Development Coordinator Coventry

ANGELA I. LOPEZ

**** * **** ***, ***# ***, Hialeah, FL 33012

786-***-**** ************@*****.***

To seek a challenging position in the Health Care industry where I can expand my knowledge and skills and grow with the company. Seventeen years of experience in the health insurance industry. Experience in relationship building, and providing perfect service to our consumers, providers, employers and others we work with. Build strong relationships with over 250 primary care physicians in Dade County. Executed permitted advertising and promotions activities in the Medicaid line of business at our Centers and doctor offices from Miami though Homestead. Conducted 2 to 4 health fairs monthly providing educational materials with Consortium for a healthier Miami Dade (Government Agency).

EXPERIENCE

NOVEMBER 2015 – NOVEMBER 2019

CUSTOMER CARE REPRESENTATIVE/ PROVIDER CLAIMS

ANTHEM, Miami, FL

Claim status’ for incoming provider calls. Delegate to claims when incorrectly denied. Handle incoming calls with claims issues as they arise, other duties as needed.

NOVEMBER 2014– NOVEMBER 2015

BEHAVIORAL HEALTH UNIT SECRETARY

UNIVERSITY OF MIAMI, Miami, FL

Prepare meetings for the doctor, nurses, orders, and maintain supply inventory, make sure patient rooms

are in tack and ready for new patients. Make sure we have a full staff for the day, other duties as needed.

AUGUST 2010 – APRIL 2014

OUTREACH MEDICAL DEVELOPMENT COORDINATOR

Medica healthcare plans, miami, fl

Support the strategic business development plans designed to achieve corporate objectives.

Ensure that the compliance of AHCA contractual regulations are observed and that

prohibited activities are reported to the department’s V.P.

Manage and execute the permitted advertising and promotion activities.

Visit all PCP offices in Dade County to maintain a steady amount of plan brochures and meet

with the office owners or office managers.

Visit community agencies and establish ongoing communications.

Assist with the promotion of health education materials at community events.

INDIVIDUAL SALES & SERVICE REPRESENTATIVE: August 2010 – April 2012

Provide service to over 250 brokers, and 4,000 individual members

Provide assistance to our brokers regarding quotes for new business and renewal rates.

Conduct broker meetings as needed.

Assist with the renewal negotiations with the brokers and individual members.

Provide assistance on benefits, terminations, reinstatements, and any member issues.

Act as the liaison between brokers, members, and internal departments.

Maintain professional relationships with our brokers and individual members.

Build and sustain strong relationships with our agents and customers to enhance Medica’s

reputation in the health insurance industry.

APRIL 2004 – JUNE 2010

ACCOUNT MANAGER

COVENTRY HEALTHCARE OF FLORIA, SUNRISE, FL

Responsible for the development and performance of all renewal activities in small group line

of business.

Monitoring personal production effectiveness, profitability and process for existing accounts

on Small Business customers (2-99 Business).

Ability to develop strong client relationships quickly and to promote teamwork.

Give inside help for retention strategy, growth for existing business and account management

effectiveness in Small Group Business.

Responsible for retaining existing broker groups through exceptional service and support.

Building strong relationships with both brokers and customers.

Responsible in training and educating in new products.

Responsible for all inventory items in the department.

Assist Managers, Directors and VPs in implementing strategic & marketing plans.

Research and resolve priority level services request made by employer groups

Assist in the renewal negotiations with Agents and their clients.

Majority of time was spent external to place of business on outside sales related to (retaining

and/or renewing) membership. Performed other duties as require

EDUCATION

240 LICENSE – Gold Coast School of Insurance

HIGH SCHOOL DIPLOMA – Hialeah High School

SKILLS

Microsoft Applications

Customer Service

Bilingual English/ Spanish

240 License

Exceptional oral and written communication

Contact this candidate