Desiree Naranjo
Summary
Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Licensed Insurance Producer
Markie Davis State Farm
07.2023 - 01.2025
- Conducted thorough needs assessments for prospective clients, identifying gaps in their current coverage plans.
- Increased client satisfaction by providing personalized insurance solutions tailored to individual needs.
- Educated clients on complex insurance concepts using clear language, increasing comprehension levels.
- Participated in ongoing professional development opportunities to maintain licensure and stay abreast of industry advancements.
Appeals & Grievances Specialist
Friday Health Plans
06.2023 - 07.2023
- Performed data entry tasks associated with tracking appeals and grievances, providing concise reports highlighting key trends or areas of improvement
- Collaborated with assigned coordinators to make sure that claims were being tracked and sent in a timely manner to the Director of Appeals
- Compiled weekly reports summarizing appeal activity including number received, resolved and pending cases that were assigned to me directly
Claims Specialist
Friday Health Plans
11.2022 - 07.2023
- Explained partial and full denials for items not covered under policies
- Collaborated with other departments, customers and medical companies to resolve claims in an efficient and timely manner
- Conducted timely reviews of claims to ensure accuracy and completeness of documentation
- Utilized problem-solving skills to investigate complex insurance claims with multiple factors
Call Center Customer Service Representative
Friday Health Plans
06.2022 - 07.2023
- Answer incoming calls and responding to customer emails
- Responding efficiently and accurately to callers, explaining possible solutions and ensuring that the member feels supported and valued
- Engaging in active listening with callers, confirming or clarifying information and diffusing angry members as needed
- Utilizing software, databases, scripts, and tools correctly
- Taking part in training and other learning opportunities to expand my knowledge of the company and my position
- Making sure to follow all company policies and procedures
Licensed Insurance Prod
Troy Plane State Farm
11.2020 - 05.2022
- Quote prices and credit terms to prepare sales contracts
- Sell a variety of insurance products to businesses and individuals, explaining the advantages and disadvantages of the policy
- Answer any questions or concerns that policy holders have with their insurance claims
- Send reminders of premium payments and notify customers of any rate changes
- Obtained client information by answering telephone calls and updating client files with appropriate documentation
Store Manager
Duran Oil/ Shell
02.2020 - 07.2020
- Reviewed and monitored scheduling, purchases and other expenses to maintain quarterly budget
- Promoted team collaboration, performance and efficiency by fostering healthy environments focused on mutual success
- Coached sales associates in product specifications, sales incentives and selling techniques, significantly increasing customer satisfaction ratings
- Rotated stock to achieve optimum appeal and minimize shrinkage
- Reconciled daily sales transactions to balance and log day-to-day revenue
Office Manager
Formation Ag
11.2019 - 01.2020
- Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives
- Developed standard operating procedures for all administrative employees
- Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping
- Maintained computer and physical filing systems
Education
High School Diploma -
Sierra Grande School
Blanca, CO05.1999
Skills
- Customer Support
- Recording Payments
- Customer Inquiries
- Interpretation Skills
- Claims Adjustments
- Tracking Spreadsheets
- Insurance Industry Experience
- Work Organizing and Prioritizing
- Medical Records Research
- 10yrs of Call center experience
Certification
Property and Casualty License for Colorado
Property and Casualty License for New Mexico
Timeline
Licensed Insurance Producer
Markie Davis State Farm
07.2023 - 01.2025
Appeals & Grievances Specialist
Friday Health Plans
06.2023 - 07.2023
Claims Specialist
Friday Health Plans
11.2022 - 07.2023
Call Center Customer Service Representative
Friday Health Plans
06.2022 - 07.2023
Licensed Insurance Prod
Troy Plane State Farm
11.2020 - 05.2022
Store Manager
Duran Oil/ Shell
02.2020 - 07.2020
Office Manager
Formation Ag
11.2019 - 01.2020
High School Diploma -
Sierra Grande School
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