Insurance Medical
Resume:
ALYCE ELAINE SMITH
Mesquite, TX, 75149 United States
*****@****************.***
PROFESSIONAL EXPERIENCE BLUE CROSS BLUE SHIELD OF TEXAS, MESQUITE, TX UNITED STATES
Underwriter, Jan 1995 – Sep 2003
• Rated primarily small groups from 2 to 50 employees as well as grandfathered groups above 50 employees.
• Processed and rated over 600 groups annually
• Decrease or increase rate of policy when risk is substandard and specify applicable endorsements or apply rating to ensure safe profitable distribution of risks, using reference materials. Decline excessive risks.
• Communicate with field representatives, to request medical personnel, and others to obtain further information, quote rates, or explain company underwriting policies.
Account Manager, Sep 2003 – Nov 2010
• Ability to communicate clearly and effectively; both verbally and in writing, across a variety of audiences.
• Resolve broker and agent complaints and answer questions regarding policies and procedures.
• Liaison between agencies, clients, agents and Blue Cross Underwriting department.
• Solid time management skills and the ability to organize prioritize and perform multiple tasks simultaneously and without supervision
• Provide brokers and agents with guidance in handling difficult or complex problems and in resolving escalated complaints or disputes.
• Up sell brokers and agents to sell various types of insurance policies to businesses on behalf of Blue Cross, including, life, medical and dental insurance.
• Trouble shoots all issues for brokers, agents and Group Administrators with Blue Cross policies to groups ranging in size from 2 to 250 employees.
Bank of America
Data Entry –Sep-2001-Nov 2004
• Worked in conjunction with Blue Cross Blue Shield employment
• Key entry of lockbox accounts for various accounts second shift.
JC Penny
Collections, June 1997- Jan 1999 part time in conjunction with BCBS employment
• First-party collector making outbound phone calls to customer’s past-due on their short-term consumer loans.
• Call center environment.
• Set up effective and immediate payment arrangements to resolve the customers’ delinquency.
• Customer-service oriented; goal of finding mutually beneficial payment to retain customer.
• Encouraged customer to pay the debt, and counseled the customer on how to increase income/decrease expenses.
• Researched location of clients to update contact information, from neighbors and family.
• Counseling and advising customers, closing [business] and consistently meeting/exceeding production goals
SELF EMPLOYED, HOUSTON, TX UNITED STATES
Insurance Sales Agent, Nov 2010 – Feb 2012
• Develop marketing strategies to compete with other individuals or companies who sell insurance.
• Select company that offers type of coverage requested by client to underwrite policy.
• Contact underwriter and submit forms to obtain binder coverage.
• Call on policyholders to deliver and explain policy, to analyze insurance program and suggest additions or changes, or to change beneficiaries.
• Seek out new clients and develop clientele by networking to find new customers and generate lists of prospective clients.
• Confer with clients to obtain and provide information when claims are made on a policy.
• Customize insurance programs to suit individual customers, often covering a variety of risks.
• Ensure that policy requirements are fulfilled, including any necessary medical examinations and the completion of appropriate forms. Monitor insurance claims to ensure they are settled equitably for both the client and the insurer.
• Attend meetings, seminars and programs to learn about new products and services, learn new skills, and receive technical assistance in developing new accounts.
• Explain features, advantages and disadvantages of various policies to promote sale of insurance plans.
• Sell various types of insurance policies to businesses and individuals on behalf of insurance companies, including automobile, fire, life, property, medical and dental insurance or specialized policies such as marine, farm/crop, and medical malpractice.
• Interview prospective clients to obtain data about their financial resources and needs, the physical condition of the person or property to be insured, and to discuss any existing coverage. Calculate premiums and establish payment method.
• Trade Shows to increase client base
AMBIT ENERGY
Independent Consultant, Jan 2012 – present
• Electric and gas business internet business
• Attend meetings, seminars and programs to learn about new products and services, learn new skills, and receive technical assistance in developing new accounts.
• Acquire customers and business partners.
EDUCATION WESTERN INTERNATIONAL, DALLAS, TX UNITED STATES
Business Management Candidate, Sep 2012 GPA 3.73
Health, Life, HMO, Dental Insurance License: Texas, New York, Florida, Oklahoma, California
All Lines Adjustor License: Texas
ADDITIONAL SKILLS • Skilled in Microsoft Office (Word, Outlook, Excel, PowerPoint)
• Skilled in resolution of customer issues and complaints
• Extremely fast typist (50WPM) and 10 key (10000KPH)
Contact this candidate