Insurance Account Manager

EMILY LEE

***********@******.*** 864-***-**** Greer, SC 29650 www.linkedin.com/in/emilylee23

Summary

Detail-oriented Insurance Account Manager with 5+ years of experience in enhancing compliance processes, managing customer-facing operations, and supporting organizational objectives through streamlined communication and resource management. Adept at identifying care gaps, resolving barriers, and collaborating with cross-functional teams to improve client outcomes. Passionate about leveraging strong legal, insurance, and customer service knowledge to build long-lasting relationships and improve client adherence to health care plans.

Experience

Insurance Account Manager Insurance Applications Group - Greenville, SC 08/2019 - 02/2024

Enhanced customer service by managing complex enrollment processes, assisting clients in understanding benefit plans, and reducing administrative barriers to access care through both phone and chat support.

Processed high-volume inquiries from members and providers, addressing concerns about health plan utilization and coverage, ensuring compliance with HIPAA and ICHRA regulations.

Collaborated with internal teams to identify members needing additional care management and supported them through educational materials, increasing adherence to health plans.

Analyzed compliance data and conducted research on relevant laws, implementing actionable changes that reduced operational risks and enhanced member experience.

Worked closely with cross-functional teams to implement organizational strategies, ensuring timely communication and resource optimization to address client concerns.

Brand Specialist Manager Belk - Greenville, SC 08/2016 - 11/2018

Engaged with customers, provided education on product offerings, and assisted in accessing community resources, driving health awareness through organized Fit for the Cure events.

Coordinated logistics, vendor relationships, and partnerships with community organizations to enhance event success and increase participation, addressing customer needs through personalized service.

Trained and led team members, fostering a collaborative environment to ensure seamless customer interactions and adherence to event goals.

Assistant Store Manager Green's - Greenville, SC 01/2014 - 07/2016

Directed daily operations and customer service efforts, ensuring a smooth flow of communication between staff and customers to resolve inquiries efficiently.

Streamlined financial and inventory management processes, reducing discrepancies and improving overall resource allocation to ensure accurate record-keeping and timely reconciliation.

Developed and implemented customer service protocols, increasing efficiency and ensuring consistent adherence to company procedures.

Education and Training

Greenville Technical College Greenville, SC

Associate of Applied Science: Legal Studies

Brewer Insurance School Greenville, SC

Insurance Producer: Life, Accident, Health & Sickness

Licenses Certifications

Certificate in Legal Technology

Insurance Producer License (No. 20369856)

Notary Public

HealthCare IT Support

Google Project Management

Skills

Client relationship management

Regulatory compliance

Data analysis

Care management

Enrollment processing

Cross-functional collaboration

Healthcare IT systems and data security

Legal research and technology tools

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