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1471 Carol Oaks Lane #809

Fort Worth, Texas 76112

Related Qualifications:
Experienced in a call center environment verifying insurance benefits and covera
ge for both policyholders and healthcare providers, and expediting problem resol
ution between the insured and their providers.
Consistently maintain 90% and above monthly Quality Assurance scores.
Well versed in Centers for Medicare and Medicaid regulations and HIPAA complianc
Experienced in explaining and enrolling prospects into Medicare Part D drug plan
s, Medicare Advantage, and Medicare Supplement plans.
Focused team player experienced in high-stress environment.
Experienced handling emotionally charged customers compassionately.
Have high standards of business ethics, professionalism, and the patience requir
ed to resolve client's issues.
NOVO 1 October 2007 to May 2010
Assigned to Bravo Health HMO as CSR handling Bravo's Medicare clients concerns a
nd questions regarding their benefits, coverage, and claims. Helped expedite cli
ent solutions and one-call resolutions between client, providers, and health pla
n. Transferred to Blue Cross Blue Shield of MN campaign in Sept of 2008. Duties
and responsibilities were to educate and enroll prospects into Blue Cross Blue S
hield's Medicare Advantage, Medicare Part D, and Medicare Supplement plans.
Health Markets, Inc November 2006 to August 2007
Claims Customer Service: Verify insurance benefits and coverage; explain claims
processing to both insured and providers, address claims and discount disputes b
y submitting claims and PPO inquiries.
Aegis Communications Group December 2005 to June 2006
Contracted with Humana Insurance Company to educate and enroll prospects into Me
dicare's Part D prescription drug plans. Enrolled over 500 prospects in a call c
enter environment, while providing customer service to policyholders.
AFLAC American Family Life Assurance of Columbus. May 2001 to Oct 2006
Independent Agent: Selling supplemental health insurance products to employees i
n the work-place environment. Responsible for the presentation of products, and
employee enrollments.