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Gina R Jackson

*** *** *** **, *********, KY 40505

859-***-**** (Cell)

adim7w@r.postjobfree.com

Summary

Successful experience in the insurance industry relating to management of personnel, multiple software system installations for enrollment, claims, and customer services. I am a proved problem solver in developing and implementing processes that improve efficiency and overall customer satisfaction. Proficient skill set in all Microsoft products. Experience

Facility Commissioning Group, Lexington, KY Nov. 2017 to Dec. 2018 Document Control Administrator

Proofread copy for accuracy. Ensured all corrections were made to proofs. Compared records or figures with original copy to detect errors. Maintained ability to manage multiple projects. Showed attention to detail. Ensured 100% accuracy on all documents. Maintained knowledge of Microsoft Office. Met deadlines consistently. Healthcare Scouts, Lexington, KY Dec. 2016 to Apr. 2017 Account Manager

Processed new insurance policies and claims. Evaluated claims data. Investigated facts behind claims. Verified accuracy and completeness of claims. Prepared insurance claim forms. Provided high-quality customer service. Maintained complete and accurate documentation on all claims. Posted or attached information to claim files when necessary. Contacted insured or other involved persons to obtain missing information. Proficient in MS Office. Maintained strong multitasking abilities. Aramark, Inc., Lexington, KY Oct. 2015 to Nov. 2016 Account Representative

Contacted customers with past-due balances. Arranged for debate repayment. Established repayment schedules. Answered customer questions about problems with their accounts. Advised customers of necessary actions and strategies for debt repayment. Persuaded customers to pay outstanding debts. Located and monitored overdue accounts using computers Recorded and updated information about the financial status of customers and collection efforts. Answered correspondence and wrote reports. Noted address changes. Negotiated credit extensions. Located and notified customers of delinquent accounts by telephone, e-mail.

Commonwealth of Kentucky, Frankfort, KY Dec. 2013 to Oct. 2015 Internal Policy Analyst II

Training of State Insurance Coordinators in reconciling discrepancies in employee's premium billing to their enrollment application. Daily payment posting and allocation. Resolve premium billing discrepancies related either to enrollment issues or KHRIS system issues.

United Health Care, Lexington, KY May 2013 to Nov. 2013 Lead Association Billing

Day to day department structure that ensured billing accuracy and productivity. Developed and implemented process improvements for enrollment, audit and premium billing reconciliation. Project management for moving department to paperless. Project management for enrollment/premium billing system. GCH Insurance Group, Lexington, KY Apr. 2012 to Feb. 2013 Group Health Account Manager

Group/Individual database for day-to-day operations of health insurance eligibility, claims processing and employee benefits customer service with multiple insurance carriers and employer groups. Implemented detail commission reimbursement system. Coordinated enrollment meetings with large and small group employers for employee benefits enrollment. Quoted new individual and group health insurance business with HMO/PPO multiple carriers. Colonial Life, Lexington, KY Dec. 2008 to Jan. 2012 Benefits/Enrollment Coordinator

Enrollment of group and individuals for employee benefits in ancillary products that include: Term Life Insurance, Universal Life Insurance, Short Term Disability, Accident, and Cancer policies. Customer Service of prospective and current clients before, during and after enrollment.

CHA Health, Lexington, KY Oct. 1995 to Mar. 2008

Director of Premium Billing & Enrollment

Day-to-day operations of premium billing and enrollment for a 200,000 member health plan with $325 million in annual premiums. Developed and trained staff in all processes related to the administration of group and members. Administered Commonwealth of Kentucky's health insurance enrollment, benefits and premium billing/reconciliation. Administered third 7/28/2020

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party clients, including University of Kentucky and American Greetings. Implemented IVR processes for phone inquiries for all departments within the company. Issued certificate of coverage and membership identification cards for all lines of business. Financial processes for premium deposit and account posting by employer group and COBRA/Continuation Members. Reconciliation of premium billing to membership enrollment. Responsible overall department structure that ensured accuracy and productivity. Budget development and maintenance for staffing, supplies, postage, and printing for billing and enrollment.

Skills

Attention To Detail, Benefits Administration, Billing, Billing Systems, Budget Development, Credit, Crystal, Customer Relations, Customer Service, Database Administration, Documentation, Email, Financial, Forms, Imaging, Insurance, Ivr, Meeting Facilitation, Microsoft Office, Multi-tasking, Payroll Processing, Policy Analysis, Premium Billing Systems, Process Engineering, Project Management, Quality, Quicken, Reconciling, Reports, Staffing, Tax Planning, Telephone Skills, Writing Education

Bryan Station High School

Diploma

Business Administration

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