Yvette Escobar
Health Insurance Operations | Claims Quality | Product Implementation
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About
Health insurance professional with 16 years of experience spanning underwriting, claims, appeals, and policy services.
Background in Medicare Supplement and dental, vision, and hearing insurance, with experience developing procedures, supporting product implementation, and partnering with IT on business rules and system testing. Seeking an individual contributor role focused on benefit accuracy, quality review, and implementation support.
Experience
Senior Director of Operations - ManhattanLife Assurance Company
(2023-09 - 2026-04)
- Oversaw claims, appeals, and customer service operations for Medicare Supplement and dental, vision, and hearing products, coordinating issue resolution with operational and compliance partners.
- Partnered with IT to define and implement Medicare Supplement underwriting rules for system-driven application approval and denial decisions.
- Increased claims auto-adjudication from 62% to 85% through operational and system improvements that reduced manual processing.
- Developed workflows, procedures, and training for Home Health Care and Short-Term Care product implementation.
- Supported the SDS claims clearinghouse migration through business requirements, testing coordination, issue resolution, and implementation readiness.
- Coordinated approximately 25 DOI, BBB, and other regulatory inquiries annually with Legal and Compliance to support timely, compliant resolutions.
Director of Operations - ManhattanLife Assurance Company
(2021-03 - 2023-08)
- Standardized workflows and documentation for underwriting and service operations; supported product launches through procedures, training, and implementation planning.
- Partnered with technology teams on system enhancements and established KPI reporting to identify quality, productivity, and service issues.
Underwriting Manager - ManhattanLife Assurance Company
(2017-05 - 2021-02)
- Led underwriting audits and developed procedures and training materials to improve application review consistency and adherence to company guidelines and regulatory requirements.
Underwriting Supervisor - ManhattanLife Assurance Company
(2014-04 - 2017-04)
- Coordinated daily workloads, quality oversight, and staff training to maintain service levels.
Lead Underwriter - ManhattanLife Assurance Company
(2010-04 - 2014-03)
- Evaluated complex insurance applications and provided technical guidance to underwriting staff.
Education
Business Administration coursework - Business Administration - Lone Star College
High School Diploma - Eisenhower High School
