Summary
Overview
Work History
Education
Skills
Other Information
Timeline
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MIGUEL A. CASTELLANOS ROSARIO

San Juan

Summary

Experience in the insurance industry managing a complex and large workload of transactions that comply with tight due dates and strict quality standards. Proactive in detecting areas of opportunities and instigating ideas to boost productivity. Key contributor for the management team to fulfil corporate targets and commitments.

Overview

11
11
years of professional experience

Work History

Contract Administrator

COMMONWEALTH PROCUREMENT, LLC
Guaynabo
10.2023 - Current
  • Oversaw service agreements related to hydroelectric plant construction and maintenance, ensuring compliance with safety and regulatory standards
  • Negotiated contract terms, monitoring contractor performance, and optimizing processes to enhance efficiency and project outcomes
  • By leveraging tools such as SAP and Power BI, deliver actionable insights and maintain alignment with client expectations
  • Administered contracts, ensuring adherence to client specifications, safety standards, and project timelines
  • Negotiated amendments to address evolving project needs while controlling costs
  • Maintained an organized contract database, tracking milestones and renewal dates
  • Monitored contractor compliance with performance and quality benchmarks
  • Generated detailed progress reports using SAP and Power BI to inform leadership decisions
  • Streamlined workflows, integrated systems, and improved process efficiency

Financial Specialist

CLARO PUERTO RICO
San Juan
05.2023 - 09.2023
  • Managed accounts payable, invoice processing, and financial reporting to ensure accuracy and compliance
  • Utilized SAP ECC and SAP Ariba to streamline operations and maintain strong vendor relationships
  • Conducted monthly accounts payable analysis and reconciled supplier account statements
  • Processed invoices through SAP Ariba, ensuring compliance and timely registration in SAP ECC
  • Prepared Excel reports, reconciled financial statements, and managed pending invoices
  • Coordinated monthly payments, addressed discrepancies, and ensured timely disbursements
  • Communicated with suppliers to resolve issues and maintain smooth transactions
  • Reviewed monthly financial statements and collaborated with teams to address discrepancies

Recovery Technical Coordinator

PUERTO RICO DEPARTMENT OF FAMILY
San Juan
03.2022 - 11.2022
  • Managed case file evaluations, document production, and operational coordination to ensure compliance and efficiency in recovery efforts
  • Utilized software tools for document management and maintained secure handling of confidential information
  • Evaluated case files for compliance, ensuring accuracy and timely approvals
  • Created and maintained internal and external documents, ensuring clarity and adherence to guidelines
  • Prepared reports and operational schedules to optimize workflow and meet deadlines
  • Handled confidential information with discretion, ensuring secure storage and compliance
  • Completed forms and applications in line with regulatory and department requirements
  • Managed databases and used software to streamline administrative tasks and generate records
  • Coordinated with internal teams and external partners to resolve issues and align on project goals

Office Clerk Administrative Support

PAN-AMERICAN LIFE INSURANCE COMPANY OF PUERTO RICO
Guaynabo
01.2020 - 12.2021
  • Managed a portfolio of 1,000+ health providers with the key responsibility to maintain up-to-date credentials as well as other functions, such as processed of insurance applications; updated policy records; processed payments for anesthesia and dental insurance claims; data entry; and subscription processes
  • Acted as communication coordinator for the office, which contributes to better work efficiency
  • Prepared production reports for the entire department
  • Processed payments within due dates
  • Digitalized hundreds of records (rates contracts and credentials)
  • Provided support to the account executive in the processing of certifications and other documents
  • Mentored several new hires in systems and procedures

Credentialing Analyst

AGILERTA, LLC
San Juan
06.2021 - 11.2021
  • Completed electronic credentialing filing to comply with all validations, credentials, reports, licenses, clarifications, policies, procedures and regulatory criteria, including the references to NCQA, CMS and ASES for a company specialized in credential processing, through an innovative platform, for healthcare professionals under the guidelines of the National Committee for Quality Assurance
  • Monitored the delegated inventory in home and completed file for credentialing process
  • Verified that the electronic inventory had all the required credentials and applications were current and available for the next Credentialing Committee
  • Documented all the providers/practitioners who did not comply with all current and complete credentials, application, and clarification forms
  • Conducted all the required internal validations defined in the policies and procedures
  • Gathered and generated the necessary internal formats and 'binders' with all the credentialing and required elements in compliance with the policies and procedures for the Credentialing Committee
  • Reviewed records and ensured they were up-to-date for final completion
  • Contacted providers, by email and telephone, to inform them about incomplete information

