LiveCareer-Resume

beneficiary and enrollment specialist resume example with 18+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Career Overview

A dedicated individual with over 20 years of experience in the job market. I specialized in customer service/client relations, while working in the insurance industry and other related administrative fields. These opportunities have showcased my effective problem- solving and communication skills, as well as being proficient in all given tasks. You can depend on me to get the job done. I look forward to becoming an efficient and productive member of your organization.


CORE STRENGTHS Proficient in Word, Windows, Microsoft Office, Power Point, Lotus, Excel. Consistent, reliable and trustworthy. Works as a self-starter who is highly motivated and also works well as an integral member of the team. Can work under pressure and with minimal supervision. Meets and/or exceeds customer as well as management expectations. Worked and excelled in two Call Centers. Works hard for success. Dedicated Customer Service Representative motivated to maintain customer satisfaction and contribute to company success. Results-driven team member who has the ability to establish rapport with all types of clients and co-workers.

Core Strengths
  • Strong organizational skills
  • Active listening skills
  • Seasoned in conflict resolution
  • Courteous demeanor
  • Sharp problem solver
  • Courteous demeanor
  • Energetic work attitude
  • Telephone inquiries specialist
  • Customer service expert
  • Telecommunication skills
Accomplishments
  • Assisted in the updating of the department's database and verified, edited and modified members’ enrollment information.
  • Greeted customers upon entrance and signed them in per office procedures.
  • Handled all cash, credit, cashier's check and money-order transactions.
  • Assisted customers over the phone regarding claims and enrollment changes and additions.
  • Researched claims, calmed and rapidly resolved client conflicts to prevent loss of key accounts.
  • Provided required weekly, monthly and quarterly reports listing the number of enrollments for client tracking purposes.
  • Worked with company systems and databases by diligently completing all assigned tasks, working overtime as needed.
Work Experience
BENEFICIARY AND ENROLLMENT SPECIALIST, 04/2001 - 05/2014
HEALTHNET, INC./HUMANA City, STATE,
  • Prepared and gave briefings for all types of the military population, retirees, active, reservist, young adults as well as the spouses of the member.
  • Interviewed clients to learn about their enrollment needs and to discuss any existing as well as optional benefits regarding their medical care.
  • Processed applications, payments, corrections and cancellations.
  • Called [Number] warm leads each week to expand client base
  • .Promoted agency products to customers in person, on the telephone and in writing.
  • Compiled coverage and rating information in an accessible format
  • Prepared necessary paperwork to process insurance sales and renewals.
  • Presented account proposals in a professional and timely manner..
  • Established effective working relationships with clients, government officials and media representatives.
  • Wrote and developed media kits for [Initiative name] and [Project name].
  • Wrote and published human resources documents and employee guidelines
  • Managed internal communications, including production and management of print and electronic newsletters.
  • Arranged an average of [Number] interviews and other forms of contact per month for company executives.
MEDICAL RECORDS III, 07/2000 - 02/2001
HOKE CORRECTIONAL INSTITUTE City, STATE,
  • Safely transported inmates to and from work sites.Continually monitored dormitories for inappropriate activity.Supervised the meal distribution and observed inmates during meals.Served as a member of the treatment staffing team to develop a rehabilitative program for juveniles.d offenders to appropriate community agencies to complete services in compliance with court orders.Updated departmental standard operating procedures and database to accurately reflect the current practices.Developed and created a more effective filing system to accelerate paperwork processing.Maintained communications with all other areas of the facility at all times.Maintained daily logs of shift activity.Maintained appropriate control, security and well-being of youth at all times.
CLAIMS/INSURANCE REPRESENTATIVE, 05/2000 - 07/2000
DR. M.J. NOONAN, DDS City, STATE,
  • Coordinated appointment schedules for both the dentist and oral surgeon.Reviewed status of waiting room on a routine basis to ensure that patients were being seen in a timely fashion.Duplicated x-rays when requested by insurance companies.Expertly filed patients' charts and processed billing and payments.Accurately collected and recorded patient medical and dental histories.Expertly managed difficult or emotional patient situations and responded promptly to patient needs.Consistently followed protocols regarding quality assurance, biohazards, infection control, charting and emergencies.
GROUP UNDERWRITING REPRESENTATIVE, 10/1995 - 07/2000
MID-SOUTH INSURANCE COMPANY City, STATE,
  • Served in the capacity of Group Underwriting Representative.
  • Primary point of contact for benefit coordination.
  • Responsible for implementing the initial set up and maintenance of new group business.
  • Prepared proposals and quotes for salesman to present to potential clients and businesses.
  • Provided training and support for Third Party Administrators.
  • Selected as "Steering Team Member" for interoffice AMISYS conversion of our data systems.
  • Excellent interpersonal and customer service skills at all levels.
  • Assessed clients’ eligibility for federal and state benefits programs.Produced media advisories, brochures, fact sheets, print ads and newsletters.Produced media advisories, brochures, fact sheets, print ads and newsletters.
Educational Background
Bachelor of Arts: BUSINESS ADMINISTRATION, Expected in 1991
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BENNETT COLLEGE - Greensboro, NC
GPA:
Status -

Member of [Club Name] Club[Award Name] Academic Achievement Award[Name] National Honor SocietyStudent government representativeMember of [Club Name] ClubMember, Beta Gamma Sigma Honor SocietyRecipient of [Fellowship Name] FellowshipCoursework includes EconomicsCoursework includes Organizational Behavior[Award Name] Academic Achievement Award

Additional Information
  • ACHIEVEMENTS National Dean's List Who's Who Among Colleges and Universities Excellence in Management Award Leadership Fellows Program Alpha Kappa Alpha Sorority, Inc. NACLC Government Security Clearance
Skills

benefits, Billing, Call Center, interpersonal, hardware, conversion, counseling, clients, customer service skills, filing, forms, Insurance, office, proposals, research, supply inventory, Underwriting

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Resume Overview

School Attended

  • BENNETT COLLEGE

Job Titles Held:

  • BENEFICIARY AND ENROLLMENT SPECIALIST
  • MEDICAL RECORDS III
  • CLAIMS/INSURANCE REPRESENTATIVE
  • GROUP UNDERWRITING REPRESENTATIVE

Degrees

  • Bachelor of Arts

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