Health Insurance Customer Service

Carolyn Petrowski

**********@*****.*** • 201-***-****

Georgetown, DE, 19947

Dedicated professional with an unwavering commitment to customer service; with the innate ability to build productive relationships, resolve complex health insurance issues, and with patient loyalty. Competent in every aspect of Health Insurance customer service, such as answering general inquiries over the phone/in-person, documenting records, training new hires, and administering assets/resources to optimize operational efficiency. Skilled in configuring and maintaining operational systems as well as managing confidential (HIPAA) information. I have strong communication, problem-solving, and decision-making skills and I am able to prioritize and complete tasks within stringent deadlines. I am currently licensed in both life and health insurance in Delaware and NJ. Areas of Expertise

Administrative Support

Trained as a HIPAA Compliance

officer.

Team Building & Leadership

Reporting & Documentation

Client Engagement & Retention

Policies / Procedures Compliance

Interpersonal Communication

Problem Solving

Professional Experience

Merchandiser- American Greetings, Cleveland, Ohio July 2023 - Present American Greetings is a global leader in the Celebrations marketplace. As a Merchandiser with American Greetings, I am a vital part of our company’s purpose: helping people celebrate holidays, each other, and all of life’s special moments, by making the world a more thoughtful and caring place every single day. I work part time as a merchandiser in the American Greetings Department in five retail locations in Georgetown, Delaware. I am responsible for merchandising and maintaining all product displays within the greeting card department as well as other areas of the store as needed. I work in a fast-paced retail environment utilizing my effective time management skills. I also partner and build relationships with retail store associates and management and use a company provided tablet to perform basic job functions such as reviewing weekly service and tasks, inventory functions, time entry. Account Executive-The Joseph L. Vozza Insurance Agency, Park Ridge, NJ 2001 – 2022 Assisted key clients in receiving prior authorization for procedures by collaborating with healthcare providers, facilities, and insurance companies for obtaining necessary approvals. Assessed clients' business needs by gaining an understanding of goals, objectives, and processes as well as applying a collaborative approach and targeted questioning strategies to make informed recommendations and provide value-added services. Monitored and tracked accounts monthly in terms of expiration, renewal, and complaints.

Resolved and documented customers’ claims issues by leveraging exceptional problem-solving skills; maintained retention ratio by 90%.

Presented key decision-makers with new and updated account strategies for businesses to attain set targets.

Created proprietary health insurance such as the monthly newsletter, open enrollment materials, PowerPoint presentations, comparisons of plans, and cost in Excel. Education & Credentials

Business & Merchandising, Berkley School of Business, Ho-Ho-Kus, NJ Completed Classes & Testing for License for Life & Health Insurance, Fairleigh Dickenson University NJ- currently hold a NJ & Delaware Health & Life Insurance License. Technical Proficiencies- Microsoft Suite

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