Summary
Overview
Work History
Education
Skills
Languages
Additional Information
Timeline
Hi, I’m

Vanessa Saborio

Palmetto Bay,Florida

Summary

Dedicated professional bringing top-notch skills in oral and written communication. Analytical problem-solver with excellent communication skills. Enhances customer experiences by employing service-oriented behaviors, active listening, understanding customer desires, ad providing customized solutions to build loyalty. Effective compiling records and documenting findings. Well-versed in insurance policies, practices and standards.

Overview

7
years of professional experience

Work History

Molina Healthcare

Pharmacy Service Representative
01.2023 - Current

Job overview

  • Assist patients in minimizing medical expenses by recommending generic alternative prescription medications.
  • Provide excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
  • Educate customers about billing, payment processing and support policies and procedures.
  • Provide member and providers medication authorizations information.
  • Assist when medication is not being processed correctly at pharmacy.
  • Provide member details of their medication copays, plan benefits, plan payment breakdown.

Geico

Sales Agent
01.2022 - 01.2023

Job overview

17029 S Dixie Highway Palmetto Bay, FL 33157

  • Sell auto, renters, boat and motorcycle policies
  • Taking inbound calls to assist clients and sell policies. Educate customers about our products and services.
  • Design ways of marketing strategies to sell new insurance contracts and always meet the goal.

Monarch Claims Consultants

Administrative Assistant
07.2020 - 01.2022

Job overview

12955 SW 132nd St Suite 202, Miami, FL 33186

  • Answer and direct phone calls
  • File new claims to insurance company. Add claim information to our system.
  • Speak to clients regarding information needed and claim status.
  • Organize and schedule homeowner inspections.
  • Plan assistant meetings and take detailed minutes
  • Write and distribute email, correspondence memos, letters, faxes, and forms
  • Assist in the preparation of regularly scheduled reports.
  • Follow up on claim status with the carrier.
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.
  • Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.

Dentaquest

Customer Service Representative
09.2019 - 06.2020

Job overview

8300 NW 53rd Street, Suite #200. Doral FL 33166

  • Assist providers and members with eligibility questions, PCP changes, copayments and benefits.
  • Assist with claim reprocessing and status. Provide authorization information and assist with appeal rights and appeals.
  • Help member locate specialist information for referrals.
  • Address any members concerns, file grievances if needed.

Anthem

Customer Service Representative for Medicare and Medicaid
11.2017 - 09.2019

Job overview

9250 West Flagler St Miami, FL, 33174

  • Provide plan information such as enrollment information, copays and benefits.
  • Assist with medication rejection.
  • Provide status of medical authorizations.
  • Help with claim status, provider relation questions and billing for members.
  • Assist with plan changes.
  • Deescalate sensitive calls with compassion and understanding of the situation.
  • Provide appeal rights, submit appeals for denied claims or authorizations.
  • Assist on filing grievances or try to descale problem in the moment it happens.

Del Toro Insurance

Insurance Agent
06.2016 - 11.2017

Job overview

5729 NW 7th St, Miami FL 33126

  • Assist customers with insurance payments.
  • Provide different insurance rates.
  • Help customers with renewal offers.
  • Provide assistance with any questions customers might have.
  • Finalize sales and collected necessary deposits.

Education

Miami Coral Park Senior High School; 8865 Southwest 16th Street

High School Diploma;

Skills

  • Self-confident
  • Analyzes issues & assess situations
  • Motivated and energetic
  • Bilingual (English & Spanish)
  • Fast learner
  • Reliable

Languages

  • English
  • Spanish

Additional Information

4-40 Customer Service Representative License


References


Oskar Vidaurre - Manager - 305 586 7243

Lazaro Lima - Manager at Monarch claims 786 399 6319

Jovany Gomez - Operations expert at Anthem 321 440 6894

Timeline

Pharmacy Service Representative

Molina Healthcare
01.2023 - Current

Sales Agent

Geico
01.2022 - 01.2023

Administrative Assistant

Monarch Claims Consultants
07.2020 - 01.2022

Customer Service Representative

Dentaquest
09.2019 - 06.2020

Customer Service Representative for Medicare and Medicaid

Anthem
11.2017 - 09.2019

Insurance Agent

Del Toro Insurance
06.2016 - 11.2017

Miami Coral Park Senior High School; 8865 Southwest 16th Street

High School Diploma;
Vanessa Saborio