Health Insurance Administrative Specialist

Steve Mendoza

Contact Information

Phone: 813-***-****

Email: ************@***.***

OBJECTIVE

Seeking a career opportunity within the health insurance industry as a challenge and advancement.

SUMMARY QUALIFICATIONS

•Experience in office environments.

•Proficient in Microsoft Software/Office applications.

•Organizational skills and being fluent in Spanish and English languages.

•Life & Health License 2-15 # W249829

WORK EXPERIENCE

August 2024 - September 2025 Unum Group Remote Position (Tennessee)

Enrollment Support Specialist

Answering calls from employees for insurance benefits/Vol. benefits.

Working with various systems for access Sales Force/Amazon Connect.

Explain in detail about the insurance products that or offered

October 2020 - November 2023 GuideWell Connect Tampa, Florida

Individual Health Insurance Sales Agent

• Talking to prospects on insurance plans

• Determining if qualifications for a subsidy can be approved.

• Renewing or changing polices during Open Enrollment Period

• Doing outbound campaigns

April 2019 - October 2020 US Imaging Network Tampa, Florida

Provider Service Agent

• Assisting provider representatives with completing authorizations

• Advocate on advising of lower-cost options for advanced scans

• Contacting doctor offices to clarify clinics on authorizations

• Advising members of preferred imaging locations

October 2017 - March 2019 WellCare Inc Tampa, Florida

Provider Operation Coordinator

•Inputting provider groups/facility group contracts, fee schedules

•Creating Flat Files of large facilities/providers for credentialing

•Proof checking accurate records

•Working with external medical groups to approve final contracts

August 2016 - September 2017 United Health Group Tampa, Florida

Senior Bilingual Administrative Coordinator

• Assisting members with incontinence supply orders

• Authorizing Services from Case Managers throughout Florida

• Communicating with personnel of upcoming medical changes

• Faxing/Emailing approved cases to medical providers

July 2015 - August 2016 Care Plus Health Plans Tampa, Florida

Member Services

• Assisting members with benefits concerns

• Meeting organizational goal within the center

• Audit calls for quality requirements

• Communication with various departments

EDUCATION

June 2005 - May 2006 Full Sail University Winter Park, Florida

Associate Science Degree of Recording Arts

June 1996 - December 1998 Ward Stone College Miami, Florida

Associate Science Degree of Business Administration (Credits Only)

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