Maritza Otero
Haverhill,MA
Summary
Product operations specialist with 8+ years of claims reporting experience. Skilled in resolving client issues and providing excellent customer service. Delivering consistent customer service through timely updates, accurate data, and clear communication.
Overview
12
12
years of professional experience
Work History
Product Operations Specialist
Verisk
02.2026 - Current
- Executed client training on Section 111 reporting platform, improving user understanding and compliance
- Led problem-resolution calls with clients, ensuring swift issue resolution
- Cultivated client relationships, enhancing engagement and fostering long-term partnerships
- Provided timely responses to all client emails, ensuring effective communication
- Monitored client data accuracy ensuring timely reporting to CMS
- Designed tracking system to streamline CMP outreach efforts, increasing client interaction.
- Partnered with colleagues across departments to ensure best client support
Claims Analyst
Verisk
04.2020 - 02.2026
- Managed intake process for new claim referrals
- Collaborated with Medicare, Medicare Advantage plans, and U.S. Treasury to resolve claims efficiently
- Reviewed Medicare liens and medical records to prepare appeals on unrelated medical charges
- Communicated with clients, claimants, and attorneys regarding claim statuses and general questions
- Acted as the primary contact for assigned clients and addressed inquiries effectively
- Consistently met production goals related to services provided, contributing to overall team performance
Lien Services Coordinator
Verisk
07.2018 - 04.2020
- Completed assigned work by the deadline to ensure timely processing
- Properly reporting claims to Medicare
- Maintained follow-up queues to facilitate efficient claims resolution
- Conducted training sessions for new coordinators
- Processed incoming and outgoing mail
- Assisted with client mail and document automation projects
PreK Teacher
Pitter Patter Academy
08.2014 - 07.2018
- Developed age-appropriate curriculum for children ages 2 months-5 years, fostering early childhood development
- Assessed children's learning levels and completed evaluations to inform individualized instruction and support
- Reviewed classroom curriculum and provided teachers with tailored support and innovative ideas to enhance learning experiences
- Supported director with administrative tasks and school tours
Education
Associates - General Studies
Northern Essex Community College
Haverhill, MA01-2015
Skills
- Client training and support
- Medicare regulations compliance
- Data accuracy
- Data analytics
- Microsoft Office proficiency
- Appeals and claims processing
- Problem resolution
- Time management
- Multitasking skills
- Bilingual (Spanish/English)
- Client relationship management
- Effective communication
- Six Sigma yellow belt
Timeline
Product Operations Specialist
Verisk
02.2026 - Current
Claims Analyst
Verisk
04.2020 - 02.2026
Lien Services Coordinator
Verisk
07.2018 - 04.2020
PreK Teacher
Pitter Patter Academy
08.2014 - 07.2018
Associates - General Studies
Northern Essex Community College