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Doris Aponte

Doris Aponte

Customer Service Rep

Humana, Inc.

Tampa, FL

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Humana, Inc.

Customer Service Rep

October 2008 — Present

Answered calls from Humana members, providers and brokers regarding Medicare benefits, claims, enrollments, and pharmacy in a timely manner and with high quality
Helped members understand pharmacy and medical claim issues; health care options; ordered id cards, summary of benefits and directories; pharmacy authorizations; scheduled and changed payment options; PCP changes; processed disenrollments and cancellations; updated low income subsidy information, etc.
Sent inquiries to the grievance and appelals for expedited appeals
Documented the call in the database Customer Care Portal 2 (CCP2)
Researched inquiries utilizing Customer Interface (CI), CAS, and the Premium Billing System (PBS)

Career medium 03
Career
Career medium 03

Science Applications International Corp. (SAIC)

Enrollment Specialist

March 2003 — August 2008

Enrolled and disenrolled beneficiaries from Tricare Latin America & Canada (TLAC) area, 42 countries in Central and South America, the Caribbean basin and Canada
Processed primary care doctors changes, processed transfer forms, and card requests
Communicated via telephone and e-mail with sponsors and dependents regarding enrollments, benefits, and eligibility
Prepared mailing packages every Friday to new enrollees
Assisted with Spanish speaking calls regarding benefits
Provided administrative support to the TLAC area to over 58,000 beneficiaries
Answered Tricare Overseas Program eligibility and claims from beneficiaries and providers
Translated into Spanish Tricare information and marketing materials
Reviewed and corrected expense reports gor supervisor's signature, ordered office supplies, sorted incoming mail, maintained ther egional calendar through Outlook
Coordinated staff hotel and travel reservations and prepared their travel folder
Assisted with coordination of seminar in Panama (room set up, invitations, registrations, translations, etc)

Career

Medical College of Georgia

Administrative Specialist I

August 2000 — November 2001

Assisted Student Government Association (SGA) entertainment chairman to coordinate students' TGIFs and month,y meetings, aerobics, and athletic programs
Created flyers and calendars
Maintained a room rezervation book, published the SGA leadership directory, sorted incoming mailkept log of incoming calls
Processed check requests for 20 accounts, meeting minutes, letters, memoranda

Career medium 06
Career

Augusta Technical College

Business Office Specialist, Business

Bayamon Technical University College

Executive Secretary, Secretarial Sciences