Roderick Cruz Email & Phone Number

Iselin, New Jersey, United States

• Assist clients in the proper administration of their employee benefit plan• Enrollments• Terminations• Changes• Billing questions • Data entry• Reviews census data with each client and updates in system• Enrolls, terms, changes to enrollment per clients request• Commission data• Renewal data• Maintains and updates client log • Proposal and Renewal preparation and New Business submission• New Business – enters data and prepares proposals• Renewals - Reviews and Prepares renewal presentations• Reviews new business submissions for accuracy• Obtains necessary data from clients • Service• Answers clients questions regarding enrollment, billing and claim inquiries• Organizes monthly renewal data for proposal preparation• Submits enrollments, terms, additions on behalf of clients• Handles claim issues• Answers client questions regarding insurance coverages

Westfield, New Jersey

• Assist clients in the proper administration of their employee benefit plan• Enrollments• Terminations• Changes• Billing questions • Data entry• Reviews census data with each client and updates in system• Enrolls, terms, changes to enrollment per clients request• Commission data• Renewal data• Maintains and updates client log • Proposal and Renewal preparation and New Business submission• New Business – enters data and prepares proposals• Renewals - Reviews and Prepares renewal presentations• Reviews new business submissions for accuracy• Obtains necessary data from clients • Service• Answers clients questions regarding enrollment, billing and claim inquiries• Organizes monthly renewal data for proposal preparation• Submits enrollments, terms, additions on behalf of clients• Handles claim issues• Answers client questions regarding insurance coverages

Livingston, New Jersey

Assist brokers with processing small group business (2-20 employees) insurance benefit plans.● Collaborate with different insurance carriers to follow up on enrollments, termination and additions of dependents, changes and corrections on members and groups.● Speak with carriers on having member claims reviewed and reprocessed in a timely manner.● Contact insurance carriers to make sure all the rates for a specific group are correct and updated based upon benefit contract renewal, inputting member information with various insurance carriers and making sure members are enrolled in the correct plans.● Pull group information rosters per insurance plan and send to brokers in order to verify accuracy against the group census for upcoming benefit contract renewals● Meet with carrier reps to learn the various updates on the new medical and dental policies for small business groups.● Allocate the group payments with insurance carriers to make sure that they are paid up to date● Gain understanding of the plans provided by insurance carrier in order to break plans down for brokers to explain them to their clients● Serve as backup in case of absence of the Customer Service Supervisor● Train Customer Service new hires as part of department onboarding team● Liaison with IT department for light troubleshooting and software installations/computer diagnostics

Millburn, New Jersey

● Accounts Receivable - discussed past statements with patients, collected previous balances, posted insurance and patient payments to patient accounts, called insurance companies to follow up on payment for pending and past due insurance claims.● Called patients to confirm appointments● Served as backup for Receptionist duties - brought in patients to be weighed, liaised with pharmacies for to call in new prescriptions and prescription refills, collected patient co-payments, looked up doctor references and doctor referrals and created patient referral forms for the doctors that patients were advised to visit.● Attended Lunch and Learns with various Medical Sales Representatives to learnabout the new pharmaceutical drugs in the market.

South Orange, New Jersey

Watched children from Kindergarden to 8th grade, played with them, help them do their homework and tutor them

Criminal Justice / Sociology

Criminal Justice/Law Enforcement Administration