Benefits Advisor Insurance
Resume:
SUMMARY OF SKILLS:
High energy professional with an upbeat attitude
Work well under pressure with strong aptitude for details
Tackle and accomplish assignments on time and accurately and over exceed goals.
Possess great organization and communication skills
SPECIALTIES:
Medicare • Employer Group Health Insurance • Qualified Health Plans • Medicaid • Managed Long Term Care
Extensive Knowledge of Medicare Part A, B, C and D entitlements.
General Insurance-Property & Casualty (Personal and Commercial)
PROFESSIONAL EXPERIENCE
2018 to Present Health & Insurance Benefits Advocate Alight Orlando, FL
Assist and guide participants understanding and using their benefits.
Provide alternatives options in deciding the best course of action when they have a question or concern.
Resolve health care billing and insurance claim disputes.
Research and Locate doctors, hospitals, and other health care providers.
Assist in researching and locating treatments and medications.
Getting second opinions, when necessary.
Equip participant in becoming more effective health care consumers.
2016 to 2018 Benefits Advisor Aon Hewitt Orlando, FL
Conducted outbound appointments calls with retirees to assess needs and introduce exchange services and benefits
Educated retirees on Medicare benefits and Health reimbursement account and determine suitability for individual plans
Certified and contracted with 20+ insurance companies
Effectively communicated plans to seniors by anticipating concerns and adjusting approach based on individual
Problem solve with client to assist in selecting and enrolling in one or more insurance plans
Confirmed plan recommendation and complete sales interaction via plan enrollments
Customer Service-Provided guidance for consumer in navigating plan benefits during and after the sale process
2014 to 2015 On call Telephonic Benefit Enroller Univers (USI) Orlando, FL
Reviewed employer benefits offerings and voluntary products
Performed telephonic enrollment of Cigna and Aetna Health plans and Unum disability and insurance products
Followed appropriate enrollment guidelines
Relayed high quality and accurate information regarding benefits and employer policy requirement
Ensured that employees are matched with plans that are suitable to their needs
2012 to 2014 Health Insurance Advisor Optum Orlando, FL
Conducted needs assessment meeting to facilitate transition from group to individual Medicare plan through myCustomHealth Insurance exchange
Educated members on Medicare benefits and assess suitability for Medicare Advantage or Medicare Supplement plans.
Tracked members enrollment in Humana agent portal and verified that applications had been fully processed with an effective date of coverage
Worked closely with Blue Cross Blue Shield to ensure that Medicare applications were complete for underwriting and conducted follow-up outreach to members to inform of the enrollment status
Mentored peers in navigating the different systems such as Aetna, Blue Cross/Blue Shield, Cigna, Humana, and United Healthcare and provided guidance in completing enrollment
Customer Service- Advocating for members to access their reimbursement from health saving account on time.
2008 to 2011 Medicaid Service Coordinator Cerebral Palsy State New York, NY
Ensured that individuals on caseload are provided with Person-Centered Services
Wrote weekly progress notes, bi-annual evaluation reports, and functional analysis
Coordinated medical, Psychosocial, and recreational services for individuals diagnosed with mental retardation, autism and mental illness
Advocated for clients with loss of Medicaid to regain eligibility in order to prevent involuntary disenrollment and gap in medical coverage.
Assisted with problem solving and mitigation when care and environmental barriers are identified.
Conducted home visits, case management and collaborated with providers and Certified Home Health Care Agencies
Maintained an extensive list of contacts and community resources and establish linkages between families and service providers
EDUCATION & TRAINING
New England College – Henniker, NH – Master of Arts in professional Writing, July 2015
Queens College (CUNY) - Flushing NY- Bachelor of Arts in Urban Studies with a focus on Urban Health & Community Organizing, January 1997
Skills and Languages- Computer: Proficient in Microsoft Word, Excel, PowerPoint, Access, Citrix, MARx, Social Media.
Multi-lingual: English, French, & Haitian Creole
LICENSES
2-20 Property & Casualty General Line License April 2015
2-15 Health & Life Insurance License February 2013
Contact this candidate