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Insurance Analyst Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Clifton Strengths Assessment

1. Responsibility

2. Relator

3. Futuristic

4. Discipline

5. Achiever

Skills
  • Project and product management & planning
  • Business and Operations Management
  • Marketing - Content, Design & Management
  • Communication
  • Event planning
  • Customer Service
  • Sales
  • Brand development and awareness
  • Leadership
  • Team Building
Experience
Argo Ai - Insurance Analyst
Detroit, MI, 05/2021 - Current
  • Provide insurance coverage, verification details prior authorization statues and alternate funding options for existing and newly launched products. Provide offices with current plan forms, portals, and websites for prior authorizations and appeal submissions.
  • Clearly communicate and educate customers on results of the investigation.
  • Quickly learn and execute business process and system changes for all drugs and channel sources as applicable.
  • Utilize all internal and external electronic tools, communicate/collaborate with payors and providers to investigate insurance coverage efficiently.
  • Review system-of-record for all necessary information to complete insurance investigation and call HCP/patient to obtain if necessary.
  • Accurately document information in the approved system-of-record, communicate insurance details to all required recipients and formats as per established policies and procedures.
  • Identify potential Adverse Event situations for reporting to Pharmacovigilance ensuring AbbVie meets FDA regulations.
  • Work cross-functionally to identify and share opportunities for process and productivity improvements.
  • Understand and comply with all required training, including adherence to federal, state, and local pharmacy laws, HIPAA policies and guidelines, and the policies and procedures of AbbVie. Complete all required training and perform all functions in the position (i.e., Role certification, product and disease overviews).
  • Meet or exceed department standards relative to performance and quality metrics. Perform additional tasks, activities, and projects as deemed necessary by management.
Cvs Group Plc - Practice Manager
Dover, DE, 08/2012 - 04/2021
  • Collaborated with staff to maximize customer satisfaction, streamline procedures and improve bottom-line profitability.
  • Created all content and managed social media presence on Instagram and Facebook to drive new business.
  • Established organizational vision and developed strategies to achieve sales and customer service goals.
  • Mitigated risk by promoting regulatory compliance for representative licensing and contracting protocol.
  • Managed company operations with responsibility for profit and loss, scheduling, training and inventory control.
  • Reviewed daily financial reports and reconciled accounts to keep information current and accurate.
  • Oversaw financial management activities, including budget management, accounting and payroll.
  • Implemented policies and standard operating procedures and managed quality, customer service and logistics to implement improvements.
  • Delivered positive and impactful customer experiences by implementing effective quality assurance practices.
  • Applied marketing, networking and interpersonal skills to build loyal clientele.
  • Created seasonal and targeted offers to enhance visibility and generate revenue.
  • Saved costs, negotiating with vendors to maintain optimal pricing strategy.
  • Motivated staff by offering direction and providing constructive feedback.
  • Used social media content to drive revenue, including Instagram, Facebook and LinkedIn.
  • Applied knowledge in budgeting, aesthetics and employee development to foster profitable spa operations.
  • Organized business accounting and invoicing in QuickBooks.
  • Used print advertising, SEO strategy and social media marketing to build client base.
Cava - Brand Ambassador
Dallas, TX, 04/2012 - 09/2012
  • Maintained consistent visual merchandising standards to highlight product features, attract customers and boost sales.
  • Drove marketing decisions using insights learned through up-to-date knowledge of all product categories.
  • Promoted positive company image through superior customer service experiences.
  • Recognized by management for providing exceptional customer service.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
McHenry County Public Defender - Chief Investigator
City, STATE, 06/2010 - 02/2012
  • Sought out witnesses to obtain information about identifiable violations of local, state or federal statutes.
  • Secured evidence from crime scenes, bodies and secondary locations, carefully following sound evidentiary practices and chain of custody requirements.
  • Testified in court cases to back up case evidence and detail timelines.
  • Cordoned off scenes to protect evidence and prevent unauthorized access.
  • Testified as representative in court hearings and presented evidence.
  • Produced timely and accurate reports about findings.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Documented facts and statements gathered from complainants, witnesses and accused persons.
  • Testified under oath in administrative hearings and criminal court cases.
Education and Training
Northern Illinois University Dekalb, IL Expected in Bachelor of Arts : Sociology - GPA :
College of Lake County Grayslake, IL Expected in Associate of Arts : - GPA :
Capelli Salon Academy Arlington Heights, IL Expected in Cosmetology : - GPA :
Memberships & Organizations
  • AmMed Spa Plus Member
  • Chicagoland Lab Rescue, Inc., Foster Volunteer
Certifications
  • American Red Cross CPR
  • CareCredit Certified Account Manager of Practice’s Care Credit line option for patients,
  • CompliancePhD Certified Training, HIPPA, OSHA

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How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

73Average

Resume Strength

  • Formatting
  • Length
  • Measurable Results
  • Personalization
  • Target Job

Resume Overview

School Attended
  • Northern Illinois University
  • College of Lake County
  • Capelli Salon Academy
Job Titles Held:
  • Insurance Analyst
  • Practice Manager
  • Brand Ambassador
  • Chief Investigator
Degrees
  • Bachelor of Arts
  • Associate of Arts
  • Cosmetology

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