David Jaffe

Austin, TX

Summary

Results-oriented Insurance Underwriter with a strong background in analyzing plan characteristics, conducting case risk evaluations, and implementing effective product pricing strategies.

Skilled in utilizing established underwriting criteria and policies to ensure accurate and proper rating methodologies.

Adept at negotiating fees, rates, and plan options to optimize cost-competitive health benefit plans.

Possesses legal experience as an Attorney in Ohio, with a demonstrated ability to draft and review contracts.

Detail-oriented with experience in proofreading applications and policy brochures to maintain high-quality standards in documentation.

Combines analytical acumen with legal expertise to contribute to the success of insurance underwriting processes.

Proficient in using Microsoft Excel and PowerPoint for data analysis and presentations.

Education / Licensing

Cleveland State University - Cleveland, OH

J.D. from Marshall College of Law

Kenyon College, Gambier, Ohio

Bachelor of Arts in Economics

Texas Life & Health Insurance Sales Licenses

Experience

Cigna Insurance Aug 2022 - Dec 2022

Insurance Underwriter

Analyzed health benefit plan characteristics through case risk evaluation and product pricing.

Utilized established underwriting criteria and policies to provide proper rating methodologies.

Negotiated fees/rates and plan options to optimize cost-competitive health benefit plans.

Utilized pricing models to assist in the economic analysis of new business and renewal customers.

Reviewed and proofread policy materials and applications.

Developed an understanding of insurance principles, policies, and related laws.

Applied this knowledge to maintain compliance and provide accurate information to customers.

Built relationships with coworkers and other salespeople within the company.

Undertook various tasks with the intention of meeting processing targets, improving efficiency, and enhancing customer satisfaction.

E-Telequote Mar 2022 - Jun 2022

Licensed Medicare Sales Representative

Sold Medicare Supplement Insurance and Medicare Advantage policies to residents in 20 states.

Trained and certified for the sale of subsidized insurance under the Affordable Health Care Act and through healthcare.gov.

Assisted customers in determining appropriate coverage and costs for insurance policies.

Completed applications, processed payments, and set up new policies.

Conducted data entry to complete leads and entered new policies into the system.

Aon Corp (Alight Corp) Aug 2021 - Jan 2022

Licensed Medicare Sales Consultant

Sold Medicare Supplement Insurance, Medicare Advantage policies, and medical insurance coverage to residents in 10 states.

Trained and certified for the sale of subsidized insurance under the Affordable Health Care Act and through healthcare.gov.

· Assisted customers in determining appropriate coverage and costs for insurance policies.

· Completed applications, processed payments, and set up new policies.

· Performed underwriting functions in accordance with established standards, guidelines, rates, and coverage forms filed and approved by law in the state of responsibility.

· Utilized various word processing and presentation programs, including Excel and PowerPoint, for monthly reporting and group presentations.

· Conducted data entry to complete leads and entered new policies into the system.

Employment Gap Feb 2021 - Jul 2021

Pursuing interests not related to health insurance.

Everise Consulting Aug 2020 - Jan 2021

Licensed Medicare Sales Representative

· Sold medical insurance coverage under the Affordable Care Act during the Open Enrollment period under contract with Aon Insurance.

· Held licenses in 25 states.

· Trained and certified for the sale of subsidized insurance under the Affordable Health Care Act and through healthcare.gov.

· Assisted customers in determining appropriate coverage and costs for insurance policies.

· Completed applications and set up new policies.

· Performed underwriting functions in accordance with established standards, guidelines, rates, and coverage forms filed and approved by law in the state of responsibility.

Medical Mutual of Ohio Sep 2019 - July 2020

Licensed Insurance Sales Representative

· Sold medical insurance coverage to Ohio and Arizona residents, both for 2013 and for the Affordable Care Act beginning 2014.

· Fully trained and certified for the sale of subsidized insurance under the Affordable Health Care Act and through healthcare.gov.

· Assisted customers in determining appropriate coverage and costs for insurance policies. Completed applications, took payments, and set up new policies.

· Performed underwriting functions in accordance with established standards, guidelines, rates, and coverage forms filed and approved by law in the state of responsibility.

· Answered calls from callers on a toll-free line coming into our office.

· Examined risk profiles and loss history, taking necessary steps to ensure that each risk is appropriately classified and priced.

· Approved applications and filed documentation to support decisions.

