Robyn Riojas
Fort Worth,TX
Summary
Detailed-oriented operations and compliance professional with over 8 years of experience supporting high-volume administrative processes, regulatory documentation, onboarding coordination, and confidential data management. Proven ability to serve as a primary point of contact for inquiries, maintain data integrity across multiple systems, and ensure timely resolution of transactional requests. Recognized for strong organizational skills, clear communication, and service-focused approach in a fast paced environments.
Overview
8
8
years of professional experience
Work History
Junior Underwriter
United Healthcare
06.2023 - Current
- Review and analyze high-volume new business applications to assess risk, compliance, and documentation accuracy.
- Interpret underwriting guidelines and regulatory requirements to ensure adherence to company policies.
- Maintain data integrity across internal and vendor systems while processing underwriter decisions.
- Communicate outcomes clearly to internal stakeholders and external partners.
- Respond to status inquiries and coordinate cross-functionally to resolve documentation discrepancies.
- Ensure secure handling of confidential medical and personal information in compliance with privacy policies.
- Manage workflow within strict productivity and turnaround time standards in a remote environment.
Broker Agent Service Sr. Representative.
United Healthcare
08.2020 - 06.2023
- Served as administrative support for agent licensing, contract terminations, Department of Insurance compliance processes.
- Processed onboarding documentation and state appointment renewals for 1099 independent agents across multiple states.
- Coordinated high-volume licensing transactions while ensuring regulatory compliance and accuracy.
- Responded to internal and external inquiries regarding agent status and document requirements.
- Trained team members on internal procedures and system workflows to improve efficiency and data accuracy.
- Assisted with reporting, audits, and special compliance projects.
Licensing Specialist
US Health Administrators, LLC
11.2018 - 08.2020
- Conducted internal audits of sales agents to ensure compliance with state and company regulations.
- Served as liaison between agents, state Department of Insurance, and Internal Teams.
- Provided instructions and guidance to agents regarding compliance requirements.
- Maintained accurate records in initial databases and supported documentation tracking processes.
Underwriter Support Specialist
US Health Administrators, LLC
03.2018 - 11.2018
- Coordinated with medical facilities and applicants to obtain medical records and required documentation.
- Communicated with underwriters and agents to resolve missing information and finalize decisions.
- Processed confidential documentation in compliance with privacy standards.
- Identified and resolved application discrepancies for accuracy and compliance with relevant regulations.
Administrative Assistant
US Health Group (Cornerstone Staffing)
10.2017 - 03.2018
- Answered multi-line phone system, routing calls, delivering messages to staff and New Business clients.
- Managed confidential client policies, and ensured proper distribution of information across internal and external systems.
- Accurately Maintained the organization of verified documentation and supported quality control processes.
Education
Bachelor of Science - Social Work & Psychology
The University of Texas At Arlington
Arlington, TX12-2016
Associate of Science -
Tarrant County College
Fort Worth, TX12-2014
Skills
- Proficiency in MS office: Word, Excel, Outlook, Teams, PowerPoint Internal Systems: [AS400, EMSI, E-Contracting platforms, Vendor Systems, five9/fuze phone and fax systems]
- Key Skills: Critical Thinking, Analyzation, Strong Communication abilities, Customer Service/Interpersonal skills, and High-Volume Data Navigation and Document Management
Timeline
Junior Underwriter
United Healthcare
06.2023 - Current
Broker Agent Service Sr. Representative.
United Healthcare
08.2020 - 06.2023
Licensing Specialist
US Health Administrators, LLC
11.2018 - 08.2020
Underwriter Support Specialist
US Health Administrators, LLC
03.2018 - 11.2018
Administrative Assistant
US Health Group (Cornerstone Staffing)
10.2017 - 03.2018
Bachelor of Science - Social Work & Psychology
The University of Texas At Arlington
Associate of Science -
Tarrant County College