Suely Fernandes

Suely Fernandes

About

Detail

Claim Associate
Massachusetts, United States
Contact Suely regarding: 
Flexible work
Starting at USD30/hour
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Timeline

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Résumé

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  • Sedgwick
    Claims Representative
    Sedgwick
    Jun 2024 - Current (2 years 4 months)
  • H
    Member Advocate
    Healthcare Financial
    Apr 2023 - Jul 2025 (2 years 4 months)
    Planned and documented short-term interventions in response to critical needs or crises. Coordinated program referrals and community-based services. Improved case management strategies through training and continuing education. Advocated on behalf of clients in various settings, such as court and Social Security. Ensured confidentiality and privacy compliance for all case management activities.
  • F
    Online banking
    FIRST REPUBLIC BANK A CORPORATION OF CALIFORNIA
    Jan 2022 - Dec 2022 (1 year)
    Promoted digital banking tools such as mobile apps, e-statements, and bill pay services among customers. Participated in ongoing training programs to stay updated on industry best practices and technology advancements. Managed daily transactions, including deposits, withdrawals, and transfers between accounts. Collaborated with other bank departments to ensure seamless service delivery for online customers.
  • Commonwealth Care Alliance
    Member Services Representative
    Commonwealth Care Alliance
    Dec 2019 - Jul 2025 (5 years 8 months)
    Manage and respond to member phone calls accurately and professionally Work with care management staff to address and resolve the needs and concerns of members, caregivers, and other departments - while respecting HIPAA Provide timely and accurate information regarding member benefits and services including Continuity of Care Thoroughly document all member-related and prospective member interactions and actions in the Centralized Enrollee Record (CER). Complete comprehensive appeal and grievance intakes.
  • Mass General Hospital
    Administrative Assistant
    Mass General Hospital
    Sep 2015 - Aug 2017 (2 years)
    Used organization skills and prioritized and managed information in a demanding environment. Entered information on to digital systems to maintain data quality and accuracy. Proofreading of prior authorizations and member records. Maintained scheduling and event calendars for staff meetings, parties and important deadlines. Supported workflow of daily administrative tasks to achieve targets and deadlines.