Customer Service Insurance

Maryjo Tisdale

Email: *********@********.***

Address: W513 Golden Glow Rd

City: Kaukauna

State: WI

Zip: 54130

Country: USA

Phone: 920-***-****

Skill Level: Experienced

Salary Range: $50,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Maryjo Tisdale

W513 Golden Glow Road Kaukauna, Wisconsin 54130

*********@********.***

Training and Development / Motivation and Coaching / Hiring and Staffing

Results-driven, motivated leader with extensive experience in the healthcare and insurance industries, and a Masters degree in Management and Organizational Behavior. Expert presenter and trainer who is able to shape behaviors to meet organizational goals. Proficient in Microsoft Office (Word, Excel, and PowerPoint), Macess, Metavance, and Windows operating system.

Professional Experience

CONSULTANT, SMALL BUSINESS UNDERWRITING, 2007 2012

HUMANA INSURANCE COMPANY, Green Bay, Wisconsin

Analyzed and recommended decisions regarding health insurance requests in conformance with established profit objectives, policies, procedures, and regulatory guidelines. Reviewed applications, compiled data, and assessed risk. Provided accurate documentation and reports as needed. Maintained advanced knowledge of state and federal regulations. Provided customer service by partnering with customers, sales representatives, and insurance agents and brokers.

FRONT LINE LEADER, 2002 2007

HUMANA INSURANCE COMPANY, Green Bay, Wisconsin

Hired, trained, and supervised team of 25 employees responsible for maintaining front end processes. Conducted performance evaluations and coached staff in day-to-day activities. Analyzed data on daily basis to evaluate and monitor workload. Assisted in developing departmental budgets; projected monthly budgets based on staffing requirements, projected claims receipts, and bill rates.

MEDICAL CLAIMS TRAINER, 2000 2002

CUSTOMER SERVICE CLAIMS SPECIALIST, 2000

BENEFIT ANALYST, 1999 2000

HUMANA INSURANCE COMPANY, Green Bay, Wisconsin

Delivered customer service and medical claims processing training to associates. Compiled and presented feedback to both trainees and supervisors on progress. Utilized adult learning principles to conduct classroom training.

CERTIFIED NURSES ASSISTANT (CNA), 1997 2003

LUTHERAN SOCIAL SERVICES, Appleton, Wisconsin (2001 2003)

PRN TEMPORARY HEALTH SERVICES, Appleton, Wisconsin (1997 2001)

Provided ongoing support and services to senior citizens and developmentally and mentally disabled adults. Maintained ongoing continuing education required for CNA certification.

Additional experience as Benefits Verification Representative with American Medical Security and Exercise Specialist with Bellin Health Connection.

Education and Training

Master of Science in Management and Organizational Behavior

Silver Lake College, Manitowoc, WI 2007

Bachelor of Science in Community Health Education

University of Wisconsin La Crosse, La Crosse, WI 1995

Professional Development Coursework

Accelerated Marketing Program * Fox Valley Technical College, Appleton, WI

Pre-Licensing Health Course * Fox Valley Technical College, Appleton, WI

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