Supervisor

PUERTO RICO DEPARTMENT OF HEALTH
San Juan
03.2021 - 05.2021
  • Provided instructions, direction, and guidance to a group of 60 data entry employees
  • Ensured that data entry services were performed accurately, efficiently, and in a timely manner
  • Developed strategies to attain objectives established by the Department of Health
  • Participated in the Covid-19 Vaccination Program
  • Verified, validated, and entered the consent data for the vaccines administered in the PREIS system (Puerto Rico Electronic Immunization System)
  • Maintained database by entering new and updated customer and vaccine information
  • Prepared source data for computer entry by compiling and sorting information
  • Established entry priorities
  • Performed an exhaustive follow-up and analysis of each of the steps taken by the company
  • Distributed work among team members in an equal and efficient manner
  • Delivered training sessions and evaluated team members' performances
  • Managed disciplinary actions and termination in accordance with company policy
  • Ensured confidentiality and security of sensitive data and reports, including personnel data of subscribers and financial information
  • Served as a liaison between data entry and other departments, assessed current and future data entry needs, and ensured adequate staffing to meet those needs
  • Researched, recommended, and implemented new methods, procedures, policies, and services
  • Identified needed equipment and software upgrades and requests their acquisition
  • Assisted in planning, recruiting, and training for the personnel
  • Processed customer and vaccine source documents by reviewing data for deficiencies
  • Resolved deficiencies by using standard procedures or returning incomplete documents to the team leader for resolution
  • Maintained customer confidence and protected operations by keeping information confidential
  • Contributed to team effort by accomplishing related results as needed
  • Counted and tallied cases handled for the day

Office Clerk Digitization Technician

MULTINATIONAL LIFE INSURANCE COMPANY
San Juan
01.2017 - 12.2019
  • Located, compiled and distributed requested files, documents and information
  • Performed other duties: scanning; filing; photocopying; file system management; file requests and/or management of productivity logs; and prepared work orders for the monitoring of providers
  • Provided support with the increased workload of claims due to Hurricane María aftermath
  • Processed inactive and closed files in preparation for transfer to off-sit storage
  • Trained three new hires in systems and processes
  • Digitalized hundreds of images and documents

Office Clerk

PUERTO RICO DEPARTMENT OF EDUCATION
San Juan
01.2014 - 12.2016
  • Controlled and maintained hundreds of students' information files from a public school and executed other administrative functions, such as internal communications and reporting
  • Utilized Excel to automate the file management system which resulted in time savings of more than 75%
  • Served as liaison with parents, students, school staff, and other government agencies

Education

MBA - Degree in Planning And Strategy

National University College
Bayamon, PR

Bachelor's Degree - Business Administration

Columbia Central University
Caguas, PR
12.2024

Associate Degree - Business Administration

Columbia Central University
Caguas, PR
06.2003

Skills

  • Efficiency Improvement
  • Confidential Documents Custody
  • CMS Regulations
  • Group Leadership
  • Quality Control
  • Claims Processing
  • Contract Renewals
  • Payments & Invoicing
  • Reporting & Metrics
  • MS Office Suite (Word, Excel and PowerPoint)
  • Proposal preparation
  • Procurement management
  • Change orders
  • Document control

Other Information

MS Office Suite (Word, Excel, Power BI and PowerPoint), SAP, Spanish, English

Timeline

Contract Administrator

COMMONWEALTH PROCUREMENT, LLC
10.2023 - Current

Financial Specialist

CLARO PUERTO RICO
05.2023 - 09.2023

Recovery Technical Coordinator

PUERTO RICO DEPARTMENT OF FAMILY
03.2022 - 11.2022

Credentialing Analyst

AGILERTA, LLC
06.2021 - 11.2021

Supervisor

PUERTO RICO DEPARTMENT OF HEALTH
03.2021 - 05.2021

Office Clerk Administrative Support

PAN-AMERICAN LIFE INSURANCE COMPANY OF PUERTO RICO
01.2020 - 12.2021

Office Clerk Digitization Technician

MULTINATIONAL LIFE INSURANCE COMPANY
01.2017 - 12.2019

Office Clerk

PUERTO RICO DEPARTMENT OF EDUCATION
01.2014 - 12.2016

MBA - Degree in Planning And Strategy

National University College

Bachelor's Degree - Business Administration

Columbia Central University

Associate Degree - Business Administration

Columbia Central University

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MIGUEL A. CASTELLANOS ROSARIO