Insurance Life

Rhonda James

* **** **** ****** ● L ancaster, C A 9 3535 ● ( 818) 633 - 5745 ● r ***********@*******.***

Career Objective

Seeking full-time, upwardly mobile position utilizing analysis and investigative skills.

Education - Degrees

Bachelor of Science, Business Management, University of Phoenix

Skills and Attributes

C omputer Microsoft Office (Word, Excel, PowerPoint), 10-Key Data Entry, Extensive Internet Research

Personal Excellent Communications and Organizational Skills; Goal-Oriented; Upbeat, Positive Attitude

Professional Experience

8 /2006 1 2/2008 Coventry Workers Comp Woodland Hills, C A

S ervices

MSA Lead Case Specialist

Compiled and proofread Medicare Set-Aside (MSA) analysis for claim adjusters, attorneys and structured

settlement brokers' review. Cross-referenced MSA reports with medical records, payout histories and other

documentation to ensure product is accurate and complete for client review. Investigate d, analyzed and

resolved outstanding issues for client.

9 /2005 8 /2006 H ealth Net, Inc . W ood land Hills, C A

Life Insurance Compliance Monitor

Conducted strict adherence to all state statutes and regulations relative to licensing and appointment

requirements between Health Net and The Department of Insurance. Maintained all contracts and

terminations for Health Net brokers. Ensured continuous compliance with corporate initiatives, standards,

guidelines, and external regulatory requirements in accordance with The Department of Insurance.

8 /2002 9 /2005 Health Net, Inc . W oodland Hills, C A

Eligibility Representative II (Promoted from Representative I)

Implemented monthly audits and ad hoc reporting of group eligibility data. Researched subscriber

information, resolved all problems and disputes. Processed new enrollments, terminations, and changes as

requested by Employer Groups. Utilized interactive skills with emphasis on customer relations.

9 /2001 8 /2002 Absolute Messenger Canoga Park, C A

S ervice

Receptionist II

Organized and prioritized calendar, appointments, scheduled meetings, conference calls and other

requirements as necessary. Answered phones, managed mail, faxes and other incoming or outgoing

correspondences. Initiated and dispatched routes for couriers.

2 /2000 2 /2001 Fred Sands Realtors Encino, CA

Receptionist

Utilized advanced interpersonal skills to greet prospective clients, answer phones and assist busy agents.

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