John D Mc Sherry

Summary

Highly motivated individual looking to further my career with a fast-paced company that grows their employees with continual training and provides advancement opportunities while best utilizing my skills.    *Top three seller of health insurance Plans for Humana on a monthly basis

* 7+ years of effective customer service, technical support and recent sales experience.    * 4 years of Work Comp/Pharmacy Management experience with an extensive understanding of state regulations as they pertain to the carriers, Insureds, injured employees, doctors/pharmacies and HIPAA requirements.    * Excellent communication and problem solving skills through active listening and creative thinking.    * Familiar with most standard insurance carrier’s claim web-based systems and requirements, including excellent navigational ability with new software and program updates.    * Ability to maintain a positive attitude and stay customer focused to ensure a quality product.    * Remains organized while completing a multitude of tasks and still pays close attention to detail.    * Strong analytical and organizational skills that assist with achieving performance goals.    * Self motivated while working independently and will excel within a team environment.    * Efficient with all web-based programs including all updated Microsoft applications: Works, Excel, and Adobe Acrobat.

Work History

Work History
Aug 2009 - Present

insurance rep

Humana

* Attained Health insurance lis.

* extensive knowledge on current health plans.

* In the top three producers on a month to month basis with sales.

* able to handle high volume of inbound/outbound calls.

*working on attaining life& variable annuity lis.

* full understanding of hippa/mippa compliance.

*able to handle team projects and deadlines.

*Able to train co workers on closing sales tips.

Mar 2007 - Jul 2009

customer service rep

Health E systems

    *      Identifying the individual needs of clients, work comp carriers/adjusters, doctor offices, patients and pharmacies through both live in-bound calls and outbound follow up calls and escalations.    *      Solely responsible for queue management for Real Time rejections and daily reporting.    *      Technical support for pharmacies to ensure proper processing of prescriptions and services.    *      Worked closely with Account Management to troubleshoot issues with online billing and the processes for each individual client.    *      Trained new employees how to navigate through our claim support systems and trained new hires on proper telephone protocol, paying close attention to each carrier’s individual needs.

Mar 2005 - Mar 2007

Team Lead

Tmesys

Duties included:     * Managing in-bound calls from work comp carriers/adjusters, doctor offices, patients and pharmacies to ensure accurate prescription medication processing for billing purposes.    * Lead a team of 4-8 representatives, managing their quality and service levels  while providing escalation assistance when needed.    * Provided continual training for all customer service reps to ensure understanding of pharmaceutical updates based on state requirement changes.    * Assisted Client Services with new customer on-line conversions from paper to electronic billing including technical support for our systems.    * Teamed with management to interview and train new hires on all systems, center practices and special handling instructions for each individual client.

Jul 2003 - Feb 2005

Assistant Manager

Broookstone

Responsibilities included:     * Opening and closing the store, managing the timeliness of employees and overall store organization.    * Daily cash handling including nightly deposits and ensuring the security of store funds.    * Completing weekly inventory and product orders.    * Working with management to set overall store and individual sales goals.    * Provided excellent service to store customers by identifying each individual's needs and providing a product to meet those needs.     * District Top Seller for 3 quarters

Education

Education
Jun 2004 - Jan 2006

business

university of south flordia