Angela Morel Marinez
Walgreens
Orlando,FL
2
Languages
4
years of professional experience
results-driven professional with 2 years of experience in dispute resolution and client relations. Skilled in investigating and resolving pharmacy claim rejections, applying approved overrides, processing Prior Authorizations and collaborating with health providers, customer and payer to secure coverage benefits including Medical. Track record of effective communication and problem-solving through the process of adjudicating claims that enhance team performance and client satisfaction while keeping HIPAA guidelines.
Work History
Resolution Specialist
1 Year 11 Months- Resolved inquiries and complaints through effective communication and problem-solving techniques.
- Collaborated with cross-functional teams to streamline resolution processes, enhancing customer satisfaction.
- Maintained detailed records of all interactions and resolutions for future reference and analysis purposes, improving overall efficiency in handling similar cases down the road.
- Exceeded performance targets consistently by prioritizing workload effectively and managing time efficiently during periods of high call volume or complex caseloads.
- Resolved complex claims inquiries, ensuring adherence to company policies and regulatory requirements.
Amusement Ride Operator
1 Year 2 Months- Assisted in loading and unloading of passengers onto amusement rides using appropriate techniques as per manufacturer's specifications.
- Ensured the rides were in proper working order before allowing passengers to board.
- Checked tickets for validity before allowing access to the attraction.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Assisted in loading and unloading of passengers onto amusement rides using appropriate techniques as per the manufacturer's specifications.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Built relationships with members and guests and created welcoming and warm environment that promoted future visits.
- Inspected tickets to verify validity before granting entry before allowing access to the attraction.
- Resolved guest concerns or complaints and kept supervisors informed of escalating situations.
Education
High School Diploma
Skills
Claims
Issue Resolution
Time Management
Multitasking
Claims processing
Teamwork and Collaboration
Communication
Claims management
Languages
English
C1
Advanced
Spanish
A1
Beginner
Education and Training
other
Timeline
Resolution Specialist
Walgreens
09.2024 - CurrentRead More
Amusement Ride Operator
Universal Studios
06.2022 - 08.2023Read More
Freedom High School
High School Diploma
Read More