Amy Montgomery

• Conduct consultative reviews of requests for proposals for Life, Disability, Absence Management, Dental, Vision, and Supplemental Health for Large Market (1000+ lives) including claim experience, plan design, and reporting
• Developed and maintained strong relationships with the Large Market Sales, and Account Management Teams
• Collaborate with the Underwriting and Proposal Management Teams and engage key internal matrix partners to assist in the response to complex proposals and questionnaires
• Responsible for the proposal inventory pipeline including managing deadlines and requests for information from Brokers necessary to provide the most competitive proposals
• Established strong relationships with Brokers to understand customers’ needs for their benefit offering
• Participate in Client and Broker presentations including finalist and annual stewardship meetings
• Coordinate sold case transition package to the Implementation Team to ensure a smooth onboarding experience for the client
• Maintained Salesforce pipeline and dashboard reporting
• Strong product knowledge including state mandated disability and FMLA regulations
• Serve as a Subject Matter Expert on Guardian products and systems
• Strong knowledge of Benefit Administration platforms, and EDI/API connectivity
• Salesforce Subject Matter Expert for Large Market Sales Support Team
• Lead the New Ways of Working project for the Large Market Sales Support Team to help drive efficiency in with internal and external business partners
• Partnered with the Sales Effectiveness Team to create new standard operating procedures for the Large Market Sales Analysts
• Built out the new Sales Case Summary guidelines to provide a more cohesive and streamlined RFP strategy between Sales and Underwriting

Responsible for all facets of the distribution strategy, operations and sales support activity for the National Sales Team including RFP review, presentations, and enrollment capabilities for potential Supplemental Health Clients

• Created sales support standard of work with a strategic vision of client and broker expectations
• Provided foundational support to Chief Revenue Officer including creating and assisting in the development of standard work policies for conducting effective sales operations and continuous improvement framework
• Responsible for build-out and maintenance of internal questionnaire library
• Built out the Employee Travel and Expense policy
• Partnered with Sales and Underwriting to deliver competitive quotes to the market
• Coordinated with Account Management and Customer Success Team to ensure successful implementation of new clients
• Recommended and tested Salesforce functionality to align the needs of the Sales Team to maximize performance expectations
• Responsible for the Producer appointment and contracting process
• Partnered with the Marketing and Distribution team on Producer Lead campaigns via LinkedIn
• Deliver market feedback and participate in relationship management efforts with strategic partners and national brokers
• Trained new hires and provided continuing education for sales and account management team
• Work closely with the Leadership Team to document platform needs and collaborate with internal partners to ensure development requirements are clear and on schedule
• Partner with the Engineering and Product teams to test and rollout Salesforce integration and quoting platform updates
• Coordinated and planned the National Sales Meeting
• Optimized CRM systems for accurate data tracking, enabling informed business decisions.
• Coordinated cross-functional projects, ensuring timely completion and alignment with company goals.
• Developed comprehensive sales reports to guide decision-making and drive revenue growth.

• Provided distribution support to assigned National Sales and Account Management Teams including RFP coordination for new and existing business for Life, Disability, Absence, and Voluntary Benefits
• Analyzed RFP data including claim experience and contract language to identify the strongest potential for sales opportunity
• Partnered with internal teams including underwriting, operations, and proposal teams to coordinate and respond to large, complex proposals for prospective National Account clients
• Responsible for online proposal submissions through Broker/Vendor Platforms
• Worked with Account Executive and Account Management Teams on existing clients including renewals, add-issues, and contract changes
• Ensured a seamless transition for new business to the Implementation and Account Teams
• Maintained RFP and sales pipeline data reporting in Salesforce
• Support customer activities including finalist meetings, enrollment, and benefit fairs
• Partnered with Account Management Leadership to update the client reference process for National Accounts
• Primary contact for hosting and facilitating virtual finalist meetings
• Trained and mentored Sales Analysts
• Developed comprehensive knowledge of company products and services to effectively address customer inquiries.
• Provided valuable feedback on market trends, assisting in strategic planning for future campaigns and initiatives.
• Successfully managed multiple projects simultaneously while maintaining attention to detail throughout all tasks.

• Reviewed life, disability and annuity applications for missing information and transmit to insurance carrier once complete
• Ensured applications are in good order prior to submitting to insurance carrier partners
• Ordered and reviewed all underwriting requirements including Attending Physician Statement, Paramedical exam and other medical requirements as required by carriers
• Negotiated underwriting offers
• Organized and prioritized workload to ensure case is processed, issued, and placed in timely manner
• Reviewed issued insurance policy for accuracy prior to mailing to the agent
• Followed up with agents on policy delivery requirements to ensure the policy is placed timely

• Primary point of contact for escalated and complex service inquiries from Clients, Brokers and Consultants in the Philadelphia/Tri-State market related to Medical, Pharmacy, Dental, Vision, and EAP benefits for inforce and prospective groups with 25-500 lives
• Built and maintained strong and effective working relationships with Clients and Brokers
• Proactively identify service issue trends, and internal procedures that adversely affect customer satisfaction
• Served as subject matter expert of customer funding options, plan design and overall plan administration capabilities
• Assisted with Implementation of new clients, partnering with internal resources to ensure smooth onboarding of new customers
• Managed strong network of internal resources and built effective relationships externally within the local broker and consultant community
• Participated in Finalist Meetings with prospective customers
• Provided on-site customer support at open enrollment meetings including creating and delivering open enrollment presentations
• Assisted Client Manager with annual stewardship meeting to review service trends, claims, and new benefit offerings
• Mentored and trained New Hires

