Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Hi, I’m
Mayra I. Figueroa Lopez
Winter Haven,FL
Summary
Overview
22
years of professional experience
Work History
GI Independence
Self-Determination Support Specialist
10.2022 - Current
Job overview
- Conducts and translate the enrollment process with the person served and their circle of support (i.e., families, guardians) in a timely manner
- Ensures enrollment documents are complete and accurate
- Recommends improvements to internal process/systems to prevent future issues and to enhance service experience
- Maintains confidentiality and HIPAA compliance
- Enter information into databases, such as a call log, for effective record keeping
- Prepare and send documents via DocuSign or email
- Ensure the proper naming and saving of documents in the document management system
- Assist customers in returning documents
- Manage DocuSign accounts and support issues from the operations staff and customers
- Ensure all compliance standards are met for audit purposes
- Timesheet reviewing and time tracking
- Accurately and efficiently complete payroll checklists for assigned agencies
- Work with your team leader to identify strategies for reducing errors
- Collaborate with your team to resolve rejected timesheet issues
- Bill agencies for timely reimbursement
- The, acts as a liaison between consumers, personal care assistants (PCA)
- Maintain confidentiality regarding all communication/information related to consumers, employees, and all business relations
- Act as a troubleshooter when and if any consumers are in need of assistance regarding problem issues (i.e
- Consistently late timesheets, timesheet confusion, and change of needs, etc)
- Act as a troubleshooter for inquiry calls or drop-in home visits regarding general program information or for consumer complaints
- Attend educational meetings, training sessions, and other meetings as needed or required by the program
- complete necessary documentation, and verify Medicaid eligibility
- Updated, entered and reviewed customer data.
- Understood and thoroughly explained services provided to customers and potential customers.
- Communicated effectively via telephone, email and in person with prospective customers.
CVS/caremark
Bilingual Costumer Care Representative
05.2021 - 10.2022
Job overview
- Assist members with their pharmacy benefit plans
- Take inbound calls and answer questions regarding prescription insurance, medication coverage and mail order prescriptions so that our members better understand their coverage and options
- Engage fully in learning, coaching opportunities and career growth
- Actively share acquired knowledge and skills to benefit customers, colleagues, team, site and organization
- Strong communication/interaction with peers, leaders, and members
- Support business by working OT and maintaining an acceptable attendance
- Compliance with all LOBs specific requirements
- IngenioRx, FEP, BlueShield of CA, and any other client/LOB with specific requirements
- Handle grievances efficiently and appropriately when applicable
- Follow PA Process as indicated by client/LOB specification
- Provide a member experience that aligns to Integrated Quality Form expectations
- Remain engaged with the member, using resources and tools to efficiently and effectively manage the call and provide a more satisfying member experience (20%)
- Identified and responded to customer requests and concerns through email, online chat, and phone for both English and [Type]-speaking customers.
Jimenez & Associates, LLP
Manager/Administrative Assistant to the President
12.2011 - 04.2021
Job overview
- Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Managed filing system, entered data and completed other clerical tasks.
- Managed executive calendars, scheduling meetings and appointments and coordinating travel arrangements to optimize time.
- Reconciled accounts, managed audits and updated financial records with remarkable accuracy.
- Maintained accurate and complete documentation to facilitate accounting and filing functions.
- Supported management by processing invoices and documents with consistent on-time delivery.
- Managed and responded to correspondence and inquiries from customers and vendors.
- Coordinated office supply ordering to avail materials for streamlined operations.
- Coordinated with external auditors to resolve discrepancies.
- Completed payroll for employees and maintained detailed records of procedures.
Regional Aid for Interim Needs
Executive Administrative Assistant
01.2010 - 10.2011
Job overview
- Prepared annual budgets with controls to prevent overages.
- Utilized grant writing skills to secure additional program funding.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Managed volunteer programs focused on providing community services to underserved populations.
- Coordinated individual referrals to obtain community services, advocate for client needs and resolve roadblocks.
- Provided leadership, guidance and support to staff members.
Fulcro Insurance Group
Account Manager-Personal Lines Dept.
01.2001 - 10.2010
Job overview
- Handled the tasks of providing executive -level administrative support to the concerned executive managers
- Responsible for performing administrative tasks like compiling and analyzing data and conducting market research
- Prepared management reports and maintained proper records of files
- Responsible for maintaining good rapport with the officers and staff
- Handled the charge of answering phone calls
- Responsible for arranging and attending meetings with executive officers
- Prepared daily reports and updated the same to the manager
- Responsible for arranging training sessions for the employees
- Prepared innovative strategies and plans to achieve the target as well as the goals of the organization
- Researched and identified potential new markets.
- Calculated premiums and established payment methods for sales.
- Collected premiums on or before effective date of coverage.
- Identified and solicited sales prospects in agency databases.
- Provided advice and counsel on personal lines matters.
- Stayed in contact with carriers, underwriters and marketing personnel.
- Monitored electronic activities closely.
- Analyzed risk factors to recommend appropriate coverage levels.
- Created sources for continuous client referrals within community and with businesses using extensive networking skills.
- Conducted annual reviews of existing policies to update information.
- Met with customers to provide information about available products and policies.
- Educated clients on insurance policies and procedures.
- Maintained records and stayed current with policy renewals.
Education
Universidad De Puerto RicoUtuado, PR
from General Studies
08.1989
University Overview
Skills
- Activity Planning
- Certified Notary Public/Online
- Compiling Data
- Computer System Diagnostics Software
- Application Installation
- Spanish Speaking-ALTA-Certification
- Remote Assistance
- Microsoft Office
- Online Databases
- Performance Measurement
- Social Skills
- Emotional Support
- Organizational Skills
- Customer Communication and Empathy
- Microsoft Windows and Office
Languages
Spanish
Native or Bilingual
Timeline
Self-Determination Support Specialist
GI Independence
10.2022 - Current
Bilingual Costumer Care Representative
CVS/caremark
05.2021 - 10.2022
Manager/Administrative Assistant to the President
Jimenez & Associates, LLP
12.2011 - 04.2021
Executive Administrative Assistant
Regional Aid for Interim Needs
01.2010 - 10.2011
Account Manager-Personal Lines Dept.
Fulcro Insurance Group
01.2001 - 10.2010
Universidad De Puerto Rico
from General Studies
Similar Profiles
Bertrina LittleBertrina Little
Personal Care Assistant at GI IndependencePersonal Care Assistant at GI Independence
Marilyn VizcarrondoMarilyn Vizcarrondo
Certified Medical Assistant at Connecticut GI Powered by GI AllianceCertified Medical Assistant at Connecticut GI Powered by GI Alliance
David SuaDavid Sua
Service Warehouse/Driver, Warehouse Orders at Independence School District Independence, MO.Service Warehouse/Driver, Warehouse Orders at Independence School District Independence, MO.
Lernin SantosLernin Santos
Social Work and SDOH Supervisor at InnovaCare HealthSocial Work and SDOH Supervisor at InnovaCare Health
RENEE ROBERTS-WILLIAMSRENEE ROBERTS-WILLIAMS
Hospice Nurse at VITAS HealthcareHospice Nurse at VITAS Healthcare