Open to opportunities

Kayla Sanchez

@kaylasanchez

Message

Experienced bilingual customer service professional with a strong track record.

United States

Message

What I'm looking for

I seek a role that values customer service excellence and offers growth opportunities.

As a dedicated customer service professional with over three years of experience, I have honed my skills in various roles including Case Manager, Benefits Verification Specialist, and Customer Service Representative. My bilingual capabilities in English and Spanish allow me to effectively communicate with a diverse clientele, ensuring that their needs are met with exceptional service.

Throughout my career, I have demonstrated a strong ability to manage high call volumes while maintaining a focus on performance goals. My experience includes verifying insurance eligibility, processing claims, and coordinating services for clients. I take pride in my attention to detail and my commitment to providing accurate information and support to both clients and internal teams.

I am proficient in the MS Office Suite and have experience with virtual phone systems, which enhances my ability to deliver efficient service. I am passionate about helping others and thrive in fast-paced environments where I can utilize my skills to make a positive impact.

Experience

Work history, roles, and key accomplishments

Benefits Verification Specialist

CVS Health

Apr 2024 - Jul 2024 (3 months)

Made outbound calls to verify patient-specific benefits and documented coverage details. Provided guidance on expediting patient access and triaged cases with missing information.

Customer Service Communication Documentation Outbound Calling MS Office Suite Triage

Case Manager

Cardinal Health

Nov 2023 - Feb 2024 (3 months)

Managed a caseload of clients, ensuring timely resolution of inquiries and maintaining accurate documentation. Processed insurance claims and ensured compliance with regulatory requirements.

Claims Customer Service Documentation Compliance Accounts Receivable MS Office Suite

Care Management Support Coordinator II

Pyramid Consulting (Centene)

Sep 2023 - Jan 2024 (4 months)

Reviewed member files and conducted outreach to coordinate Durable Medical Equipment needs. Verified member eligibility and collaborated with DME agencies and primary care providers. Responsible for adjudicating various benefits claims while providing superior service.

Claims Customer Service Communication MS Office Suite DME

Customer Service Representative

TTEC (Bank of America)

Apr 2023 - Jul 2023 (3 months)

Assisted clients with account inquiries, fraud reports, and billing disputes. Processed refunds and provided account-related assistance to enhance customer satisfaction.

Customer Service Account Management Billing Disputes Communication Problem Solving MS Office Suite

Benefits Verification Specialist

Teleperformance (Blue Cross Blue Shield)

May 2022 - Mar 2023 (10 months)

Managed over 400 calls daily to verify eligibility and benefits for healthcare providers. Collaborated with management to achieve production goals and KPIs.

Customer Service Communication Performance Goals MS Office Suite

Sales Representative

Ready Solar

Mar 2022 - May 2022 (2 months)

Set appointments for clients interested in solar panels, completing a high volume of outbound calls to generate leads and facilitate sales.

Sales Outbound Calling Appointment Setting Customer Service Communication Lead Generation MS Office Suite

Member Service Representative

Senture (Humana Military Tricare)

Jul 2021 - Jan 2022 (6 months)

Verified eligibility for military members and their families, enrolled them in Tricare plans, and assigned primary care managers to ensure proper care.

Customer Service Communication MS Office Suite