive, professional, friendly and high-energy willingness to assist customers through video, chat or telephone interactions.
Project Coordinator
United Health Care
09.2018 - 11.2018
- Daily duties were running reports and calling provider’s office to verify they have received the medical records request for risk adjustment, inputting data info on excel sheet, reviewing medical records and date of services requested match per to the audit. Verifying that all PHI of the patient was protected. Linking medical records in the database to be sent to CMS.
- Coordinated project timelines and deliverables to ensure adherence to client expectations.
- Facilitated communication among cross-functional teams to enhance collaboration and project efficiency.
- Developed project documentation, including scopes of work and status reports, to provide transparency.
Member services representative
Alignment Health Care
01.2016 - 01.2018
- Provided excellent customer service in inbounds and outbound calls. Helping member needs in changing primary care, looking for specialist, ordering new id cards, resolving any issues they have, bills, obtaining authorizations, scheduling their appointment with their providers or transportation, providing a better explanation on their benefits and ordering materials. While staying organized, also prioritize my cases. Meeting deadlines.
- Facilitated member inquiries, providing accurate information and resolving issues promptly.
- Assisted in onboarding new members, ensuring a smooth transition into services offered.
- Developed training materials for new staff, improving onboarding efficiency and knowledge retention.
Sprouts Farmers Market, Deli & Bakery
04.2015 - 02.2016
- Provided excellent customer service and answered customer answer regarding deli and bakery products. Also, being knowledgeable on Boar's Head meat. Also making sure the department was stocked with products
Enrollment Specialist
Bluecross & Blueshield-Alta Resource
01.2014 - 01.2015
- Delivered customer service through inbound and outbound calls, addressing inquiries and guiding customers through enrollment process. Assisted customers with insurance enrollment and resolved inquiries to ensure a smooth experience.
- Facilitated enrollment processes for members, ensuring accurate documentation and compliance with company policies.
- Developed training materials for new staff, enhancing onboarding experience and improving team efficiency.
- Analyzed member feedback to identify areas for service improvement, driving customer satisfaction initiatives.
Shift Manager
Pizza Hut
01.2008 - 01.2014
- Answered customer inquiries, solved problems, instructed employees, and provided new product information.
- Supervised daily operations, ensuring efficient workflow and adherence to quality standards.
- Trained and mentored team members on customer service best practices and operational procedures.
- Implemented inventory management processes to minimize waste and optimize supply usage.
Education
Diploma -
La Habra High School
La Habra, California01-2008
Skills
- Excellent Customer Service
- Management
- Employee Benefits Knowledge
- Computer Skills
- Benefits administration
- Claims Processing
- Telephone communication
- Customer service
- HRIS Software
- Attention to detail
Languages
Spanish
Native or Bilingual
Timeline
Benefits Specialist
Nation Benefits
11.2022 - 11.2023
Authorization Coordinator
New Century Health
11.2021 - 11.2022
Sales Associate
Don Robertos Jewelry
10.2019 - 10.2021
Customer Service Representative
Dream Catchers Int
12.2018 - 08.2019
Project Coordinator
United Health Care
09.2018 - 11.2018
Member services representative
Alignment Health Care
01.2016 - 01.2018
Sprouts Farmers Market, Deli & Bakery
04.2015 - 02.2016
Enrollment Specialist
Bluecross & Blueshield-Alta Resource
01.2014 - 01.2015
Shift Manager
Pizza Hut
01.2008 - 01.2014
Diploma -
La Habra High School