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Customer Service Insurance

Location:
DeSoto, TX
Posted:
August 22, 2015

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Resume:

Doria Latham

**** ******* ***

Desoto, TX *****

817-***-****

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

Skills Summary

I have over 15 years experience in the Insurance and Customer Service industry including administrative duties, leadership, and outstanding Customer Service. I have a solid background in premium explanation, underwriting, billing, claims, collections, automobile insurance claims adjusting and also Medicare Supplement and Prescription Drug Plans

Employment History

Armor Insurance Services, Grapevine, TX

Licensed Agent, 2012-2014

I made outbound calls for Medicare eligible recipients to obtain Medicare Supplements and Prescription Drug Plans through Blue Cross Blue Shield, Mutual of Omaha, Cigna and other carriers. This was a Sales position. I also worked with the ObamaCare Plans that were offered through Blue Cross Blue Shield as well. Provided assistance and training to other agents as needed. Provided excellent Customer Service to all clients in my book of business. This was a Self-Start position, with no close supervision.

Connextions, Irving, TX

Licensed Agent, 2012-2013

In this position, I took inbound calls from current Medicare recipients to enroll them into Medicare Advantage Plans and/or Prescription Drug Plans during the Annual Enrollment Period for the year 2013. I also educated members on their current benefits and how changes in the plans would affect them for the following year. This was a soft sell position, all while providing excellent customer service.

Christus Healthcare, Irving, TX

Patient Financial Services/Medicare Claims Collections, 2010-2012

In this position, I was responsible for performing billing, validations, and collections of medical claims for reimbursement of inpatient and outpatient services. I performed these job functions using Connance, SSI Database & Meditech, verification of coverage using Ecare and CMS websites. Ensured patient letters were HIPAA regulated. Performed appeals and also submitted medical records to substantiate medical necessity..

Horace Mann Insurance, Irving, TX

Auto Insurance Claims Specialist, 2009-2010

I received inbound calls from insured parties that were filing claims on their vehicles or homes. Took first contact loss reports on losses, gathering facts, making liability decisions, and reassigning claims as necessary. I represented Horace Mann in dealings with third parties if necessary, and dealings with garages, repair shops, and rental car companies.

Government Employees Insurance Company, Dallas, TX

Auto Insurance Claims Specialist, 2007 - 2009

I dealt directly with policy holders and/or claimants following accidents and/or vehicle thefts. I represented Geico in dealings with third parties if necessary, and appointed appropriate adjusters to handle medical claims and for court cases as necessary. I also handled dealings with garages and repair shops. I am currently licensed as an Adjuster-All Lines in the states of Texas, New Mexico, Wyoming, and Oklahoma. I frequently handled team lead and supervisor duties in the absence of my supervisor over my team. I also handled one-on-one training and coaching of new adjusters.

Infinity Property and Casualty, Irving, TX

Policy Services Agent, 2005 - 2007

In this position I handled all paperwork from preliminary conversations with policy holders and third parties. Handled billing issues with policy holders, explained applicable coverages and added or deleted vehicles, drivers, etc. upon request.

Education

Mansfield H.S. Mansfield, TX 1994-1998

Tarrant County College 1998-1999

Ogle School of Hair, Skin and Nails 2001-2002

Current Licenses

Insurance Claims Adjuster – All Lines for Texas, New Mexico, Oklahoma and Wyoming

Life, Health, and Accident License – General Lines – Texas, Illinois, Missouri



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