Christopher Dudley

SUMMARY

•Over ** years' work experience in Customer Service/Medical Billing, Administration.

•Licensed Health, Life & Accidental Agent/ Medicare

•Proficient in financial services, medical billing, Employee benefit services such as enrollment, FMLA, Leave of Absence, short & long term.

•Extremely motivated and detail-orientated professional with excellent analytical and interpersonal skills.

•Strong problem solving and resolution ability.

•Typing speed: 40-45wpm.

•Microsoft Office Suite, A/R databases

•10-key Calculator.

•Data entry.

•Proficient on the PC Platform.

•Consistent production performer with a quality average of 97%.

•Pursuing degree with Northlake College, Irving, Texas.

PROFESSIONAL EXPERIENCE

E-Teleqoute Insurance Las Vegas, NV May 2023 – Present Licensed Health Insurance Agent (Medicare)

•Handled Medicare customer inquiries regarding health and ancillary insurance products (MAPD,MA, PDP, Supplemental)

•Inbound campaign phone calls from existing as well as prospective beneficiaries • Market Medicare products/ Verify policy information

•Provide quote and enrollment support to new customers

•Recommend coverage that fits the customer’s needs by thorough Need Assessment

•Make outbound follow up calls to new and existing customers

•Data entry/update CRM with customer data

Guidewell Connect/TTEC (AmeriHealth NJ) Raleigh, NC Oct 2021 – Feb 2023 Licensed Health Insurance Agent

•Handled customer inquiries regarding health and ancillary insurance products

•Received inbound phone calls

•Coordinate with State(NJ) Marketplace regarding clients subsidy and application inquiries on behalf of client.

•Provide quote and enrollment support to new customers

•Recommend coverage that fits the customer’s needs

•Make outbound follow up calls to new and existing customers

•Data entry/update CRM with customer data

Miraca Life Sciences Inc. (Inform Diagnostics) Irving, TX Oct 2015 – Dec 2020 Customer Service/ Benefits Specialist

•Match the provider’s requirements to the necessary records.

•Understanding of all data required on a Health Care Financing Administration (HFCA) 1500 billing form.

•Analyze and modify billing codes and modifiers assigned by the Centers for Medicare and Medicaid Services (CMS) when applicable.

•Coordinate United Healthcare SOP’s to ensure guidelines are clear for team adherence.

•Communicate over the phone with customers and insurance companies to resolve clear-cut issues and answer questions according to department protocols and requirements.

•Use of various online portals, as well as Microsoft Excel, Microsoft Word, Adobe Acrobat, fax machines and digital fax applications and more.

•Navigated each health insurance’s website to find information and forms need for maximizing department goals.

•Conducted database and web searches on insurance information and documents to rectify all discrepancies.

•Communicate/Send reports and/or findings to each insurance company.

•Identifies problems with missing information (corrected claims) and takes the necessary steps to resolve it.

•Input patient information into laboratory information system/Adhered to all HIPAA regulations

•Processing of benefit elections per client request

•Educating participants of Medicare/Medicaid, Retiree benefits, Family Leave of Absence (FMLA), Leave of Absence (LOA)

Marsh & McLennan Companies (Mercer) Dallas, TX Feb 2014 – Apr 2015 Customer Service/ Benefits Specialist -Temp

•Receive 50-75 inbound calls daily

•Ensure the client’s\participant’s benefit selection needs were met

•File and execute client\participant escalations

•Provide thorough explanation of coverage options and terms to participants

•Assist customers with troubleshooting of company website

•Analyze & research of data

•Processing of benefit elections per client request

•Educating participants of Medicare and Retiree benefits

New York Life Insurance Co. Dallas, TX Mar 2013- Dec 2013 Administration Representative\ Values Analytical Agent

•Receive 50-75 inbound calls daily

•Ensure the client’s\agent’s needs were met

•File/execute client escalations

•Reply to client’s inquiries regarding loan and dividend withdrawal history via email, fax and phone

•Assist customers with troubleshooting of company website

•Analyze & research of data

•Originate and processing of loan\dividend withdrawals per client and agent request

•Manually calculate values within client’s policy and code properly in database

Bank of America Mortgage, Richardson, TX Jun 2011-Jan 2013 Customer Service/Customer Relationship/Data entry

•Receive 100-150 inbound calls daily

•Ensure the customer’s needs were met

•File/execute home owner escalations

•Reply to customer inquiries regarding payment history

•Data entry and information processing on the system

•Assist customers with troubleshooting of company website

•Reply to home owners inquiries regarding escrow, equity and home loan specifics

EDUCATION

Stephen F. Austin State University, Nacogdoches, Texas 2004-2007

Bachelor’s degree

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