Valerie Contreras
2107 W Edinger Ave, Santa Ana, CA 92704-Skills
• 9+ years of customer service, providing exceptional service to customers in the medical, behavioral health, and retail environment
via phone, web, and face to face interactions
• 7+ years of auditing retail sales, medical and behavioral health claim handling and billing
• 5+ years of design, development, and implementation of training and production materials
• Specialties in MS Word, Excel, and PowerPoint 50+ WPM
Work Experience
Logistics Team Lead & Key Holder
Target – Mission Viejo, CA October 2018 to Present
• Leads 20+ team members in the efficient and accurate trailer unloading and stocking processes
• Supports store of reaching their $50+ million dollar year goal by pushing and stocking merchandise accordingly and accurately
• Assists with team member interviews, on boarding, and training
• Observes and provides performance management to the logistics team members
• Ensures and maintains all stock rooms have appropriate back stock items and placed in their respective homes
• Completes daily inventory audits of stock rooms
• Provides direction to ship to store team members and ensures tasks are completed within the expected time frames
• Ensure a high level of customer service through extensive product knowledge and product ownership
Support Supervisor
Tory Burch - Costa Mesa, CA February 2017 to August 2018
• Supervise and provide direction to Sales Support Staff including performance management
• Leading the sales floor while assigned to the role of the Leader of the Floor (TLOF) Greet and connect with the customer
• Assist sales associates through seamless communication and follow-through on customer requests to drive a transformational
experience for every customer
• Ensure a high level of customer service through extensive product knowledge and product ownership
• Serve as systems expert and contact for system needs specific to process area, proactively resolving issues
• Process and prepare merchandise for the sales floor
• Executing store opening and closing procedures
• Support back of house maintenance activities
• Assist with fitting room activities
• Communicate effectively with associates, peers and division leadership to effectively manage the support team
• Answer the telephone using proper telephone etiquette
• Accurately process all POS transactions and capture of employee information and assist when necessary with operational and back
of house activities
Supervisor
LEGO Brand Retail - Anaheim, CA July 2015 to October 2016
• Completed all point of sale opening and closing procedures, including counting the contents of the cash register
• Priced merchandise, stocked shelves and took inventory of supplies
• Educated guests about the brand to incite excitement about the company's mission and values
• Shared best practices for sales and customer service with other team members to help improve the store's efficiency
• Followed LEGO Brand Retail guidelines to present visually appealing displays Actively pursued personal learning and development
opportunities
• Supervised merchandise and shipment processing
• Maintained established LEGO Brand Retail merchandising standards including sales floor and promotional displays
• Greeted guests entering the store to determine guests' wants and needs
• Described product to guests and accurately explained details and of merchandise
• Recommended, selected and helped locate and obtain out-of-stock product based on guest requests
• Answered product questions with up-to-date knowledge of sales and store promotions
• Ensured superior guests experience by addressing guest concerns, demonstrating empathy and resolving problems on the spot
• Monitored cash drawers in multiple checkout stations to ensure adequate cash supply
• Ensured that the store was and remained replenished at all times
• Trained Brick Specialists on the LEGO Brand, Vision and Values
Training & Development Specialist II
MHN, Inc - Huntington Beach, CA July 2011 to April 2015
• Directed associate training in various modalities: classroom, small groups and individual mentoring onsite and virtually
• Identified training, developmental and support needs by conducting departmental analyses
• Recommended and assisted in the selection of external resources as required Designed, developed and updated training materials
including manuals, desktop procedures, bulletins, computer based training modules, and student evaluation exams
• Developed criteria for evaluating effectiveness of training activities and regularly monitored and reported results to management,
along with recommendations for improvement as appropriate
• Maintained all records of training activities
• Monitored and evaluated trainee's progress and development by implementing an evaluation
and proficiency assessment process that is consistent with company appraisal, developmental and feedback standards
• Trained newly hired associates and cross-trained all associates on all appropriate computer software
• Stayed abreast on training, development, and learning materials, methods and techniques and their possible application to
current/planned training/educational program
Intake Representative
Kelly Services - Huntington Beach, CA November 2010 to July 2011
• Took appropriate steps to resolve a variety of customer service issues regarding quality assurance, provider relations, and billing
• Explained benefit structures and authorization procedures
• Gathered and entered demographic and preliminary clinical information in member records
• Applied protocol to identify cases requiring immediate clinical attention
• Made appropriate referrals to mental health clinicians
• Authorized voluntary EAP services and initial outpatient managed care treatment Facilitated first phase of authorization for
alternative and inpatient managed care treatment
• Provided related clerical support
• Sent out provider listings, faxes, email to members as referrals
Medicare Analyst
United WestLabs - Santa Ana, CA July 2007 to October 2010
• Responsible for review and follow up of client’s claims in order to determine reimbursement amounts
• Communicated effectively and professionally with CMS representatives regarding claims status
• Demonstrated the ability to identify and correct all inconsistencies and/or discrepancies for claim
• Demonstrated the understanding of deductibles, co pay, co insurance, out of pocket maximum, and out of network benefits
• Maintained all of Medicare billing
• Remained compliant within CMS, PHI, HIPAA, and federal laws guidelines
• Submitted all necessary forms and records for compliance audits performed by and not limited to CMS
Education
Certificate in Insurance Coding & Medical Billing
Concorde Career College - Garden Grove, CA