Edwin M. Lamoli Segarra
E D W I N M . L A M O L I
**** **. ****** ****** ***. 1313
Weston, FL 33326
Tel: 787-***-****
acrxaq@r.postjobfree.com
Sales and Management
Resourceful, highly disciplined and experienced professional with a strong record of career achievements and success.
Experienced in sales, renewal and management of insurance accounts. Fluent in Spanish and English. Professional Experience:
Triple-S, Salud
BCBS of Puerto Rico August, 2006 to present
Manager, Health Insurance Department
During a restructuration face of the company, took charge and successfully managed and supervised all southwestern regional offices of Puerto Rico.
Successfully implemented the Q-MATIC system in all the company offices around the Island of Puerto Rico.
Conducted and accomplished the transition and campaign of Triple-S Medicare Advantage under the administration of American Health Medicare (AHM).
Achieved customer service objectives by contributing customer service information and recommendations to strategic plan and reviews.
Prepared effective action plans, implementing production, productivity, customer service standards, resolving problems, completing audits and identifying customer service trends.
Recommended and implemented changes to improve customer service quality, detecting, correcting, and preventing situations that could have impacted negatively.
Fulfilled customer service financial objectives by forecasting requirements, preparing annual budget, scheduling expenditures, analyzing variances, and initiating corrective actions. Triple-S, Inc.
BCBS of Puerto Rico July, 1997 to July, 2006
Account Executive, Health Insurance Department
Managed a $14,000,000 Group Insurance Portfolio, including multinational and corporate accounts.
Conducted groups account renewal process; provided orientation to business group administrators and employees about life, health, and disability coverage.
Developed and achieved successful marketing strategies. Recognitions and Achievements:
Distinguish Salesperson Award of the Sales and Marketing Executives Association of San Juan, Puerto Rico.
Renewal Representative Award of Triple-S, Inc., during the years 1997, 1998, 1999, 2000, 2003, and 2004.
Edwin M. Lamoli Segarra
Renewal Representative of the Year, Regional Offices Award of Triple-S, Inc. during the years 1999, and 2003.
Training:
HIPAA Law, Prevention and Detection of Financial Exploitation to Advance Age People, Misconduct Investigation Protocols, Federal Health Reform, Service Mentor (Ulysses Learning), Code of Business Conduct and Ethics, Medicare Advantage Basic Concepts, Health Insurance Primer (HIAA), First Aid & CPR, Basic Fire Fighting, Personal Safety & Social Responsibilities and Personal Survival Techniques. ARMY/USAR with Honorable Discharge.
Licensure:
Life, Health and Disability, Miscellaneous (Property and Casualty), Merchant Mariner Credential with TWIC. Education:
Master’s Degree in Business Administration
Inter American University of Puerto Rico
Bachelor’s Degree in Business Administration
University of Puerto Rico