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Health Insurance Office Associate

Location:
Springfield, IL
Posted:
November 22, 2023

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Resume:

Stacy Hackwith

Office Associate

Springfield, IL 62702

ad1dea@r.postjobfree.com

+1-217-***-****

Authorized to work in the US for any employer

Work Experience

Sorter/tagger

Goodwill Industries - Springfield, IL

May 2019 to August 2019

I sorted all the donated clothes that came in on a daily basis, when we were short handed I would tag the clothes with the appropriate price.

Office Associate hrs worked 37.5

Illinois Department of Insurance - Springfield, IL October 2016 to August 2017

Accurately interpret the Illinois Insurance Code, departmental rules and executive bulletins; review and Analyze health insurance policy forms.

Proficient with NAIC confidential nationwide system SERFF. Review Preferred Provider Applications (PPA) to ensure compliance with Illinois Administrative Code Title 50, Section 2051. Working knowledge of the Illinois Insurance Code. Working knowledge of departmental rules. Working knowledge of regulations. Working knowledge of executive bulletins and general insurance company practices, particularly as related to accident and health or complaint resolution. Analyze hence to evaluate facts, data, information with criteria and effect reasonable decisions/conclusions. Solicit information from individuals that has value for a given purpose. Properly evaluate contractual provisions of insurance policies. Compose effective and comprehensible correspondence. Establish and maintain satisfactory working relationships with coworkers, insurance company representatives and the public. Working knowledge of health insurance appeals procedures and external independent reviews. Microsoft Office Outlook, Lotus Notes, Microsoft Word, Microsoft Excel, SERFF and the Internet. Analyze information/data to the end of correct and accurate decisions and conclusions. Write letters and reports containing Department complaint process descriptive and quantitative inclusions. Recall facts, figures, and descriptive elements with proficiency. Translate verbal information/data accurately into script or numeric portrayals. Articulate facts, figures, and descriptions in a comprehensible mode. Draft correspondence using Microsoft Word. I review and analyze written correspondence received by the Health Products Complaints Section.

I research and respond to inquiries on the professional level. I have received training for more technical and mid-level complaint investigations.

Corresponding with insurance companies in regards to revisions, irregularities, and/or discrepancies of the forms they submit for approval.

Coordinate work to the appropriate staff for resolution. Assist staff examiners with daily correspondence.

Office Clerk hrs worked 37.5

ILLINOIS COMPREHENSIVE HEALTH INSURANCE PLAN - Springfield, IL January 2014 to October 2016

Answer nine-line phone system for board office staff, complete daily data entry; Assist examiners with daily correspondence letter; opening and distributing mail, processing certified and second request letters and disassembling files to prepare for microfilming; assist in the daily secretarial duties, assist supervisors when needed, and prepare money for scanning. Application Coordinator hrs worked 37.5

Illinois Comprehensive Health Insurance Plan - Springfield, IL January 2013 to January 2014

Serve as primary support contact for the application. Perform in-depth analysis of workflow, data collection, report details, and other technical issues associated with the application processing. Coordinate all issues that arise within the specific application area. Verify information, print, mail or email notification information to the applicant to make active. Pull files to make applicants active when their initial premium and final paperwork has been submitted. Reject participants if they have not submitted all final documentation and premium payment. Scan money of applicants to make them active. Run public aid on all files before making them qualify. Qualify all pending files to be made active.

Office Clerk hrs worked 37.5

Illinois Comprehensive Health Insurance Plan

April 2007 to January 2013

Answer nine-line phone system for board office staff, complete daily data entry; Assist examiners with daily correspondence letter; opening and distributing mail, processing certified and second request letters and disassembling files to prepare for microfilming; assist in the daily secretarial duties, assist supervisors when needed, and prepare money for scanning. File Room Clerk hrs worked 37.5

Illinois cComprehensive Health Insurance Plan

September 2006 to April 2007

Main job is to maintain and protect the files of all current and past participants; responsible for managing all paperwork needed to be retained for participant's records. Eliminate outdated or unnecessary materials, destroying them or transferring them to inactive storage per file maintenance guidelines and/or legal requirements. Modify and improve filing systems, or implement new filing systems. Perform periodic inspections of materials or files to ensure correct placement, legibility, and proper condition. Gather materials to be filed. Perform general office duties such as data entry, operating office machines, and sorting mail.

Education

High school or equivalent

Lanphier High School

1998 to 2002

Skills

• DATA ENTRY (10+ years)

• CUSTOMER SERVICE

• Filing

• Copier

• Scan

• Disbursement

• General Office

• Data Collection

• Packaging

• Microsoft Outlook

• English

• Guest services

Additional Information

Skills

Customer Service, Data Entry



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