Moraima I. Martinez
Nashua,NH
Summary
A motivated individual with willingness to take on challenging roles, tech-savvy and quick learner. A resourceful Supervisor trained in resolution of critical issues within a time-sensitive environment and maintaining a talented team. A versatile leader committed to continuous improvements with a proven history of motivating staff to work together to achieve targets in a timely manner.
Overview
12
12
years of professional experience
Work History
Adjudication Supervisor
Savilinx
Remote
01.2022 - Current
- Input any missing information into various systems and adjust any incorrect information
- Monitor team chat and answer any questions agents may have
- Assist agent with hot callers to help reach a resolution for the claimant
- Monitor work tasks to ensure they get completed in a timely manner
- Handle cases escalated to the adjudication supervisor team (All adjudication agent duties apply to supervisors as well)
Adjudication Agent
Savilinx
Remote
01.2020 - 01.2022
- Review documents according to SOPs to ensure they are valid
- Report and escalate any suspected fraud or conflicts
- Make outbound calls to claimants for needed information
- Handle inbound calls for claimants' inquiries
School Bus Monitor/Driver
First Student
Nashua, USA
01.2019 - 01.2020
- Collaborated with bus driver
- Monitored the children's behavior
- Assisted children with disabilities
Patient Access Specialist
Nashua Eye Associates
Nashua, USA
01.2013 - 01.2015
- Answered incoming calls and handled caller's inquiries
- Maintained a sufficient and accurate record
- Coordinated repair and maintenance of office supplies
- Greeted, assisted and directed guests, workers, visitors and the public
Education
Presumptive Medicaid Enrollment -
SCHC
Syracuse01.2009
Medical Billing & Coding -
EOC
Syracuse01.2004
GED -
OCM Boces
Liverpool01.2002
Skills
- Bilingual - Spanish and English
- High Problem Solving
- Great Communication Skills
- Dedication
- Focus
- Commitment
- People oriented
- Attention to detail
- Customer service experience
- Ability to work alone
- Ability to work as part of a team
- Time Management
- Organizational skills
- Coaching and mentoring
Timeline
Adjudication Supervisor
Savilinx
01.2022 - Current
Adjudication Agent
Savilinx
01.2020 - 01.2022
School Bus Monitor/Driver
First Student
01.2019 - 01.2020
Patient Access Specialist
Nashua Eye Associates
01.2013 - 01.2015
Presumptive Medicaid Enrollment -
SCHC
Medical Billing & Coding -
EOC
GED -
OCM Boces