Open to opportunities

Mystique Alcide

@mystiquealcide

Life and Health Licensed agent with experience in claims processing with CRM expertise, HIPAA/CMS compliance, and strong client-focused results.

United States

Message

What I'm looking for

I seek a claims operations role where I can improve turnaround times, maintain CMS/HIPAA compliance, and deliver excellent member-focused service while collaborating cross-functionally.

My expertise consist of claims processor with hands-on experience managing high-volume member enrollments, maintaining CRM records, and ensuring CMS and HIPAA compliance. I leverage Salesforce AIM, and etc to keep accurate documentation and support audit readiness.

I have improved enrollment completion rates, shortened resolution times through cross-functional coordination, and delivered high customer satisfaction by applying empathetic, consultative communication. My work history includes roles in licensed claims, loyalty sales, and inside sales where I consistently balanced productivity and quality metrics.

I seek to apply my account-management experience, attention to detail, and process-improvement mindset to improve turnaround times and maintain compliance within claims operations.

Experience

Work history, roles, and key accomplishments

Loyalty Sales Agent

Elevance Health

Aug 2025 - Dec 2025 (4 months)

Managed high-volume member enrollments and maintained CRM records in Salesforce to support audit readiness, improving enrollment completion rates and retention while meeting productivity and quality targets.

Salesforce CRM Enrollment management Customer Retention Consultative Sales Documentation

Licensed Claims Agent

Clearlink Insurance

Sep 2024 - Aug 2025 (11 months)

Managed client relationships through enrollment and renewal cycles, documented interactions in AIM and Salesforce to maintain accurate pipelines, and coordinated cross-functional teams to shorten resolution times and improve client satisfaction.

Aim Salesforce Claims Processing Documentation

Inside Sales Representative

Connie Health

Jun 2023 - Feb 2024 (8 months)

Handled 50+ daily inbound member inquiries, guided enrollments and plan selection, documented interactions in Salesforce to ensure regulatory compliance, and helped reduce response times while achieving 98% customer satisfaction.

Salesforce Inbound Sales Enrollment Regulatory Compliance Customer Satisfaction Process Improvement Documentation

Education

Degrees, certifications, and relevant coursework

Texas Southern University

Bachelor of Science, Health Administration

2016 -

Activities and societies: Completed coursework in health administration; attended a 12-week Business Development Rep & CRM systems training bootcamp (RE:WORKTRAINING).

Bachelor's degree in Health Science with a focus on Health Administration completed in 2016.