Javier Vega
Saint Paul,MN
Summary
Ambitious and organized individual seeking a role that leverages previous experience and education to foster career advancement.
Overview
10
10
years of professional experience
Work History
Claims Examiner
Reliance Matrix
Phoenix, AZ
04.2024 - 06.2026
- Reviewed and analyzed claims for accuracy and compliance with regulations.
- Collaborated with underwriting teams to resolve complex claims issues efficiently.
- Utilized advanced claims management software to streamline documentation and communication processes.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
Licensed Health Insurance Team Lead/Trainer
TTEC
01.2020 - 05.2024
- Received incoming calls from prospects as well as current clients
- Advised clients of new and additional benefits available
- Sold and registered new benefits requested by the client
- Received and responded to Credit Karma members by email and chat
- Managed teams of 15-18 agents and trained 25-30 through zoom and Teams chat.
- Client - Aetna, UHC, eHealthInsurance, Credit Karma
Prior Authorization Rep
Alorica
03.2018 - 10.2019
- Received incoming calls from multiple Clients/ Insurance Agencies
- Made Outbound calls to Dr Offices and patients to complete Prior Authorizations
- Completed Prior Authorizations through Telephone, Fax and Electronic submission
- Mentored New Hire agents throughout on the job training exercises
- Client – Express Scripts
Direct Sales- Sales Specialist
CoWorx Staffing Solutions
02.2016 - 12.2017
- Increased sales conversion rate five consecutive months in a row above goal
- Completed first month of calls and nesting period above center level conversion rate goal
- Worked with programs such as Calabrio, Avaya One X, U-Verse CRM 1
- Specialized in sales with AT&T wireless, television, internet and home phone
- Utilized to provide support to other agents in addition to mentoring new nesting agents
- Client- AT&T, DirecTV
Education
Graduate - undefined
Cholla Magnet High School
05-2004
AGEC Certified - undefined
Pima Community College
05-2004
Skills
- Hardworking
- Resourceful
- Passionate
- Punctual
- Dependable
- Analytical
- High Energy
- Accountable
Timeline
Claims Examiner
Reliance Matrix
04.2024 - 06.2026
Licensed Health Insurance Team Lead/Trainer
TTEC
01.2020 - 05.2024
Prior Authorization Rep
Alorica
03.2018 - 10.2019
Direct Sales- Sales Specialist
CoWorx Staffing Solutions
02.2016 - 12.2017
Graduate - undefined
Cholla Magnet High School
AGEC Certified - undefined
Pima Community College