Carlos Torres
Accounts Specialist at AGIA Affinity Services- Claim this Profile
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Bio
Experience
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AGIA Affinity
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United States
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Insurance
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100 - 200 Employee
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Accounts Specialist
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Feb 2011 - Present
Carpinteria, CA Process member requests including: cancellations, refunds, denials, deaths, paid-to- dates and duplicate certificates to ensure accuracy of customer accounts. Monthly payment files are processed to ensure that member requests are complete and on-time for submission to the payroll deduction entity for deduction processing. Verify and reconcile payment data files. Create outgoing data files including all payroll insurance deduction changes. Research, analyze and… Show more Process member requests including: cancellations, refunds, denials, deaths, paid-to- dates and duplicate certificates to ensure accuracy of customer accounts. Monthly payment files are processed to ensure that member requests are complete and on-time for submission to the payroll deduction entity for deduction processing. Verify and reconcile payment data files. Create outgoing data files including all payroll insurance deduction changes. Research, analyze and correct account payment issues. Generate monthly employer bills to ensure premium is collected and the system is updated. Answer and follow up on all incoming customer service telephone calls to ensure that all customer problems and/or questions are answered in a courteous, timely and accurate manner and within department standards. Handle escalated issues from policyholders and group members.
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Exceptions Analyst
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Jan 2009 - Feb 2011
Carpinteria, CA Led project team in the execution of departmental analysis of inefficiencies. Validating applications, invoicing, approve/deny applications, escalations, and upgrades. Reconciliation of the daily Cash Deposit Report. Reconcile reports and cash handling.
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Policyholder Management Servics Representative III
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Jun 2003 - Jan 2009
Carpinteria, CA Planned, managed and executed 30 short and long-term projects including conversions, system set-up and testing, existing client maintenance, process and quality improvement projects. Specialized in client relations and marketing for second- and fourth-largest clients. Responsible for analysis and distribution of client-facing turnaround time, premium collections and financial reports to ensure they met contract guidelines. Subject matter expert in client relations and… Show more Planned, managed and executed 30 short and long-term projects including conversions, system set-up and testing, existing client maintenance, process and quality improvement projects. Specialized in client relations and marketing for second- and fourth-largest clients. Responsible for analysis and distribution of client-facing turnaround time, premium collections and financial reports to ensure they met contract guidelines. Subject matter expert in client relations and marketing for two top largest clients at third-party insurance administrator AGIA, Inc. Analyzed and distributed premium collections and financial reporting to ensure contract guidelines were met.
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Blockbuster
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United States
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Retail
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700 & Above Employee
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Assistant Store Manager
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Feb 2001 - Sep 2003
Ventura, CA Conducted daily reporting on sales percentages, POP and inventory. Management of employee team consisting of 12 employees. Open and closed the store to include morning and evening cash handling as well as daily deposits to the bank. Adhered and exceeded revenue projections from the District Manager. Tracked benefit requests for vacation, sick, bereavement, and holiday pay and processed Leaves of Absence. Facilitated employee grievance sessions and… Show more Conducted daily reporting on sales percentages, POP and inventory. Management of employee team consisting of 12 employees. Open and closed the store to include morning and evening cash handling as well as daily deposits to the bank. Adhered and exceeded revenue projections from the District Manager. Tracked benefit requests for vacation, sick, bereavement, and holiday pay and processed Leaves of Absence. Facilitated employee grievance sessions and handled employee discipline up to and including discharge. Show less
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Education
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University of California, Santa Barbara
Accounting Certificate, Accounting -
University of Phoenix
Associate of Arts - AA, Accounting and Finance -
Oxnard College
Associate of Arts - AA, Liberal Arts and Sciences/Liberal Studies -
University of Phoenix
Bachelor's degree, Accounting