Insurance Assistant

MELISSA V. HALL

**** ******** ****, ******, ** **173

Home: 704-***-**** Cell: 704–858-4213

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

EDUCATION:

Allen Medical School of Science April 2013

Certification Medical Insurance Billing and Coding

Relevant Coursework: Medical Law & Ethnics, Medical Document Evaluation, HIPPA, Medical Terminology

Familiar with ICD-9 ICD-10, Medisoft, CMS 1500, CPT-4

WORK HISTORY

Lash Group AmeriSource Bergen (Contract through Insight Global) Nov 2013 – Jan 2014

Benefits Verification Specialist

• Administers employee benefit programs in compliance with carrier contracts (e.g. enrolling new employees,

explaining benefit options, organizing benefit fairs, mediating benefit eligibility and payment issues, open

enrollment, etc.) for the purpose of providing maximum coverage to employees within contract specifications.

• Assists personnel, beneficiaries and/or insurance providers for the purpose of verifying eligibility, conveying

information and processing claims.

• Processes a variety of information (e.g. COBRA, FMLA and retirement benefits, eligibility, enrollments, etc.)

for the purpose of documenting and disseminating information to appropriate parties.

Physician’s Choice Laboratory Services May 2013 – July 2013

Data Entry Specialist (Contract through AccruePartners )

• Review Explanation of Benefits to enter denials, patient deductibles and co-insurance utilizing Xifin

• Manage multiple tasks

• Prioritize workload to effectively hit deadlines

• Review of payments

• Pulled information from lockbox, processed claims submissions, cash posting

Wells Fargo-(Contract through Manpower Inc.) January 2009 to July 2010

Mortgage Loan Negotiator

Fort Mill, SC

Analyzed delinquent home mortgages to determine extent of company's liability made approval or denial

decisions, and negotiate settlements with home owners in accordance with policy provisions

Evaluate income, and perform credit and property analysis Collaborate with mortgage underwriters and

interview homeowners to correct errors, rectify omissions, and investigate questionable issues

Provided optimum service to policyholders, negotiated fair settlement, and identified fraudulent claims

Reviewed prime and non-prime loans, and adjusting collection portfolios to reduce delinquent problem loans

within framework of company or investor guidelines

Restructured payments plans of problem loans, skip tracing, monitoring adherence to terms of agreement.

Summary

Insurance Assistant Underwriter, and Senior Underwriting Assistant with more than 10 years of experience

underwriting, and processing (General Liability, Erisa Pension Plans Bonds, Commercial Crime, Surety, D & O,

Diversified Financial Institute, Kidnap & Ransom, and some Property & Casualty)

Excellent ability to underwrite large and complex accounts. Able to manage agency relationships and production.

Effective and remarkable cooperation skills

Proficiency with automated Underwriting systems

Technically proficient in using the processing system, and tools on the Internet Skilled in using underwriting

concepts effectively

Ability to read and interpret documents such as submissions, loss control reports and standard policy forms, and

endorsements

Strong ability to negotiate, influence and close deals

Zurich North American Insurance September 2001 to January 2009

September 1997 to September 2001

Assistant Underwriter

New York, NY

Analyzed information in insurance application to determine whether a risk is acceptable, and will

not result in a loss for the company

• Ratify small to medium- sized Commercial business for agents in the northeast region with authority up to

$10 million limit of liability

Keeping side by side of altering policies, charges, and measures describing coverage, policy, forms and

decisions to brokers, employees, and insured’s

Calculated possible risk, and determined appropriate premiums

Conserved existing renewal business utilizing established retention methods

Zurich North American Insurance

Senior Underwriting Assistant

New York, NY

• Collaborated with Vice President, Senior Underwriting Specialists, and Underwriters in processing

hundreds of new, and renewal business

Marketed new business quotes support tasks include classification of exposures, completion of loss trend and

analysis of large claim and prior audit information for renewal business, requesting additional information as

needed.

Tabulated and performed rating, pricing, and binding policy issuance on all new and renewals provided

timely and efficient services to all internal and, external customers

Prepared new business quotes and proposals for assigned underwriter's review. Reviewed

applications and ensure quality of policies and correspondence and respond to customers inquiries.

Processed new business quotes and proposals for assigned underwriter's review.

Processed new and renewal business binders, quotes, cancellations, endorsements, policy insurance handled

ratings

TECHNICAL SKILLS:

• Lotus Notes 123, Microsoft Office Suite (Word, Excel, Outlook, Access, PowerPoint), Dun Bradstreet, SAP, Medisoft, Xyfin

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