Autumn Goode
Ellsworth AFB,SD
Summary
Dedicated and client-focused insurance professional with a strong background in policy management, risk assessment, and customer service. Adept at building lasting relationships with clients by providing personalized consultations, identifying coverage solutions, and ensuring policy accuracy. Skilled in claims assistance, underwriting support, and compliance adherence, and tailored insurance solutions. Known for strong team collaboration, adaptability, and commitment to achieving results.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Insurance Agent
State Farm
01.2022 - Current
- Policy Management: Review and analyze insurance policies to ensure accuracy and completeness, making recommendations for adjustments or updates as needed.
- Client Consultation: Provide personalized consultations to clients regarding their insurance needs, explaining coverage options, policy terms, and answering any questions or concerns.
- Claims Handling: Assist clients with filing insurance claims, guiding them through the process, and ensuring timely resolution while adhering to company policies and procedures.
- Underwriting Support: Collaborate with underwriters to assess risk factors and determine appropriate coverage options for clients, ensuring compliance with company guidelines and regulatory requirements.
- Policy Renewals: Proactively reach out to clients to discuss policy renewals, review coverage changes, and recommend adjustments or enhancements to meet their evolving needs.
- Client Retention: Build and maintain strong relationships with clients through regular communication, providing exceptional service, and offering personalized solutions to address their insurance requirements.
- Market Research: Stay updated on industry trends, market conditions, and competitor offerings to effectively advise clients and identify opportunities for business growth.
- Documentation and Record-Keeping: Maintain accurate and organized client records, policy documentation, and correspondence, ensuring confidentiality and compliance with data protection regulations.
- Compliance and Regulatory Adherence: Ensure all insurance activities and practices comply with state regulations, company policies, and industry standards, maintaining high ethical standards and integrity.
- Team Collaboration: Work closely with colleagues, including agents, underwriters, and claims adjusters, to provide comprehensive support to clients and achieve team goals.
- Continuing Education: Participate in ongoing training and professional development opportunities to expand knowledge of insurance products, industry best practices, and relevant laws and regulations.
- Customer Service Excellence: Demonstrate a commitment to delivering outstanding customer service by promptly addressing inquiries, resolving issues, and striving to exceed client expectations at every interaction.
Office Manager
Vital Life Chiropractic
07.2022 - 01.2023
- Managed daily office operations, ensuring efficiency and smooth workflow
- Served as the primary contact for patient billing inquiries, handling discrepancies, payment issues, and claims processing
- Coordinated with insurance companies for prior authorizations and claims resolution, ensuring timely payments and compliance with plan requirements
- Streamlined communication between staff, patients, and insurance providers, improving billing and claims accuracy and reducing processing delays
- Developed and maintained accurate records of patient interactions, billing issues, and resolutions in multiple systems including electronic health records and CRM platforms
- Generated performance reports including patient statistics, billing, and insurance data to support decision-making and process improvements
- Ensured compliance with federal, state, and local regulations, and clinic policies, maintaining the highest standards of confidentiality
- Provided training and development for administrative staff, enhancing their skills in patient relations, billing processes, and claims management
- Identified recurring billing and claims issues, proposed proactive solutions, and collaborated with vendors and internal teams to implement process improvements
Office Administrative Assistant
Vital Life Chiropractic
03.2021 - 08.2021
- Pre-admitted patients by verifying insurance and entering demographic information into pre-admissions databases, ensuring accuracy and efficiency
- Provided detailed information to patients regarding admission policies and billing procedures, enhancing patient satisfaction
- Secured payments by verifying insurance approvals and managing self-pay admissions, reducing outstanding balances
