multi lines agent resume example with 12+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA94105
:
Professional Summary
Dynamic and highly motivated professional with 10+ year's business operations experience - administration, insurance sales, customer service agent, engineering, human resources, medical billing, and operations management. Driven to succeed on assigned projects with strong desire to improve existing procedures and implement cost-effective improvements. Focused team player who strives to work to the highest professional standards while keeping teams focused on timelines and milestones. Reliable individual who is capable of demonstrating effective leadership skills through project management and implementation. Confident in interactions with individuals at all levels while maintaining strict compliance with applicable laws and regulations as mandated by state and federal laws.
Relationship Development - Strong interpersonal communication skills and ability to collaborate and cultivate lasting relationships and leadership within diverse business communities. Work as an engaging facilitator skilled at written/verbal communication. Proven ability to communicate effectively within teams.
Information Administration - Highly experienced technical proficiencies. Knowledgeable of hospital coding and able to document medical procedures and diagnoses. Skilled in ICD-9-CM and CPT coding.
Project Oversight - Well-developed organizational aptitudes. Proven ability to analyze existing financial data and implement strategic planning for budget goals and forecasts. Success meeting and exceeding timelines, budgetary restrictions, and organizational goals within team-driven and self-guided tasks.
Key Strengths - Finely tuned analytical skills with a dedication to continually review and improve work processes. Known as a people -oriented, self-motivated, effective problem solver who is able to resolve both operational and staffing issues.
Skills
My Path (LMS), EZ Pay, Prolenium, FIM, CMMS, Maximo, Micro GADS, Nodal GAPS, and ADP PC Payroll
Accounting
Accounts payable and receivable
Accruals, Payroll
Adobe Professional
ADP, Performance management
Analyst, Policies
Schedule appointments, Processes
Approach, Quality
Articulate Sudio 13 software
Auto Cad
Benefits, Safety
Billing, Scheduling
Budgets, Strategic analysis
Ceridian, Supervision
Credit, Trend
Clients, Visio
Customer service, Workflow
Documentation
Employee relations
Financial
Forecasting
Forms
General ledger accounts
HRIS
Human Resources
Insurance
Inventory
Leadership
Machinery
Management
Marketing
Access
Excel
Microsoft Office
Office
PowerPoint
MS Project
Eligibility guidelines
Multi-line phone systems knowledge
Multi-tasking skills
Managing deadlines
Multi-site operations
Organization, prioritizing, and multi-tasking
Company guidelines and procedures
Meeting deadlines
Licensed Insurance Agent
HIPAA guidelines
Peoplesoft
Education
, Expected in 2013 ā āHealthcare & Insurance Plans - Design and Management: - GPA:
, Expected in 2011 ā āBenefits Analyst Certification: - GPA:
, Expected in ā āRegulatory Environments for Benefits Programs: - GPA:
Work History
Fxi Foamex Innovations - Multi Lines Agent Radnor, PA, 10/2018 - Current
Develop leads, schedule appointments, identify customer needs, and market appropriate products and services.
Establish customer relationships and follow up with customers, as needed.
Discuss financial concerns and needs of customers as needed to address their concerns and identify
products to enhance and secure their life.
Work with the agent to establish and meet marketing goals.
Maintain a strong work ethic with a total commitment to success each and every day.
Licensed to sell Life, Health, HMO and Property and Casualty Insurance products.
Seek out leads and new clients.
Provide a high level of customer service to keep clients happy and secure retention.
Cigna Insurance - Appeals Associate City, STATE, 06/2017 - 08/2017
Log, investigate, handle, resolve, track, and trend member and provider grievances and appeals including reporting and outcome resolution through consistent correspondence and follow-up.
Disseminate information regarding plans, benefit coverage, other member and/or plan information.
Provide organizational leadership for addressing member questions.
Responsible for member appeals and provider claim disputes, conducting investigations, and completion of responses within timeframes.
Comply with timely processing guidelines, policy, and standards of the state, such as grievance resolution and completion within (30) days of receipt.
Address quality of care complaints to quality management for resolution, and assist in investigations in conjunction with quality management medical reviews.
Investigate member issues as well as provider claims or billing discrepancies.
Regularly work with claims department in order to achieve corrective actions and resolutions.
Coordinate correspondence to members and providers regarding grievance and appeals/requests for hearing including, grievance forms, grievance acknowledgements, and resolution correspondence in the appropriate language.
Responsible for maintaining and reporting compliance, grievance, and appeal data, including: member files, logs, reports, documentation, and tracking information in a consistent and approved format.
Compile, prepare, and report compliance and grievance data monthly.
Formulate, implement, and execute processes, requests, workflow, or policies, including offering a proactive approach to suggestions and recommendations as well as working or cooperating with office associates or management effectively.
Act as a liaison to all company departments.
Accomplish duties and assignments with minimal supervision.
Maintain confidentiality of information.
Meet identified productivity and quality of work standards.
Luminant - Senior Engineer Technician - Training Administrator City, STATE, 01/2007 - 01/2016
Managed multiple budgetary tasks including MTD and YTD budgets and future budget commitments.
Analyzed/examined project completions and parts inventory to determine the monthly budget accruals.
Updated Intelatrac operator round procedures.
Tracked credit usage, documented payments by expense and department, and analyzed/reconciled expenses for monthly general ledger accounts.
Composed/distributed company training modules, and distributed through My Path and LMS upload.
Tracked employee participation and completion for all training modules to analysis compliance and update scheduling and time lengths when appropriate.
Published daily Oak Grove and Kosse Mine reports for management, and submitted monthly Generating Availability Data System (GADS) reports.
Directed OSHA rollout training project.
Tracked employee compliance through to 100% completion rate.
Organized and maintained timely accounts payable and receivable documentation, prepared accurate accounting reports quickly.
Created machine instrument authorizations and control procedures.
Completed strategic analysis and forecasting for company and project budgets.
Monitored and updated boiler machinery, maintained safety and regulatory guidelines, and attended annual inspections.
Used the Maximo software application to create work orders, purchase requests, and purchase orders.
Managed monthly maintenance of mobile equipment.
Documented maintenance procedures and machine efficiency.
Prepared housekeeping reports for power block, material handling, and combustible dust areas.
Omni Corporation - Human Resource Manager City, STATE, 01/2005 - 01/2006
Managed Human Resources department company-wide, supervising direct staff and daily workload.
Directed performance management process, payroll, workforce planning, benefits and compensation, employee relations, and employment practices.
Communicated data to senior management as needed.
Developed process documents to maintain/communicate procedures and processes.
Administered Family Medical Leave Act procedures and wage, salary, and employee benefits by company/regulatory guidelines.
Affiliations
National Notary Association - Notary Public, Texas State
Additional Information
CERTIFICATES, LICENSE
, Licensed General Lines Agent (Property, Casualty, Life, Health & HMO) - License No: 2361788
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Resume Overview
School Attended
Job Titles Held:
Multi Lines Agent
Appeals Associate
Senior Engineer Technician - Training Administrator
Human Resource Manager
Degrees
Healthcare & Insurance Plans - Design and Management