Overview
Work History
Education
Skills
Certifications and Licenses
Timeline
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Florive Figueroa

Orlando,Fl

Overview

8
8
years of professional experience

Work History

Line Cook

Universal Studios Florida
Orlando, FL
07.2023 - Current

Prepare and cook product using all methods of cooking including but not limited to; roasting, baking, sautéing, steaming, using established recipes, portions and methods prescribed by the Company in a sanitary and timely manner. Maintain a clean work area, including the washing of pots, pans and other kitchen items and taking out trash while following established safety standards and safe food handling guidelines. Operated kitchen equipment such as fryers, grills, steamer, ovens according to instructions to maintain safety and food quality. Understand and demonstrate the proper use of safety food preparation and handling practices and ensure department standards are maintained and safety policies for the Park are upheld.

Disability Claims Representative

Sedgwick
Orlando, FL
12.2022 - 05.2023

Made determinations to approve Disability claims, by finalizing claim decisions based on the disability plan. Determined benefits due, made timely claim payments to the Team Member(employee), and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informed the claimant or employee of documentation required to process claims, required time frames, payment information and claims status either via phone, written correspondence and/or claims system. Delivered exceptional customer service to the Team Member(employee) or Claimant by communicating information and actively listening to concerns.

Leave of Absence Coordinator

Sedgwick
Orlando, FL
02.2021 - 12.2022

Established FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzed FMLA and other unpaid claims to determine Team Member(employee) eligibility and certification in compliance with claimant plans, state and federal regulations. Followed up on open pending, approved, or denied claims to complete required line items. Reviewed documentation and medical to determine a decision, and process the claim accordingly. Monitored reports to identify Employee claim issues, and work professionally with the Client, of such, to resolve questions or concerns. Optimized communication between Claimant, Healthcare Providers, and Team member's via phone, written correspondence and/or claim system to ensure accuracy of claim decisions.

Pharmacy Tech, Specialty Mail Order

CVS Health
Orlando, FL
01.2017 - 02.2019

Entered new patient profiles and prescriptions into medication input software system. Communicated directly with Doctors offices to ensure accuracy of medical related decisions via phone, fax, and email. Worked closely with Pharmacists, and used our medical input software system to safely and accurately dispense medication. Answered patient's concerns regarding insurance claims, prior authorization forms, and any questions pertaining to their medication. Ensured compliance with HIPAA regulations regarding patient confidentiality.

Pharmacy Technician

Walgreens
Orlando, FL
03.2016 - 01.2017

Entered patient prescriptions into medication input software system. Verified patient data and prescriber information. Verified accuracy and completeness of information on Prescription and refill requests. Strictly maintained customer and patient confidentiality.

Front Desk Agent

Westgate Resorts
Orlando, FL
2 2015 - 3 2016

Greeted and registered guests and issued room keys in a courteous and professional manner. Performed bookkeeping activities, such as balancing accounts and conducting nightly audits. Recorded guest comments or complaints, and referred feedback to management. Processed credit card transactions during the checkout process.

Education

High School Diploma - High School

Chancery High School
2016

Skills

  • Math and Language skills
  • Delivers exceptional Customer Service
  • Data entry
  • Documentation skills
  • Decision-Making
  • Pharmaceutical terminology knowledge
  • HIPAA
  • Bilingual in English and Spanish (Intermediate in Portuguese)
  • Strong communication abilities
  • Claims Management
  • Employee Relations
  • Problem-solving abilities
  • Processing payments
  • Understanding of medical terms
  • Training initiatives
  • Food Preparation
  • Cooking techniques
  • Food safety knowledge

Certifications and Licenses

Registered Pharmacy Technician in the State of Florida - Issued December 2016

Timeline

Line Cook

Universal Studios Florida
07.2023 - Current

Disability Claims Representative

Sedgwick
12.2022 - 05.2023

Leave of Absence Coordinator

Sedgwick
02.2021 - 12.2022

Pharmacy Tech, Specialty Mail Order

CVS Health
01.2017 - 02.2019

Pharmacy Technician

Walgreens
03.2016 - 01.2017

Front Desk Agent

Westgate Resorts
2 2015 - 3 2016

High School Diploma - High School

Chancery High School
Florive Figueroa