Summary
Overview
Work History
Education
Skills
Volunteer Experience
Timeline
Generic

Robert Esparza

San Antonio

Summary

Great communication skills. Focuses on the task at hand. Strives to exceed goals set in place. Coachable and willingness to learn new methods to be more effective in meeting metrics.

Overview

13
13
years of professional experience

Work History

Benefit Advocate

United Health care Employer and Individual
San Antonio
07.2024 - 03.2025
  • Facilitated member understanding of plan benefits through employer resources.
  • Guided members in navigating claims processes to ensure accurate submissions.
  • Assisted members with prior authorizations, overrides, and pharmacy claims to expedite approvals.
  • Coordinated open enrollment processes, enhancing member participation and satisfaction.
  • Researched and evaluated benefit plans, providing tailored recommendations for clients.

Clinical/Service Navigator

United Health Care
07.2017 - 12.2023
  • Inbound and outbound calls assisting members with their plan concerns ranging from benefits, plan enrollments/disenrollments, payments, claims, prescriptions, prior authorizations, doctor searches, scheduling appointments and finding resources.

Customer Service/Tech Support

Transcom
08.2012 - 02.2016
  • Inbound calls from members providing tech support for cable, phone and internet.
  • Generated new member contracts to meet sales quota using product knowledge and marketing.

Education

GED -

John Marshall High School
San Antonio, TX
11.2007

Skills

  • Customer service and support
  • Sales expertise
  • Technical support
  • Health insurance knowledge
  • Problem solving
  • Effective communication
  • Claims processing
  • Member education
  • Product expertise
  • Prior authorization management

Volunteer Experience

At United Health Care I was responsible for managing daily email for team surveys using Microsoft Excel and creating monthly newsletter using Microsoft PowerPoint.

Timeline

Benefit Advocate

United Health care Employer and Individual
07.2024 - 03.2025

Clinical/Service Navigator

United Health Care
07.2017 - 12.2023

Customer Service/Tech Support

Transcom
08.2012 - 02.2016

GED -

John Marshall High School

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