- Managed electronic documentation, including scanning insurance cards and consents into patient records, ensuring compliance with data security standards
- Received and processed prior authorizations from insurance companies, updating patient referrals accordingly and minimizing claim denials
- Assisted in resolving billing discrepancies and coordinated with insurance companies for claims issues, achieving timely resolutions
- Monitored claims and billing inquiries to identify patterns and recommended solutions to improve workflow and patient experience
Insurance Verification Specialist
Slingsby and Huot Eye Associates
07.2019 - 06.2020
- Verified insurance coverage and obtained pre-authorization approvals for patient procedures, ensuring proper billing practices
- Communicated with patients and insurance providers to resolve claims and billing inquiries, maintaining a high level of customer service
- Ensured accurate use of CPT and ICD-10 codes for insurance submissions, reducing claim rejections and processing delays
- Managed patient billing, collected payments, and handled past due accounts, contributing to the clinic's financial health
- Monitored and addressed recurring billing issues, providing feedback to improve processes and streamline operations
- Prepared detailed reports on insurance verification activities, identifying opportunities for process optimization
Patient Service Specialist, CHAA Certified
Regional Health
01.2019 - 07.2019
- Facilitated patient admissions by verifying insurance and securing necessary approvals, ensuring a smooth intake process
- Managed billing processes, addressing discrepancies and ensuring timely resolution of claims with minimal supervision
- Provided customer support for billing inquiries, maintaining a calm and professional demeanor during high-pressure situations
- Collaborated with internal teams to streamline billing and claims processes, enhancing operational efficiency
- Maintained accurate and up-to-date records of patient interactions, billing issues, and resolutions in multiple systems
- Proactively identified potential issues and communicated with patients and internal teams to mitigate concerns
Admissions Representative, CHAA Certified
Baptist Memorial Hospital
07.2017 - 12.2018
- Handled patient admissions, verifying insurance coverage and managing billing processes with a high degree of accuracy
- Served as the primary contact for patient billing issues, resolving discrepancies and coordinating with insurance providers to ensure timely payments
- Maintained accurate records of billing interactions and processed payments, contributing to improved financial reporting
- Ensured compliance with hospital policies, federal, state, and local regulations, and maintained confidentiality in all interactions
- Identified and addressed recurring billing and claims issues, implementing process improvements in collaboration with internal teams
Education
Associate of Arts -
Holmes Community College
Goodman, MS05.2019
High School Diploma -
Gateway Christian Academy
Moss Point, MS01.2014
Skills
- Policy Management
- Client Consultation
- Claims Assistance
- Risk Assessment
- Underwriting Support
- Policy Renewals
- Customer Retention
- Broker coordination
- Microsoft Office
- Problem-solving skills
- Organizational skills
- Claims resolution
Certification
- Licensed Insurance Agent/Broker - South Dakota Department of Insurance.
- Licensed Insurance Agent/Broker - Nebraska Department of Insurance.
Timeline
Office Manager
Vital Life Chiropractic
07.2022 - 01.2023
Insurance Agent
State Farm
01.2022 - Current
Office Administrative Assistant
Vital Life Chiropractic
03.2021 - 08.2021
Insurance Verification Specialist
Slingsby and Huot Eye Associates
07.2019 - 06.2020
Patient Service Specialist, CHAA Certified
Regional Health
01.2019 - 07.2019
Admissions Representative, CHAA Certified
Baptist Memorial Hospital
07.2017 - 12.2018
Associate of Arts -
Holmes Community College
High School Diploma -
Gateway Christian Academy
Similar Profiles
ALBERTO ESCOBAR RUIZALBERTO ESCOBAR RUIZ
Claim Specialist; and Producer at State Farm Corporate & State Farm AgencyClaim Specialist; and Producer at State Farm Corporate & State Farm Agency
Bethany GandyBethany Gandy
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm
Hadiya HullHadiya Hull
Claims Adjuster at State FarmClaims Adjuster at State Farm
Dedra ClayDedra Clay
Underwriting Service Assistant Team Resource at State FarmUnderwriting Service Assistant Team Resource at State Farm
Jessica BurgessJessica Burgess
Eyelash Extension Specialist at OwnerEyelash Extension Specialist at Owner