LiveCareer-Resume

insurance case manager resume example with 14+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Summary

Talented sales and customer service professional, who relates warmly to clients and prospective clients by using a friendly, yet confident communication style, and who has consistently exceeded sales goals and company expectations by expanding client base and maintaining high standards of customer service in the health care field.

Professional Highlights
  • Outside and Inside Consultive Sales
  • New Business Development
  • Cultivating Client Relationships
  • Leadership
  • Customer Service Specialist
  • Excellent Communication Skills
  • Ability to Anticipate Client Needs
  • Diverse Health Care Experience
Professional Courses and Certifications
Indiana Wesleyan University Marion, IN Expected in Associate of Science : Business, Honors - GPA :
Ivy Tech Indianapolis, IN Expected in Licensed Practical Nurse : Nursing - GPA :
  • Trainer Certification with Achieve Global: "Achieving Exceptional Customer Service".
  • EDS Leadership Workout Series
  • Kimberly Quality Care and Olsten Kimberly Quality Care Sales Training Classes
  • Diverse Clinical Continuing Education Courses
Career Accomplishments

Sales - Health Care Services

  • Consistently surpassed sales goals by up to 22%
  • Increased new program sales by 242%
  • Converted 95-98% of inquiries/referrals to clients

Customer Service Development

  • Designed and directed Customer Service Department for managed care health care plan
  • Headed development of customer service program for government contractor
  • Led account customer service training program for 270+ employees

Nursing

  • Supervised nursing staff of 8 in a 4 physician family practice office
  • Provided education to patients of all ages regarding procedures, treatment regimens, prevention and care
  • Supervised licensed staff of 12 in the administration of Indiana Medicaid benefits
Professional Experience
Commonwealth Financial - Insurance Case Manager
San Diego, CA, 05/2011 - Current

Review pre-certification requests for medical necessity and assist clients, members, and health care providers by providing plan education, problem resolution and other customer service related needs.


Always Best Care - Intake Coordinator
Fenton, MO, 10/2008 - 04/2011

Coordinated patient referrals from health care professionals and insurance companies and provided information to callers regarding services, converting inquiries to sales. Obtained insurance verification and pre-certification for insured clients, while supporting field staff.


Always Best Care - Intake Coordinator
Fredericksburg, TX, 10/2006 - 10/2008

Coordinated patient referrals from health care professionals and insurance companies, while providing information regarding home care and hospice services to callers and converting inquiries to sales. Obtained insurance verification and pre-certification for insured clients and provided updates to case managers.




Work History and

References Available Upon Request


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Resume Overview

School Attended

  • Indiana Wesleyan University
  • Ivy Tech

Job Titles Held:

  • Insurance Case Manager
  • Intake Coordinator
  • Intake Coordinator

Degrees

  • Associate of Science
  • Licensed Practical Nurse

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