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Lilliam M. Mata-Rivera: Objective
Lilliam M. Mata-Rivera: Objective
Mata-Rivera
FL 32810
Mobile: (407) 701-6261
Email: Lilliam.Mata-Rivera@hotmail.com
OBJECTIVE
To use my personality paired with my problem solving and analytical skills that I have gained through my education and job experience, to
obtain a position with a company that would provide opportunities for professional growth.
WORK EXPERIENCE
CNA Insurance
Maitland, FL
Resolution Specialist
Act as an account manager in the coordination of billing and collection activities for 20 U.S. branches
Work with external customers (broker, agent, and/or client) to determine/resolve escalated billing and collection disputes. Investigates and
resolves issues with various internal departments such as Underwriting, Claims, Billing, Auditing, etc.; Initiate best corrective action to
pursue collections before they become past due
Explain cash flow and loss sensitive billing methods and concepts to external customer and advise them on billing and collections matters;
Recommend payment settlement as necessary
Partner with Underwriting department to assist external customers with the best billing plan and collection methods available per policy
Review and rate accounts based on established guidelines to determine potential changes to future insurance policies
Establish forecast on payments based on client's previous payment history and make recommendations for non-renewal of policies
Assist agents and outside counsel with legal collection activities as needed
General Clerk
Worked the weekly ran flat cancel list which involves the research and verification of nonpayment of policy and cancellation of policy
Weekly audited the flat cancellation process worked by India subcontractor; Worked with management to resolve and issues found
Worked with the refund team to audit and verify the amount of return premium checks balanced correctly; Maintained department tracking
report of audit results
Contacted insured's or local agents directly to obtain the correct information needed to redistribute refund checks to the correct location
Assisted our Risk Control department in processing renewal inspections and creating recommendation letters
Trained to help out the customer service call center as needed
Orlando, FL
Pharmacy Technician
Read, translated, and inputted prescription information into system; Assisted pharmacists with tasks as needed
Contacted insurance companies regarding any patient benefit issues that may arise; Verified that prescription claims were billed properly
Verified that patients were receiving their orders in a timely manner; Worked to resolve any patient issues with orders once received
Specialty Department Technician
Worked with the tracking of high cost and temperature sensitive orders; Reported directly to Corporate Office the tracking data of orders
Contacted doctors offices to correct and validate prescriptions submitted to mail center; Contacted pharmaceutical manufacturers to get
authorization to place orders
Contacted patients for information regarding their order to ensure timely shipment and to schedule a delivery date to for their orders
Answered patient calls regarding questions about their prescription order or their account; Redeemed payment over the phone for past
due balances; Contacted Fed-X, UPS, or DHL to track down packages and worked to resolve issues as needed; Requested reshipments
of medications when quantity was shorted or wrong medication was sent
Orlando, FL
Orlando, FL
EDUCATION/TRAINING
Valencia Community College, Orlando, FL