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Daniela  Aquize Mundaca

Daniela Aquize Mundaca

Administración de Empresas
Surquillo, Lima

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Sobre Daniela Aquize Mundaca:

Hello, I am Daniela.

Experiencia

Bilingual customer service agent

 

TELEPERFORMANCE MAY 2022 TO DATE

 

  • Resolve queries and questions from insured parties regarding Medicare advantage plans.
  • Provide information regarding the coverage of their health plans.
  • Explain and resolve queries regarding the health accounts of the insured parties and contact the providers in case there is any incorrect payment and manage reimbursements for the insured party.
  • Coordinate with pharmacies if the insured party need any kind of help with their medications or their refills.
  • Provide any type of help to the insured party that they might need, if they call to receive monetary help to pay health bills or asking for benefits that they do not have, one must look for programs and offer them the contact data or find any type of solution for them.
  • Schedule medical appointments or exams for the insured party, coordinate with health providers.
  • Offer information regarding their drug plans. Informing and explaining the different tiers of all the medications and how much they can expect to pay for each one of those. Explain to the members their deductible and Out of Pocket for their drug plan.
  • Offer information to the callers about the status of their pharmacy Prior Authorizations.
  • Inform the callers about the different alternatives in case their pharmacy Prior Authorizations were denied
  • Place the Prior Authorizations for pharmacy on cover my meds, the information is provided by the callers at the Dr’s office.
  • Advice the callers important information regarding their Prior Authorization.
  • Assist the pharmacy with any claim issues they may have and if needed reached escalations teams for any urgent matter.
  • Place the pharmacy override for the medications, if applicable and also taking into consideration the restriction of some medications and the plan guidelines.
  • Send the Prior Authorizations form and Appeal form through fax to the providers and also any documentation they may require.
  • Use my training skills and knowledge to ensure the callers felt supported and value while engaging in active listening to identify customers needs, clarify information, research every issue, explain and provide solutions as well as diffuse angry callers as needed.

 

Budget and Finance Intern

SAVIA PERU

JANUARY 2020 TO JANUARY 2021

  • Update reports on: sales, stock of crude oil and gas, production and construction.
  • Update transfer file, to keep track of all transactions.
  • Provide support and guidance to users in the creation and entry of the transaction to the finance module of the company's system.
  • Review of transactions entered by users into the system so that they can follow the review flow and are subsequently approved.
  • Prepare the monthly closing.
  • Provide support in the projections of Budget, ECST and other additional ones.
  • Entry of transfers between AFEs (Authorization for Expenditures) of financial savings to the system.
  • Monitoring of CAPEX transactions of the company.
  • Monitoring and updating of the AFE's (Authorization for Expenditures) of financial savings.
  • Provide support in the quantitative validation of the AFE's (Authorization for Expenditures) of financial savings.
  • Support in the preparation of the presentation for the COO Cost Management.

 

Research and development assistant for e-commerce projects

VIDA SALUDABLE

JULY 2019 UNTIL DECEMBER 2020

  • Analysis of suppliers in order to select them in relation to quality standards and competitive prices; to prepare the supply and distribution plan of the products according to the average frequency of customer orders.
  • Preparation of the operations plan: The key processes in the online trade of products and their respective contingency plans were identified. Standardization of purchasing and storage processes. The order reception and processing plan was formulated.
  • The drafting of the financial plan: Financial analysis of the project, cash flows and financial standards. Definition of the annual master budget with scenarios, investment calculation, working capital and WACC.
  • According to the strategy, KPI's were established to measure financial performance as well as some indicators of the e-commerce sector.

 

 Pre-professional research and development intern for 

e-commerce projects

VIDA SALUDABLE

JULY 2018 UNTIL DECEMBER 2019 .

  • Conducting market research on organic products using primary and secondary sources. With this, the target was found, the competitors and their "pain points" as well as other important characteristics of green consumers.
  • Preparation of the product mix, the brand image, value proposition, formal identity, brand positioning and communication were defined. The definition of the marketing mix that will be applied, the product lines, return policies, product prices, place, promotion, brand positioning, its communication and the preparation of the marketing budget.
  • Drafting of the Human Resources Plan: Design of the organizational structure, job description.

 

Pre-professional Customer Relations Intern

ENEL DISTRIBUCIÓN

AUGUST 2017 - OCTOBER 2017

  • Receipt and analysis of claims, complying with the deadlines established by OSINERGMIN and the regulations governing the energy sector (NTCSE).
  • Coordination and follow-up with the internal areas of the company until responding to the claims and issuing the resolution to the final client within the established deadlines.

Educación

EDUCATION

University of Piura

 (UDEP).Campus Lima

Bachelor´s degree in Business Administration, 2018

 

MEMBER OF Social work at UNIVAS (University Students Assistance Volunteering)

 

Santa Úrsula School

Primary school and High school

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