Customer Service Technician

Location:

Posted:

June 19, 2013

Dawnaye Tucker

Jacksonville, Florida 32222

Summary: Over 33 years of experience in the Medical and Dental insurance industry.

Experience includes policy reviewing and approval, speed underwriting,

annuities

technician, underwriting support, claims processing, customer service and

network representative. Strong analytical/research, written and oral

communication skills, ability to multi task.

Professional Experience

Prudential/Aetna Insurance Company

Customer Service Representative Providing information to policy holders and/or

providers regarding dental plan and benefits, as well as problem solving. Handles

customer service inquiries and problems via telephone, internet or written

correspondence. Customer inquiries are of basic and routine nature.

Policy Reviewer Reviewed policies to make sure proper pages were inserted into the

policy and all information on the application was correct before sending out to policy

owners keeping quality and production in mind.

Speed Underwriter Assessed the risk of life insurance accurately based on information

given, excercised sound independent judgement to determine if medical history meets

qualification for approval.

Sr. Underwriter Support Technician Acknowledge requirements (for exams, aps's, mvr's

urine specimens, etc.) received by the home office to process the application for approval.

Handled incoming calls from general managers, agents, and field representatives

regarding status on pending applications.

Customer Service Specialist Received work from both mail operations and in bound

telephone calls. Handled calls regarding requests from policy owners and outside agents.

Provided post issue insurance service to policy holders and reps on disbursement change,

premium, settlement options, reinstatements and contact inquires.

Annuity Technician Received non qualified appications. Handled large check amounts.

Determine if case is a transfer, IRA rollover, or a 1035 exchange. Document files while

waiting on outstanding requirements. Calculated checks received to be credited to the

correct account.

Approval Technician Data entry, inputting high volumes of cases underwritten and

approved by underwriters. Responsible for inputing rating and rejection letters. Met high

production and quality standards.

Network Representative Design, develop, contract, maintain and enhance relationships

with facilities, physicians and ancillary providers which serve as contractual networks of

care for members; foster growth of managed care products; and demonstrated the ability

to handle multiple assignments competently, accurately and efficiently.