· Followed up on applications to ensure that customers had a satisfactory experience. Trained co-workers and new hires on procedures for completing insurance applications internally and through healthcare.gov. Familiar with HIPAA laws and their application to the release of medical records and details concerning health insurance. Familiar with medical terminology.

· Used many word processing programs and presentation programs, including Excel and PowerPoint, for monthly reporting and group presentations.

Precision Senior Marketing - Austin, TX Jul 2019 - Aug 2019

Agent recruiter

Called insurance agents to recruit them to sell Medicare supplement insurance policies for the brokerage.

Made initial calls to agents and sent contracting information through email.

Reviewed applications and submitted them to licensing associates for contracting.

Assisted agents with questions on new policies submitted.

City of Austin - Austin, TX Apr 2019 – May 2019

Customer Service representative

· Completed a temporary assignment to the City of Austin 311 call center.

· Responded to calls from residents with requests for information regarding city services.

· Assisted callers with requests, answered questions, and forwarded callers to specific city departments as needed.

· Took non-emergency reports concerning criminal activity.

TruSourceLabs - Austin, TX Oct 2018 - Jan 2019

Licensed Health Insurance Sales Representative

Sold medical insurance coverage under the Affordable Care Act during the Open Enrollment period under contract with Stride Health. Was licensed in 25 states and fully trained and certified for the sale of subsidized insurance under the Affordable Health Care Act and through healthcare.gov.

Assisted customers in determining appropriate coverage and costs for insurance policies. Completed applications and set up new policies.

Performed underwriting functions in accordance with established standards, guidelines, rates, and coverage forms filed and approved by law in the state of responsibility.

Approved applications and filed documentation to support decisions.

· Possessed electronic document review database experience, including reviewing documents for litigation and/or information governance purposes and creating privilege logs.

· Detail-oriented and fast-paced, with the ability to extract pertinent information from a high volume of documents. Had experience reviewing for Attorney-Client and Attorney Work Product Privileges.

Home Depot Nov 2017 – Jun 2018

Customer service representative

Provided first-contact support for home depot associates and managers.

Answered calls from associates experiencing technical problems with store computers.

· Utilized the SharePoint and ServiceNow ticketing system to write and follow up on support tickets.

· Accessed the Knowledge Base system for information regarding various issues and solutions.

· Troubleshooted various technical issues through the use of SCCM or VPro Remote Tools.

· Placed service calls on broken Paint Dispensers, store PCs, barcode scanners, and printers after proper troubleshooting procedures were exhausted.

· Implemented the following escalation procedures if unable to restore service for an issue: completed documentation of the issue with a Knowledge Base Article attached, provided screenshots of the error and relevant data, engaged both team chat and L2 assist chat, and received approval for escalation.

Blue Cross Blue Shield Arizona Aug 2013 – Apr 2017

Licensed Insurance Sales Representative

· Sold medical insurance coverage to Ohio and Arizona residents, both for 2013 and for the Affordable Care Act beginning 2014.

· Fully trained and certified for the sale of subsidized insurance under the Affordable Health Care Act and through healthcare.gov.

· Assisted customers in determining appropriate coverage and costs for insurance policies. Completed applications, took payments, and set up new policies.

· Performed underwriting functions in accordance with established standards, guidelines, rates, and coverage forms filed and approved by law in the state of responsibility.

· Answered calls from callers on a toll-free line coming into our office.

· Examined risk profiles and loss history, taking necessary steps to ensure that each risk is appropriately classified and priced.

· Approved applications and filed documentation to support decisions.

· Followed up on applications to ensure that customers had a satisfactory experience. Trained co-workers and new hires on procedures for completing insurance applications internally and through healthcare.gov. Familiar with HIPAA laws and their application to the release of medical records and details concerning health insurance. Familiar with medical terminology.

· Used many word processing programs and presentation programs, including Excel and PowerPoint, for monthly reporting and group presentations.

One West Bank - Austin, TX Jan 2013 - Mar 2013

Customer Service Representative

Reviewed foreclosure files to determine the status of claims and whether they were handled appropriately.

Located foreclosure files on the computer and examined them to ascertain if the borrower had filed for bankruptcy, if foreclosure had proceeded to sale, and whether the bank had acquired the property at the foreclosure sale. Also, identified lawsuits on Lexis and Westlaw.

Prepared memos for files summarizing the review findings. Flagged files if issues were identified during the review.

Reviewed files and redacted information as needed for submission to the Court.

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