April Valadez
Peoria,AZ
Summary
Diligent claims processor with thorough understanding of claim processing procedures and efficient handling of complex claims. Demonstrated ability to ensure accuracy and compliance, enhancing operational efficiency. Proven track record of utilizing attention to detail and analytical skills to resolve issues and support team success.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Delivery Driver
Uber Eats
04.2020 - Current
- Delivered food orders and grocery orders all throughout West Phoenix and Central Phoenix.
- Completed on-time deliveries by choosing the best and most efficient routes.
- Always maintained a clean and sanitized vehicle.
- Strong attention to detail on customer instructions and addresses.
- Experience with daytime or night deliveries.
- 100% Customer satisfaction grade on Uber Driver application.
Lead Warehouse associate
Hello Fresh
12.2021 - 02.2022
- Performed activities in a climate-controlled environment, as directed on the production line.
- Followed all safety policies/procedures and hygiene policies in cooperation with the supervisor.
- Regularly lifted and moved 50-75 pounds of product with or without assistance.
- Assists supervisor with product orders and product inventory.
- Met production demand required by the company.
- Moved product from one end of the warehouse to the other with pallet jacks provided.
Server
Don Lencho's Mexican & Seafood Restaurant
05.2010 - 04.2021
- Providing amazing service while serving guests.
- Answering questions on menu/bar selections
- Communicating with the kitchen regarding menu questions, and product availability.
- Assisted in translating merchandise orders from spanish to english and vise versa.
- Complete closing and cashier duties; Paying out other servers, locking up, and checking of sales profit of the day.
- Supported needs of eight person wait staff who attended to specific needs of countless customers daily for Mexican Seafood restaurant with social relevancy and intentionality.
Claims Processor
Health Choice Arizona
06.2016 - 12.2020
- Followed directions on processing certain claims via email.
- Ability to work claims with little to no supervision.
- Data entry of new aged or resubmitted claims.
- Met daily processing quota of 200 claims per day.
- Processed insurance claims efficiently, ensuring compliance with regulatory guidelines.
- Collaborated with healthcare providers to resolve claim-related inquiries and disputes.
- Trained new team members on claims processing protocols and best practices.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Followed up with customers on unresolved issues.
- Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
- Maintained detailed records of all processed claims for easy retrieval during audits or disputes.
Customer Service Representative
Health Choice Arizona
05.2014 - 06.2016
- Answered calls promptly and met phone time requirements
- Used various computer programs. (MS Office)
- Provided excellent customer service to members and assisted with answering customer questions or concerns.
- Ordered and processed material requests
- Assisted with multiple Lines of business: Medicaid, Medicare, and commercial.
- Utilized CRM software to track customer interactions and ensure timely follow-ups.
- Educated clients on health plan options and benefits to enhance understanding.
- Collaborated with team members to maintain high standards of service delivery.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Participated in training programs to enhance product knowledge and customer service skills.
- Delivered prompt service to prioritize customer needs.
Education
High School Diploma -
The American Academy
Phoenix01.2024
Skills
- Bi-lingual
- Proficient in MS Office
- Excellent Multitasker
- Efficient and thrives in high pressure environments/situations
- Organization skills
- POS knowledge
- Customer service
- Cash handling
- Data entry
- Communication skills
- Time management
- Problem resolution
- Multilingual communication
- Positive attitude
- Attention to detail
- Dependable and reliable
- Documentation and reporting
Certification
- Notary License
- Fingerprint clearance card
- Food Handlers Card
Languages
Spanish
Native or Bilingual
Timeline
Lead Warehouse associate
Hello Fresh
12.2021 - 02.2022
Delivery Driver
Uber Eats
04.2020 - Current
Claims Processor
Health Choice Arizona
06.2016 - 12.2020
Customer Service Representative
Health Choice Arizona
05.2014 - 06.2016
Server
Don Lencho's Mexican & Seafood Restaurant
05.2010 - 04.2021
High School Diploma -
The American Academy