1. Lizandro Silva
(805) 236-6174
Lizandrosilva71@yahoo.com
Objective To be an asset to your company in which I will highlight my key strengths,
knowledge and experience in areas such as customer service,
professionalism and leadership while implementing your companies
Mission, Vision and Core Values
Skills
Bilingual
 English & Spanish (fluent).
San Miguel Produce, Inc.
Receptionist/AP Assistant May 2016 - Present
 Support Accounting Director and Managerwith daily functions and perform other office duties as
directed.
 Answer and transfer incoming calls
 Run and update Month End Sales Reports
 Receive and log all deliveries from FedEx, UPS & USPS and notify appropriate department
 Distribute all incoming mail to appropriate parties and department
 Data Entry
 Filing
San Miguel Produce, Inc.
Inventory Specialist October 2014 – May 2016
 Forecast and order product from field to cover implemented sales and future sales
 Receive and log product delivery, unloading, stocking and checking quality of merchandise.
 Verify, review, and approves invoices
 Processes inventory including receiving, transfers,discrepancies, defective merchandise and returns.
 Assist in the coordination and completion of all periodic physical inventory counts.
 Updates management, buyers and suppliers on key inventory issues on a regular and as -needed basis.
 Buyer for outside product
San Miguel Produce, Inc.
Customer Service Sales Department (temp) May 2014 – October 2014
 Support Senior Sales Representatives with daily functions and perform other office duties as directed.
 Intake sales and customer service calls
 Make outbound sales calls to clients
 Data entry, process and finalize purchase orders (purchase orders received by phone , fax and e-mails)
 Respond to all Purchase Orders received by e-mail.
 Prepare boxes for Sales Representatives for shipping goods.
 Prepare Daily Loading and Shipping Log for shipping department
 Balancing of daily sales

2. Anthem Blue Cross
Membership Data Management & Reporting – Membership Representative III April 2008 – July 2012
 Experience in membership data entry, processing membership files, daily and monthly reports,
membership updates,benefits and eligibility updates,member’s demographics updates and policy
management in health care insurance in compliance with HIPAA regulations for Medi-Cal, Healthy
Families and CMSP lines of business.
 Training and mentoring associates in the processing of daily and monthly reports for Medi-Cal, Healthy
Families and CMSP lines of business.
 Research claims collections activities to ensure the recovery of overpayments and maintenance of
unprocessed cash and accounts receivable processes forterminated members.
 Audit membership data base through various techniques,including systems-based queries,specialized
reporting, or other research in order to identify overpayments
 Evaluate weekly metrics and provide feedback for inventory reduction
 Work closely with internal and external business units,health care professionals, vendors and providers
to provide timely resolution on complex issues
 Responsible for reducing membership inventory for over 1 million members.
 Present trends,issues and assessment for upper management reports
 Support senior management as an acting lead delegating work and projects to a team of 15 + associates.
 Support Business Analysts,Business Consultants and Senior Management in evaluating current
operations and provide solutions to increase efficiencies
Anthem Blue Cross
Client Services Group – Senior Client Services Representative September 2003-April 2008
 Experience of processing active claims, claims adjusting, provider disputes,data entry and policy
management in health care insurance in compliance with HIPAA regulations.
 Training and mentoring associates in the processing of Inpatient, Outpatient, Professional, Skilled
Nursing Facility and Infusion claims for Medi-Cal line of business.
 Maintenance control of internal documentation insuring training guides are current with internal
processes and regulatory standards,and available to all associates.
 Evaluate weekly metrics and provide feedback for inventory reduction
 Work closely with internal and external business units,health care professionals, vendors and providers
to provide timely resolution on complex issues
 Present trends,issues and assessment for upper management reports
 Support senior management as an acting lead delegating work and projects to a team of 20 + associates.
 Support senior management in evaluating current operations policies and procedures and provide
solutions to increase efficiencies
Anthem Blue Cross
Customer Service Call Center – Customer Service Center Representative III June 1997-September 2003
 Experience in progressive customer service, taking 100 + calls daily from members, health care
professionals and providers providing benefits, claim status/adjustments,PCP/address change,
membership/eligibility status,pharmacy updates,reinstatement, etc and policy management in health
care insurance in compliance with HIPAA regulations for Medi-Cal and Healthy Families line of
business.
 Training and mentoring associates in the processing of taking calls for Medi-Cal and Healthy Families.
 Maintenance control of internal documentation insuring training guides are current with internal
processes and regulatory standards,and available to all associates.
 Support senior management as an acting lead delegating work and projects to a team of 20 + associates.
 Support senior management in evaluating current operations and provide solutions to increase
efficiencies, taking Supervisor calls from members, health care professionals and providers, claims data
entry, claims adjustments and claims processing for Medi-cal and Healthy Families lines of business.

