Health Insurance Customer Service
Resume:
Katherine Liberty Magriplis
Address: **** ******* **, *******, **. 34691, Email: ************@*****.*** Cell: 727- 364-6160
SUMMARY:
A experienced customer service specialist specializing in health insurance; offering expert guidance to clients seeking comprehensive coverage for their health within a call center and remote environment. With a dual focus on insurance policy sales and exceptional administrative management support, providing tailored insurance solutions, and ensuring a seamless and comprehensive coverage experience.
EXPERIENCE:
Senior Benefits Consultant Remote Independent Agent06/2025- Present
Diversified Holiday, Fl
Helped senior citizens navigate the complex landscape of health insurance options, ensuring they have the appropriate coverage to meet their medical needs and financial considerations.
● Comparing different health plans available in the market, highlighting the features, benefits, coverage, costs, and limitations of each plan.
● Analyzed and explained how different plans may suit the specific medical conditions, prescription medications, and healthcare providers of each senior.
● Assisted seniors in enrolling in the chosen health plan, guiding them through the enrollment process, paperwork, and deadlines.
● Acted as an advocate on behalf of seniors, helping them resolve any issues or concerns they may encounter with their health plan.
● Ensured compliance with Medicare rules, regulations, and guidelines when recommending and enrolling seniors in health plans.
● Maintained accurate records of client interactions, recommendations, and enrollment details.
Senior Benefits Remote Consultant 06/2024-02/2024
Your Way Medicare Holiday, Fl
Helped senior citizens navigate the complex landscape of health insurance options, ensuring they have the appropriate coverage to meet their medical needs and financial considerations.
● Comparing different health plans available in the market, highlighting the features, benefits, coverage, costs, and limitations of each plan.
● Analyzed and explained how different plans may suit the specific medical conditions, prescription medications, and healthcare providers of each senior.
● Assisted seniors in enrolling in the chosen health plan, guiding them through the enrollment process, paperwork, and deadlines.
● Acted as an advocate on behalf of seniors, helping them resolve any issues or concerns they may encounter with their health plan.
● Ensured compliance with Medicare rules, regulations, and guidelines when recommending and enrolling seniors in health plans.
● Maintained accurate records of client interactions, recommendations, and enrollment details.
Senior Benefits Remote Consultant 01/2021 -06/2023
GoHealth • New Port Richey, FL
● Helped senior citizens navigate the complex landscape of health insurance options, ensuring they have the appropriate coverage to meet their medical needs and financial considerations.
● Comparing different health plans available in the market, highlighting the features, benefits, coverage, costs, and limitations of each plan.
● Analyzed and explained how different plans may suit the specific medical conditions, prescription medications, and healthcare providers of each senior.
● Assisted seniors in enrolling in the chosen health plan, guiding them through the enrollment process, paperwork, and deadlines.
● Acted as an advocate on behalf of seniors, helping them resolve any issues or concerns they may encounter with their health plan.
● Ensured compliance with Medicare rules, regulations, and guidelines when recommending and enrolling seniors in health plans.
● Maintained accurate records of client interactions, recommendations, and enrollment details.
Armed Security Officer – (Family Owned Business) 12/2017 – 01/2021
Anax Professional Protection LLC • Holiday, FL
● Conducted regular patrols of assigned areas to deter and detect security breaches.
● Monitored surveillance cameras and alarm systems to identify suspicious activities and potential threats.
● Screened individuals entering premises to ensure proper authorization and prevent unauthorized entry.
● Enforced access control policies and procedures, maintaining a strict adherence to security protocols.
● Acted swiftly in emergencies, providing first response to incidents and coordinating with law enforcement and emergency services as necessary.
● Completed detailed incident reports, documenting all relevant information accurately and objectively.
● Analyzed potential security risks and vulnerabilities, implementing preventive measures to mitigate threats.
● Demonstrated proficient handling and usage of firearms in compliance with company policies and regulations.
● Ensured proper maintenance, storage, and safekeeping of firearms and related equipment.
● Participated in ongoing training to stay updated on security techniques, firearms proficiency, and emergency response procedures.
