Felix

8/10/2012
Miami, FL

Position Desired

Healthcare Customer Service
Miami, FL
Yes

Resume

Felix Valdera
North Miami, FL


Summary & Objective

Highly experienced senior account insurance coordinator with extensive skills in medical provider and life insurance contracts and products seeks employment and career opportunity with successful, progressive and challenging employer. Also possess ten plus years of successful and transferable skills and experience in merchandising, design, customer service, market planning and procurement.

Employment History

Doctors Diabetic/Bright Sky Miami, FL
Diabetic Supply Vendor
Insurance Coordination & Contract Management 2009-2011
Sales Representative 2007-2009




Account Executive & Independent Contractor 2006-2007
Ad Specialties and Travel Businesses
Perform on part time basis

Corporate Incentive Solutions Newton, MA / Haddonfield, NJ 2004 - 2006
Account Executive

Prestige Promotions, Inc. Haddonfield, NJ 1995 – 2004
Account Executive


White Corporation Bensalem, PA 1992 – 1995
Account Executive


Pennsylvania, Promotions, Inc. Fernwood, PA 1990 – 1992
Account Executive/Coordinator

Prior Employment with New York Life & Equitable Life Insurance Companies as a NASD Registered Representative


Representative Skills & Accomplishments

Insurance Coordination and Contract Management

Responsible for identifying out of network, non-contracted plans, obtaining and executing all applications where company could competitively supply durable medical equipment benefits and service at the national entry. Responsible for managing the relationships with both contracted and non-contracted insurers through full cycle. Administer and manage both Medicare/Medicaid (Mcare/Mcaid) as well as, commercial and Mcare/Mcaid Advantage, HMO and non HMO contracts to which the company is a party. Explore the potential expansion of company products and services into the government and private insurance sectors. Identify emergent business opportunities through partnership with providers of DME benefits. Negotiate pricing and terms for company products and services at the national carrier and plan level. Create and liaise with Marketing, company communication and marketing strategies to encourage enrollment within provider relations personnel. Liaise with Sales Intake, Collections and Pre-Qualification/Verification to identify, create and execute new standard operational procedures, matrices and comply within the contract terms/conditions. Contracted with one of the 5 top national insurers of both commercial/Mcare -Advantage plans resulting currently 5% increase of new generated income and growing.


Resume Feliciano F. Valdera, III
Page 2
Merchandising

Excellent merchandising skills, particularly in advertisement specialties and events planning. Strong intuitive instincts in creating and synthesizing promotional specialties with event planning


Marketing

Comprehensive understanding of contemporary marketing and advertising concepts; advertising (multimedia, creative, production and planning) with corporate, healthcare and professional associations’ presentations as well as teleconferencing & e-conferencing. Held key regional marketing coordination position with Corporate Incentive Solutions, MA for their Philadelp...

Login or Register to view the full resume.