Experience

Advantek Benefit Administrators

• United States
• Insurance
• 1 - 100 Employee

• Trainer

  • Jul 2023 - Present

  Train new employees in all aspects of medical claims processing and adjustments. Provide ongoing training and development support.

• Benefit Analyst II

  • Aug 2020 - Jul 2023

  Fresno, California, United States Audit plan building; research and resolve benefit issues affecting claims adjudication. Audit plan accumulators; review, build and implement plan changes. Implement and update provider contracts.

• Account Associate

  • Nov 2016 - Aug 2020

  Fresno, California, United States Strong support to the Account Managers. I communicated directly with clients and members of our entire book of business to resolve benefit and claims issues. Reviewed plan documents and amendments for plan changes and renewal. Generated monthly billing invoices and census reports. Participated in health fairs and open enrollment meetings.

• Claims Examiner and Adjuster

  • Oct 2015 - Oct 2016

  Fresno, California, United States Claims processing; claims adjustments; refund reports; overpayment requests



Covered California

• United States
• Insurance
• 400 - 500 Employee

• Program Technician II

  • Feb 2014 - Sep 2015

  Fresno, California, United States



Delta Health Systems

• United States
• Insurance and Employee Benefit Funds
• 1 - 100 Employee

• Bilingual Customer Service Representative and Claims Examiner

  • Oct 2002 - Dec 2010

  Fresno, California, United States Claims processing and adjustments; COB research and updates; quoted benefits to members and providers; trained new Customer Service Representatives.