• Managed sales support activities for Medical, Stop-Loss, Pharmacy, Dental, EAP, and Vision proposals for Cigna’s Philadelphia, New York, and New Jersey Market’s Regional Segment (250-5,000 lives) for new and existing business including cross-sell initiatives for Group Insurance sales team
• Knowledge of multiple funding options-Fully Insured, ASO, Minimum Premium and Level Funding
• Experience with consumer driven health-plans (HSA, HRA, FSA)
• Analyze proposal submission data to provide assessment on prospective client viability including demographics, claim reports, network disruption, claim re-pricing and network analysis
• Partnered with the Underwriting, Proposal Management, and Sales Teams to refine rate quotes and proposals prior to delivering to the broker
• Creation of Benefit Summaries
• Established effective and productive relationships with key producers within the region to manage proposal deadlines and delivery expectations
• Collaborate with and provide support to the Client Management team on upsell and persistency efforts for in force book of business
• Provided subject matter expertise of Health Insurance Benefits, Client Specific Networks, Exchanges, Federal and State Regulations, and ACA requirements
• Trained new hires and served as ongoing mentor
• Responsible for quarterly audit report of Salesforce data for leadership team
• Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.

• Responsible for overall service delivery and customer satisfaction and retention efforts for assigned book of business (under 1,000 lives) of Life, Disability, Absence and Dental clients for the Philadelphia area
• Trusted advisor for clients, brokers and consultants for daily service needs including policy interpretations, claim escalations, administration and contract review and amendments
• Responsible for establishing and growing effective and productive relationships with clients and broker within the assigned territory
• Conducted renewal analysis for assigned book of business in collaboration with Underwriting and Sales team
• Formulated growth opportunities with partnership of Sales team within the Philadelphia territory
• Delivered renewals and policy amendments to clients, brokers, and consultants
• Partnered with the Case Manager on re-enrollment strategy
• Participated in external meetings including finalist, stewardship, and open enrollment events

• Managed sales support activities for Medical, Pharmacy Dental, EAP, Stop Loss, and Vision proposals for Cigna’s Philadelphia, New York, and New Jersey Market’s Regional Segment (250-5,000 lives) for new and existing business including cross-sell initiatives for Group Insurance sales team
• Knowledge of multiple funding options-Fully Insured, ASO, Minimum Premium and Level Funding
• Experience with consumer driven health-plans (HSA, HRA, FSA)
• Analyze proposal submission data to provide assessment on prospective client viability including demographics, claim reports, network disruption, claim re-pricing and network analysis
• Partnered with the Underwriting, Proposal Management, and Sales Teams to refine rate quotes and proposals prior to delivering to the broker
• Creation of Benefit Summaries
• Established effective and productive relationships with key producers within the region to manage proposal deadlines and delivery expectations
• Collaborate with and provide support to the Client Management team on upsell and persistency efforts for in force book of business
• Provided subject matter expertise of Health Insurance Benefits, Client Specific Networks, Exchanges, Federal and State Regulations and ACA requirements, including HIPAA guidelines
• Trained new hires and served as ongoing mentor
• Responsible for quarterly audit report of Salesforce data for leadership team

• Responsible for adjudicating and delivering claim decisions for Group Long Term Disability clients
• Communicated directly with Clients, Physicians, and Plan Administrators to obtain relevant information for prompt and accurate claim determinations according to client contractual provisions
• Utilized independent judgment and decision-making authority to manage claim solutions, return to work programs and duration guidelines consistent with the organization’s disability concepts
• Maintained clinical record keeping programs to ensure data integrity and reporting capabilities
• Provided guidance for the purposes of underwriting reserve calculations and future profitability forecasts for assigned disability block
• Served as subject matter expert to the policy development team for establishing overpayment recovery practices for the Group Long Term Disability Organization

• Responsible for the service delivery of assigned book of business in Cigna’s National Account segment (clients over 5,000 lives) in excess of $50M in annual premium
• Provided end-to-end resolution for all client administration needs related to claims, billing, contract/policy interpretation and administration and renewal planning
• Managed complex service issues within assigned book of business and align the appropriate internal resources to meet client expectations
• Managed relationships with national consulting firms and high-level executives within assigned book of business with multinational employers
• Collaborate with National Account Executive team in the development of client specific business plans and growth and retention opportunities
• Effective relationship builder with clients and consultants to form strong business partnerships and conduct effective meetings, both face-to-face and via teleconference

• Reviewed claim decisions related to Workers Compensation and Social Security awards to ensure appropriate benefit payment calculations
• Partnered with Social Security Benefit and Workers Compensation vendors, including NY State Board to ensure claim decisions were awarded appropriately
• Managed overpayment recovery of over 600 ongoing group disability claimant cases
• Led team with over $2M in retroactive claim overpayments annually
• Conducted daily meetings with claimants, employers, and case managers to ensure overpayment decisions were managed appropriately
• Responsible for audits of policy provisions for compliance with Social Security, Pension and Workers Compensation regulations to ensure payment offset accuracy
• Communicated with claimants and third-party administrators for the purposes of establishing overpayment recovery action plans