Samm Ramirez Email & Phone Number

Sacramento, CA, US

Rancho Cordova, California, United States

Rancho Cordova, California, United States

Folsom, California, United States

Progressed from Claims Supervisor to Claims Manager in April 2019 to extend leadership and management expertise to our Stop Loss Reinsurance, Third Party Subrogation and Provider Network Negotiations Department and Auditor. Additional responsibilities encompass comprehensive analysis of reinsurance polices specific to carrier to determine and document.

Folsom, CA

Managed a team of 33 claims examiners to guide lead and mentor in claims related industry best practices. Manage claims side of all implementations, including benefit review, coding and compliance. Responsible for the development and preservation of network contract partnerships with Anthem, ClaimDoc, Cigna, MedWatch, Smart Data Solutions and Zelis by.

Folsom, CA

Progressed from a Client Coordinator administrative support position to Client Manager, Implementation Specialist and ultimately Account Executive that managed a book of business that resulted in 2.2 million dollars of revenue annually. Essential responsibilities included, however were not limited to an annual review of account services to identify.

Promoted from temporary to permanent status in April of 2008; provided clerical support to Account Managers and Insurance Benefits Brokers: performed data entry; received and processed employee health benefit applications; reviewed applications for accuracy and completeness; researched information to complete forms; verified employee eligibility; submitted.

Folsom, California, United States

Progressed from handling office maintenance to office management, expense reports and Diner’s Club Administration responsibilities in a fast paced environment: interviewed, hired, trained and supervised employees to ensure reception and office maintenance coverage; reviewed employee performance; researched information and maintained vendor relationships.

Santa Clara, California, United States

Supervised an outsourced call center team; provided employee trainings and PowerPoint presentations; ensured quality customer service was provided and that representatives met call volume quotas; handled business correspondence; responded to and forwarded e-mail; obtained preferential rates from couriers, distributors and vendors; answered multi-line.