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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 experience

Aug 2009Present

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 2007Jul 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 2005Mar 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 2003Feb 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

Jun 2004Jan 2006

business

university of south flordia