Exclusive Allstate Agent (Multiple Agencies) 04/2014 - 11/2017
Jeffery Campbell Insurance Agency • Dunedin, FL; Wood Group Insurance Agency • Indianapolis, IN; PMG Group
Allstate Insurance • Carmel, IN
● Assisted clients in selecting suitable insurance products, explaining coverage options, limits, and deductibles clearly and concisely.
● Evaluated existing policies and provided recommendations for policy adjustments to ensure clients' needs were met.
● Collaborated with underwriters and claims adjusters to expedite claims processing and facilitate seamless resolution for clients.
● Sold and serviced home and auto insurance policies, handling inquiries, policy changes, and claims processing.
● Reviewed completed applications and documentation for accuracy and completeness.
● Updated policy information as needed, such as changes in coverage, endorsements, or renewals.
● Ensured compliance with company guidelines and regulatory requirements for recordkeeping.
● Processed policy changes and endorsements, such as adding or removing vehicles, updating coverage limits, or changing beneficiaries.
● Calculated premium adjustments based on the modifications and communicate any changes to the client.
● Addressed billing inquiries and discrepancies, resolving any payment-related issues promptly.
● Worked with the claims department to ensure a smooth transition from policy processing to claims processing.
● Stayed updated on industry regulations, laws, and company policies related to home and auto insurance contracts.
● Performed regular audits or reviews of processed contracts to ensure data integrity and correctness.
● Managed the plan level administration of self-funded insurance plan and fully funded plans
CSR Office Administrator 12/2014 – 04/2015
Mike Wright State Farm Insurance • Noblesville, IN
● Provided accurate information about products, services, policies, and procedures to customers.
● Imputed and maintained accurate customer information, records, and administrative data in databases or systems.
● Maintained accurate records of transactions, interactions, and administrative activities.
● Handled sensitive customer and organizational information with discretion and maintain confidentiality.
Cooking Greek Restaurant/Cooking School 11/2008-11/2015
Owner/Manager Carmel, Indiana
Consumer Sales Manager 08/2004 – 05/2006 (Career Break for Caregiving and Family Responsibilities)
ASG • Orlando, FL
● Created and managed work schedules to ensure adequate coverage for incoming calls.
● Facilitated training sessions for new hires and ongoing training for existing team members to enhance their skills and product knowledge.
● Handled escalated customer issues or complaints, working to resolve them promptly and effectively.
● Monitored calls in real-time or review recorded interactions to assess CSR performance, adherence to scripts, and
compliance with policies.
● Overseen call queues, manage call routing, and adjust staffing levels as needed to meet service level objectives.
● Generated and analyzed performance reports, call statistics, and key performance indicators (KPIs) to identify trends and areas for improvement.
● Ensured that team members follow company policies, procedures, and industry regulations.
Claims Customer Service and Processing Representative 05/1998 – 08/2004
Allstate National Claims Service Center • Saint Petersburg, FL
● Created and formatted various documents, including correspondence, letters, reports, and claim-related materials.
● Handled the processing of claim payments, including issuing checks or initiating electronic transfers.
● Received and recorded new insurance claims from policyholders, agents, or other sources.
● Analyze the policy to determine coverage and assess whether the claim is eligible for compensation.
● Evaluated the extent of damage or loss to property or vehicles and estimate repair or replacement costs.
● Negotiated settlements with policyholders or third parties to reach fair and accurate compensation agreements.
● Kept claimants informed about the progress of their claims, answer their questions, and provide updates.
● Collaborated with contractors, repair shops, medical providers, and other vendors involved in the claim resolution
process.
● Identified and reported any potential fraudulent claims and followed proper procedures to mitigate fraud.
● Corresponded with policyholders, agents, and other internal departments to ensure accurate and up-to-date information.
● Generated reports and summaries related to claim processing activities for management review.
LICENSES and CERTIFICATIONS:
0240 – Health 0220 – General Lines (PROP & CAS)
0620 – Adjuster – All Lines Public Adjuster Casualty Adjuster
Catastrophe (CAT) Adjuster Staff Adjuster G-Open Carry License
Auto Damage Appraiser Property Loss Adjuster D - Security License
Education
Adjuster Pro. 7/2022, Paralegal Careers, Inc. Tampa, Fl. 10/91, Tarpon Springs High School, Tarpon Springs, Fl 1990
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