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Healthcare Claims & Customer Support Specialist with 5+ years of experience
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Competencies
Resolved healthcare claim appeals and verified claim processing accuracy.
Provided support via CRM systems, SAP, and communication channels to ensure customer satisfaction.
Handled payroll and benefits data, ensuring compliance with labor laws and reducing discrepancies.
Collaborated with teams to improve workflow efficiency and minimize errors in claims and HR processes.
Ensured clear communication with internal teams, patients, and distributors to meet service goals.
Education
Languages
Summary
Dedicated specialist experienced in claims resolution, HR support, and customer service, committed to operational excellence and stakeholder communication.
Key Achievements
- Managed healthcare claim appeals, ensuring compliance and timely resolution.
- Administered payroll and benefits, maintaining HR data accuracy across global teams.
- Processed customer orders and resolved inquiries promptly using SAP and CRM systems.
Experience
Jr. Appeals Collector
Manage and resolve healthcare claim appeals between insurance companies and patients., Provide clear, timely communication to ensure accurate documentation and compliance with payer regulations., Collaborate with internal teams to improve workflow efficiency and ensure claims are processed on time...
Human Resources Specialist
Administered payroll and benefits processes while maintaining HR data accuracy in compliance with Costa Rican labor laws., Handled employee inquiries through ticketing systems, providing prompt and professional support., Coordinated with global HR teams to enhance employee satisfaction and reduce...
Customer Service Representative
Processed customer orders and inquiries in SAP, ensuring accuracy and timely fulfillment., Resolved discrepancies and maintained communication with distributors and internal teams to meet service level goals.