Sales Health Insurance

OBJECTIVE

Employment as a Human Resource (HR) professional commensurate with my

qualifications and

experience as described below.

EDUCATION & LICENSES

BS in Business Administration

California State University East Bay, Hayward, CA

Received 2005

California Life and Health Insurance Lic.# 0E89544

Currently Studying for the PHR (Professional in Human Resources)

PROFESSIONAL EXPERIENCE

Health Net of California - Middle Market Sales

July 2008 to Present

Benefits Support Specialist III

. Perform generalist duties under general or specific direction, working

independently or with others, as may be required.

. Review claims of denied services or procedures against their

respective summaries of benefits and/or contracts for appropriateness

and formulating a response for sales representatives and brokers.

. Receive, assess and begin processing of requests for proposals for

benefit packages.

. Interface with brokers, Sales Representatives and employer HR Benefits

management and analyst to research, analyze and develop coverage and

rates scenarios based proposal requests or contractual considerations

including compliance with the Employee Retirement Income Security Act

(ERISA) such as the Consolidated Omnibus Budget Reconciliation Act

(COBRA), and The Health Insurance Portability and Accountability Act

(HIPAA).

. Work closely with benefits underwriters to ensure that group

assumptions, and negotiated risk factors conform to the benefit

pricing strategies reflected in benefits quotes and contracts.

. Develop medical, life, dental and vision rate quotes for clients and

make any necessary revisions of these quotes as data is negotiated or

evolves.

. Analyze requests for proposals and drafted responses for new and

renewed benefit contracts for any group, provider, coverage, and rates

discrepancies or revisions that require executive review.

. Follow-up on work held in progress by obtaining appropriate and timely

resolutions of problems.

. Conduct or assist with open enrollment meetings as needed.

. Collaborated with peers to produce open enrollment

presentation.

Health Net of California - Middle Market Sales September

2007 to July 2008

Group Support Specialist

. Supported the sales representatives as needed with sales and

contracting materials.

. Worked proactively and successfully with sales representatives on

their client sales and retention oriented projects.

. Entered finalized contract benefits data to the organization's data

base.

. Proformed Quality checks on Open Enrollemnt materials before release

to external clients

. Led and managed the Employee Handbook project that created the Middle

Market Sales - Group Service and Sales Assistants personnel policies

and procedures that is presently in use.

Washington Mutual July 2005 to August 2007

Licensed Financial Representative

. Explained and sold Life and Health insurance offerings to WaMu

customers.

. Maintained an understanding the numerous investment instruments

available.

. Taking in interest in the bank customer's financial needs and goals,

and building trust.

. Consulted with customers to delineate and analyze their financial

position.

. Analyzed and interpret financial/investment data and presenting

financial alternatives to bank customers.

. Conferred with the branch manager and corporate portfolio managers on

intended investment advice whenever considered prudent or required by

policy.

. Explained financial risk and bank fees and charges to customers.

. Following up with customers to retain trust and determine their

satisfaction with our results.

TECHNCIAL PROFICIENCIES

Full Microsoft Office Suite Microsoft Project Lotus Notes

SALSA - Automated System for tracking all prospects

and proposals released

Step2 - Automated System for ordering Open

Enrollment Materials and SPD

Benefit Point - Automated System for submitting and

retrieving RFPs

Contact this candidate