Luis F. Andujar Santiago

*** ******* **

Madison, AL 35758

787-***-****

ad0ifz@r.postjobfree.com

Data Specialist and Analyst

Profile

Bachelor’s degree in business administration with a Concentration in Computer Science and System Analysis in May 2005. University of Puerto Rico in Ponce. Team Player, Ethical, adaptable, analytical, accomplished, detailed-oriented, solutions-focused and energetic broad experience in analysis and configurations.

Education

B.C.S., Computer Science, University of Puerto Rico in Ponce, May 2005.

Experience

Computer internship, UPR Ponce, Ponce, Puerto Rico

January 2004 – May 2005

-Software installation like Windows XP and Microsoft Office to several computers.

-Server installation Windows XP server to the main computer.

-Server maintenance for technical server problems and backups.

-Web installations to different departments and professor offices.

-Web design for two different departments, Education and Document offices.

Home/Host Examiner, Blue Card Program (Out of area claims)

Triple-S Salud, San Juan, Puerto Rico,

August 2006 – August 2007.

-Decision making about client eligibility to receive payment for medical services.

-Learned to use TSOL Programming and its components.

Oficial de Servicios I – Customer Service Center

Triple-S Salud, San Juan, Puerto Rico,

August 2007 – April 2011.

-Receive calls in call center regarding customer situations with their medical coverages and policies.

Oficial de Servicios II – Enrollment Division

Triple-S Salud, San Juan, Puerto Rico

April 2011 – August 2017

-Responsible for Marsh, Saldana & Carrion Accounts.

-Information Maintenance regarding this group and its components.

-Responsible for PBM processes including monitoring daily transmittals, error correction and coordination with PBM representatives.

Eligibility File Specialist – Enrollment Division

Triple-S Salud, San Juan, Puerto Rico

August 2017 – September 2023

-Responsible for the analysis of information regarding tariffs, deductibles and coverage upon negotiations with the customer within 3 days after receiving all the proper paperwork.

-Configuration of this electronic information to make sure the customer gets exactly what they ask for.

-Customer satisfaction oriented.

-Auditing work to minimize errors.

Key Skills

BCBS. Microsoft Office. Excellent oral and written communication. Outstanding Interpersonal Skills.Organized, diligent. Computer proficiency in Windows, databases (SQL), and spreadsheets.

Experience with MC-21, Optum Rx, PharmPix, and Abarca Health PBM applications.

Fully Bilingual (Spanish and English).

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