3.  Work closely with the Marketing and Health Education Department attending numerous Health Fairs
throughout the state educating our members about their health plan, their benefits, local community
resources and services, as well as informing potential members about benefits and services our health
plan has to offer them.
Miller’s Outpost / The Wherehouse Entertainment
Assistant Store Manager April 1987 - January 1997
 9 + years of demonstrated experience of working in a retail environment and demonstrating excellent
customer service, leadership and professionalism
 Highly experienced in providing auxiliary services pertaining to employee scheduling, paperwork
management and cashier duties
 Hands on experience in conducting preventive store maintenance and basic repairs.
 In depth knowledge of prioritizing, delegating and organizing assigned daily tasks to maximize sales.
 Assist in overseeing store operations including opening and closing of store,merchandizing and
inventory.
 Assist in managing customer services and administrative aspects of the job.
 Assist Store Manager monitor and achieve daily, weekly, monthly and annual customer service, sales ,
revenue and profit goals
 Assist in training employees providing guidance, direction and development
 Prepare and transmit daily bookkeeping
 Manage daily banking duties
 Assume store manager responsibilities when necessary
 Develop employee work schedules by following payroll policies and procedures
 Visual Merchandising
 Loss Prevention
 Payroll
Education Ventura Community College,
Oxnard Community College,major: General Education & Legal Assisting.
References:
Elaine Mandato Business Owner Just Toffee
(Former Manager @ Anthem Blue Cross)
942 Lyle Ridge Circle
Oak Harbor, Wa. 98277
(805)279-2641
Maria Callan Regional Manager Contracting & Provider Services
@ Health Net
(Former Manager @ Anthem Blue Cross)
3662 Fountain St
Camarillo, Ca. 93012
(805)300-2132
maria.a.callan@healthnet.com
Beth Maldonado Director, Contract Administration @ AnthemBlue Cross/Former Manager

4. 1 WellPoint Way
Thousand Oaks, Ca. 91362
(805)732-4892
beth.maldonado@wellpoint.com
Derek Miranda Business Analyst Membership Data & Reporting @ AnthemBlue Cross/
Former Co-Worker
3530 Sunset Lane
Oxnard, CA. 93035
(805)443-1866
derek.miranda@wellpoint.com
Magda Alvarez Business Analyst Membership Data & Reporting @ AnthemBlue Cross/
Former Co-Worker
2001 Rhonda St
Oxnard, CA. 93036
(805)797-4014
magda.alvarez@wellpoint.com
________________________________________________________________
Awards and Accomplishments
 Numerous Quarterly Impact Awards of Excellence in Quality Customer Service
 Numerous Quarterly Impact Awards and Honorable Mention Awards for exceeding production
and accuracy in the processing ofclaims and claims data entry
 Numerous Quarterly Impact Awards for exceeding production and accuracy in Membership
Data Entry & Reporting
 Impact Award for Analytical Work in Stream lining the process in daily and monthly error
reports (This process cut back the amount of errors by more than 50%)
 Impact Award for Team Leadership during New SystemImplementation
__________________________________________________________________________________________
Interests
 Volunteer Work
 Fundraising for Non-Profit Organizations
 Cooking
 Music
 Event Planning.