Carmen Johnson
Columbia,SC
Summary
Dynamic client-focused relationship manager with extensive experience in client engagement, problem-solving, and consultative support. Expertise in building and managing relationships, implementing effective client retention strategies, and executing cross-channel marketing initiatives to deliver exceptional service. Proficient in Salesforce and Microsoft Office Suite, leveraging these tools to streamline operations and enhance client interactions. Committed to driving client satisfaction and fostering long-term partnerships through tailored solutions and proactive support.
Qualified Commercial Insurance Manager with solid background in analysis and problem-solving. Proven track record of identifying inefficiencies and implementing solutions that improve operational performance. Demonstrated ability to leverage data analytics and strong communication skills to drive strategic initiatives.
Overview
2
2
Languages
13
13
years of professional experience
Work History
Analyst, Medicare Provider Enrollment
Blue Cross Blue Shield
Columbia, SC
01.2026 - Current
- Confidently understand data and validate provider-submitted information to ensure accuracy, determine enrollment eligibility, and deliver clear guidance to healthcare professionals seeking to participate in the Medicare program on behalf of their clients.
- Facilitated timely and accurate updates to reference files based on client requests.
- Identified and resolved data discrepancies to ensure accuracy.
- Maintained data integrity and accuracy throughout analysis process.
- Contributed to the design of system processes for improved workflow., document and maintain system processes.
- Recognized and documented support issues affecting team performance. and initiated actions for resolution.
- Collaborated closely with cross-functional teams, including sales, marketing, finance, engineering and operations.
- Ensured data integrity and accuracy throughout analysis process to support informed decision-making.
- Identified support issues and initiated actions for resolution.
- Developed emergency management plans for recovery decision-making and communications.
Client Relationship Manager II
Blue Cross Blue Shield of SC
Columbia, SC
11.2024 - 10.2025
- Cultivated strong client relationships to enhance satisfaction and drive loyalty across diverse accounts.
- Developed strong client relationships by addressing inquiries and resolving issues efficiently.
- Conducted follow-ups with clients to gather feedback, driving service improvement initiatives.
- Conducted regular follow-ups with clients to gather feedback and identify areas for improvement.
- Conducted regular follow-up calls with existing customers regarding their service needs.
- Facilitated communication between clients and internal teams, enhancing service delivery efficiency.
- Participated in training sessions to enhance knowledge of company products and client service strategies.
- Analyzed client feedback to identify service improvement areas, leading to enhanced client engagement strategies.
- Coordinated cross-functional teams to address client concerns promptly and maintain high service standards.
- Proposed tailored solutions based on market insights, aligning with clients' evolving business objectives.
Health Insurance Specialist
Benefit Brokers, LLC
Overland Park, KS
02.2014 - 11.2024
- Educated clients on policy features and benefits, facilitating informed decision-making and fostering trust.
- Investigated claims to determine validity and coverage applicability.
- Streamlined documentation processes, improving workflow efficiency and reducing administrative errors.
- Reviewed claims documents for accuracy before submission, ensuring compliance and timely payment processing.
- Streamlined documentation processes, enhancing workflow efficiency and minimizing administrative errors.
- Maintained detailed records of all insurance transactions, including payments, renewals, and cancellations.
- Processed and reviewed insurance applications accurately and efficiently.
- Contacted prospective and current clients via telephone to provide quotes and policy information.
- Ensured timely processing of applications by coordinating resources across multiple departments.
- Communicated with customers to explain policy and coverage details.
- Provided guidance and support to team members regarding insurance regulations and requirements.
- Evaluated customer feedback in order to improve service quality and overall customer experience.
- Analyzed applicant information and risk factors to determine eligibility and coverage limits.
- Issued insurance policies and communicated policy details clearly to clients.
- Built and maintained relationships with clients to support satisfaction.
- Contacted prospective and current clients via telephone to provide quotes and policy information.
- Called on policyholders to deliver and explain policy, to analyze insurance program and suggest additions and changes and to change beneficiaries.
- Submitted forms to obtain binder coverage.
Education
Bachelor of Science (B.S.) - Criminal Justice
Anthem University
Kansas City, Missouri05-2011
Skills
- Salesforce proficiency
- Client relationship building
- Client onboarding processes
- Consultative support
- Client retention
- Relationship management
- Account oversight
- Problem-solving skills
- Inter-department collaboration
- Operational knowledge
- Customer engagement
- Business strategy
- Service solution design
- Presentation development
- Regulatory compliance
- Data analysis
- Client engagement
- Cross-channel marketing
- Product promotion
- Healthcare market analysis
- Product promotion
Languages
English
Advanced
Timeline
Analyst, Medicare Provider Enrollment
Blue Cross Blue Shield
01.2026 - Current
Client Relationship Manager II
Blue Cross Blue Shield of SC
11.2024 - 10.2025
Health Insurance Specialist
Benefit Brokers, LLC
02.2014 - 11.2024
Bachelor of Science (B.S.) - Criminal Justice
Anthem University
Software & Program Skills
- Salesforce
- Sharepoint
- Microsoft Dynamics 365
- Smartsheet
- Excel, Word & Powerpoint
- Blue Data Connect
- ChatGPT
- Rumba
- OnBase
- MCS
- Outlook
- CMS