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Insurance and Safety Administrator Resume Example

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INSURANCE AND SAFETY ADMINISTRATOR
Professional Summary

Highly focused professional with 20+ years of direct customer service including insurance and healthcare assistance. I employ professionalism and superior communication skills to meet client and company needs. Excel at fact finding, analyzing, prioritizing and completing tasks while exhibiting professionalism and sound judgement. Exceptional organization skills, results-oriented and technically competent.

Skills
  • Vermont healthcare program knowledge
  • Case Management
  • HIPAA Compliance
  • Multi-task ability
  • Time Management
  • Insurance enrollment
  • Conflict resolution
  • Teamwork / Collaboration
  • Effective communication
  • Analytical and problem solving
Work History
Insurance and Safety Administrator, 01/2018 to 05/2019
PC Construction – South Burlington, VT
  • Review incoming proposals and contracts
  • Validate incoming data to check information accuracy and integrity while independently location and correcting concerns
  • Provide assistance in managing health and safety programs aligned with industry standards
  • Obtain and enroll each project with proper insurance coverage
  • Monitor, track and file claims from 50+ job sites throughout eastern coast
  • Communicate with medical facilities and insurance company's to help with claims process
  • Collaborate with safety teams in most current regulations and practices
  • Prevention strategies to mitigate future risk
  • Document workflow technique
  • Create and maintain OSHA reports
Healthcare Eligibility and Enrollment Specialist, 01/2016 to 01/2018
State Of Vermont – Essex Junction, VT
  • Understood and thoroughly explained services provided to customers and potential customers
  • Analyze each case for eligibility and enrollment
  • Examine data to complete insurance applications or change of circumstances to ensure proper coverage
  • Processed eligibility, benefits verification and authorization requests
  • Investigate and interpret records to uncover errors, billing discrepancies with premiums and payment plan changes
  • Responsible to report fraud
  • Research, assist and resolve disputes in a professional and positive manner
  • Collaborate and cultivate close working relationships with supervisors, mentors, health insurance carriers and trouble shooting specialists to achieve resolution
  • Interact daily with insurance company's and their agents
  • Refer to other state programs when needed
Registration and Financial Clearance, 07/2015 to 01/2016
University of Vermont Medical Center – South Burlington, VT
  • Consent to treat, admit and collect co-pays and deductibles
  • Create, assign and prioritize financial classes
  • Acquire appropriate patient demographics
  • Research and assign diagnosis and billing codes
  • Correspond with insurance companies for patient eligibility and claim status
  • Create, edit and maintain spreadsheets
  • Skillfully achieve department goals, objectives, policies and procedures
  • Adhere to state, federal, third party payer compliance and billing regulations
  • Comply with laws, regulations for Medicare and Medicaid
  • Represent and interpret agency functions to clients, institutions, government agencies and other organizations
Administration, Customer Service and Sales, 07/1995 to 07/2015
Fairpoint Communications – South Burlington, VT
  • Supervise and assist 30 representatives to maximize team knowledge and productivity by effectively training, monitoring and directing them in application best practices
  • Answer and direct minimum of 50 outbound/inbound phone calls per day
  • Diffuse volatile customers calmly and courteously
  • Identify and recommend changes to existing processes to improve accuracy, efficiency and quality service
  • Advocate, encourage and support staff to identify and resolve conflicts
  • Coordinate detailed work orders for repair
  • Adjust program mechanics to account for changing conditions
  • Foster a climate of collaboration between departments to assist in resolving problems
  • Resolve complex service issues, billing and technical problems
  • Document inquiries and comments thoroughly
  • Key member of Cut-Over-Sales and Service Team in transition form Verizon systems to Fairpoint systems
Education
Associate of Science: Health Science, 04/2017
Community College of Vermont - Winooski, VT
Certifications

Essential Maintenance Practice - State of Vermont

I am certified with the State of Vermont's Essential Maintenance Practices (EMP). It is a law that creates a 'standard of care' with respect to lead paint stabilization and maintenance on rental units and daycare facilities that were built before 1978.

Vermont's Essential Maintenance Practices (EMP) are:

  • Perform a visual on-site inspection of interior and exterior surfaces to identify deteriorated paint.
  • Install window well inserts in all pre-1978 wooden window wells
  • Stabilize paint if more than one square foot of deteriorated paint is found on either interior or exterior surface within 30 days of identification or report by tenant.
  • Utilize lead safe work practices when disturbing paint as described by the VDH, which includes not using prohibited practices
  • Remove all visible paint chips from the ground on the property.
  • Perform specialized cleaning at the conclusion of any work, annually in common areas, and when the unit turns over.
Real Estate Referral Specialist

I am currently a licensed Real Estate Referral Specialist with New England Referral Services through Coldwell Banker Hickok and Boardman.

  • Assist clients in locating resources in the real estate industry
  • Link and refer families to licensed real estate agents to either buy or sell property
  • Schedule appointments with realtors on behalf of clients
  • Collect and verify completeness of referral forms
  • Fair housing knowledge and required to abide by all of their rules and regulations
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Resume Overview

Companies Worked For:

  • PC Construction
  • State Of Vermont
  • University of Vermont Medical Center
  • Fairpoint Communications

School Attended

  • Community College of Vermont

Job Titles Held:

  • Insurance and Safety Administrator
  • Healthcare Eligibility and Enrollment Specialist
  • Registration and Financial Clearance
  • Administration, Customer Service and Sales

Degrees

  • Associate of Science : Health Science , 04/2017

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