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Skills

  • Cross-functional collaboration
  • Community outreach and engagement
  • Community Health Education
  • Claim processing optimization
  • Planning and coordination
  • Customer retention tactics
  • Customer service excellence
  • Security systems
  • Client onboarding and support
  • Customer follow-up

Work Experiences

  • Drove insurance sales through partnerships with financial advisors, Health Agents, and the development of new clientele.
  • Assisted in the creation of framework procedures.
  • Was in charge of all tasks delegated to me, including cross-functional collaboration and vendor management.
  • Working with team members and customers to find workable solutions improved operations.
  • Achieved a 62% increase in uptake of benefits.
  • Achieved cost savings of $10 annually.
  • Used ServiceNow to compile data gathered from various sources.
  • Reduced project delays by effectively training employees on best practices and protocols.
  • Achieved premium reductions of $12 per annum.
  • Administered annual reviews on 2 client health plans, offering tailored solutions that drove an increase of 23% in renewals.

Summaries

  • Project management and performance reporting are two of my strongest abilities.
  • Workday and Asana experts with exceptional interpersonal skills.
  • Achieved a 32% increase in renewals.
  • Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.
  • Effective at dealing with people in stressful and confusing situations in order to address benefits needs and navigate the structures of metric agencies.
  • Health Agent and team leader with 16 years of experience in method settings.
  • Knowledge of ServiceNow in depth, as well as strategic planning and budget management abilities.
  • Achieved a 30% reduction in healthcare premiums.
  • Process, category, and process are all available.
  • Category and standard have a proven track record.

Accomplishments

  • Managed renewals for over 8 clients, accurately assessing eligibility and increasing retention by 59% year-over-year.
  • Provided clear and concise guidance on ongoing regulatory changes affecting health care options, resulting in a 54% increase in client retention.
  • Educated over 14 clients on Affordable Care Act policies, resulting in a 26% increase in enrollment accuracy.
  • Streamlined enrollment process by integrating procedure, reducing average application review time by 17%.
  • Collaborated with interdisciplinary teams to launch an improved customer-facing portal that increased self-service usage by 43%.
  • Conducted eligibility assessments for 2 participants in Boston, ensuring 25% compliance with relevant prerequisites and guidelines.
  • Resolved escalated cases for high-value clients by providing detailed policy explanations, boosting satisfaction scores by 63%.
  • Led cross-functional team to successfully launch Tableau-driven health insurance product rollout, gaining 4 new clients within 2015.
  • Utilized CRM tools to follow up with prospective clients, reducing lead conversion times by 9% and increasing overall revenues.
  • Expertly navigated insurance software programs such as HubSpot to ensure 50% regulatory compliance with health insurance policies.

Affiliations

  • Member, American Insurance Association (AIA) - Engaged in policy and regulation discussions impacting the private health insurance market.
  • Volunteer, Senior Care Health Insurance Navigation Program - Offered guidance on Medicare options and prescription drug plans to the senior community.
  • Attendee, Insurance Regulatory Examiners Society (IRES) Monthly Meetings - Continued to refine compliance audit skills necessary for ensuring zero legal penalties.
  • Member, Society of Human Resource Management (SHRM) - Integrated knowledge of health care benefits into organizational planning and policy execution.
  • Member, National Association of Health Underwriters (NAHU) - Collaborated in forums discussing insurance plan innovations and compliance standards.
  • Attendee, National Council for Behavioral Health (NCBH) Conference - Gained knowledge on mental health and substance use policies relevant to client health care plans.
  • Committee Member, Local Health Improvement Coalition (LHIC) - Played a vital role in creating community health initiatives for higher healthcare engagement.
  • Member, Association of Healthcare Insurance Providers (AHIP) - Contributed to discussions on shaping the future of health insurance provider strategies.
  • Certified Healthcare Reimbursement Specialist (CHRS) - Applied this certification to drive reimbursement best practices for client claims.
  • Member, National Association for the Specialty Pharmaceutical Industry (NASP) - Refined expertise in managing complex prescription drug policies.

Certifications

  • State Health Insurance License - Atlanta
  • Association for Project Management (APM)
  • Health Insurance Professional Training (HIPT) - Cedar Works
  • Project Management Professional (PMP)
  • Certified Healthcare Compliance (CHC) Vantage
  • National Health Plan Accreditation (NHPA) - Beacon Labs
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Healthcare Facilitator (CHF) - Vantage
  • Cisco Certified Network Associate (CCNA)
  • National Insurance Producer Registry (NIPR) License

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