Experienced health insurance account manager for Medicare retiree benefits and employer group accounts. Lead compliance support and coordinate implementation, renewal, and review activities. Deliver reliable service continuity through structured account management and client engagement.
Overview
1
1
Certification
13
13
years of professional experience
Work History
Sr. Client Consultant, Group Retiree Solutions
Health Care Services Corporation (HCSC)
Indian Trail, NC
03.2025 - Current
Support clients with HCSC health plan benefits and service options.
Review member concerns and resolve claim eligibility and enrollment issues.
Partner with account teams to support client implementations and renewals.
Coordinate with account teams to support client implementations and renewals.
Coordinate client reviews using HCSC account management processes and service standards.
Provide guidance on complex matters related to the implementation of products or services for clients.
Deliver high level of service to clients to both maintain and extend relationships for future business opportunities.
Medicare Client Account Manager
Cigna
Richmond, VA
02.2023 - 03.2025
Oversight of implementation activities for Cigna's Medicare products by orchestrating multiple implementation activities at once to accomplish goals and meet required deadlines.
Represented Cigna externally, engaging directly with sales, brokers, consultants, and employer groups as a subject matter expert on account management and retiree Medicare products.
Facilitated on-site presentations to existing and prospective group clients/customers, enhancing understanding of Medicare products and services.
Managed complex and sensitive service issues and inquiries—ensuring client and customer satisfaction with products and service.
Collaborated across multiple functional areas within Cigna and Cigna Medicare to align Senior Group Sales' goals with Cigna's overall strategy.
Assisted in executing critical projects for Cigna Group Medicare, fostering collaboration and communication across teams to achieve project goals.
Executed the established vision and strategy for account management and sales operations in alignment with the overall distribution strategy.
Worked within an environment which leverages analytics, technology, best practices, and innovation, along with corporate-wide resources to execute strategy.
Managed client accounts for Cigna health plan customers.
Collaborated with brokers, underwriters, and operations partners.
Supported client retention through clear communication and issue resolution.
Account Manager
FCE Benefit Administrators
Richmond, VA
02.2021 - 08.2022
Delivered compliance guidance and advice to clients, ensuring adherence to regulations and enhancing client trust.
Guided clients through implementation and renewal processes while facilitating employee open enrollment and benefit education meetings to promote informed decision-making.
Educated employees on all lines of health and welfare benefits, to include medical, dental, vision, pharmacy, life, accident and short- and long-term disability.
Conducted diagnostic financial reviews of client performance data to analyze health and welfare plan designs and funding arrangements, identifying strategies for improved outcomes.
Addressed issues with accounting, billing and service delivery to maintain and enhance client satisfaction.
Effectively managed 25 Service Contract Act (SCA), Davis Bacon and Ability One employer groups, and provided assistance relevant to Compliance, HIPAA, COBRA, ACA, and ERISA.
Client Service Partner
Cigna
Richmond, VA
07.2019 - 02.2021
Addressed complex employee issues and inquiries from benefits team, human resources, and employees, ensuring timely resolution and satisfaction.
Delivered onsite benefit support for large, national, self-funded client, enhancing employee access to resources.
Provided education and guidance about programs and resources available as part of the Client's benefit plans, including mycigna.com, wellness and discount programs, health savings account and pharmacy.
Assisted the benefit team and employees with education on plan offerings, benefit optimization/steerage, and tool and resource navigation.
Coordinated case manager and appropriate Cigna resources for customers with complicated medical conditions or technical/non-clinical needs, facilitating effective support.
Reviewed claim reports and analyzed data and trends.
Compiled monthly service reports based on client specifications.
Provider Experience Consultant
Cigna
Richmond, VA
06.2013 - 06.2019
Accountable for managing the external end-to-end provider experience and overall service delivery related to problem resolution, accounts receivable, education, and communication for assigned provider groups.
Managed and developed strong relationships with network providers and internal business partners leading to the achievement of provider satisfaction, medical cost targets and efficiency targets.
Identified service opportunities and risks for providers at market or national level to drive proactive improvements.
Collaborated cross-functionally on complex issues to address provider needs and resolve outstanding issues, focusing on service efficiencies and process improvement initiatives.
Coordinated Collaborative Accountable Care and Joint Operating Committees meetings to enhance provider collaboration and decision-making.
Facilitated education and discussion on market products, quality initiatives, disease management programs and collaborative care arrangements.
Participated in advisory groups and events to improve physician and administrative focus.
Education
MSA - Health Services Administration
Central Michigan University
Mount Pleasant, MI
01-2003
BA - Communications
Charleston Southern University
Charleston, SC
01-1993
Skills
Medicare products knowledge
Healthcare compliance
CMS regulations knowledge
Implementation management
Benefit administration
Account management
Third-party administration
Data analysis
Microsoft Office
Compliance guidance
Interpersonal communication
Client relations
Certification
Certified Professional Compliance Officer (CPCO), American Academy of Professional Coders (AAPC), 2018
North Carolina Insurance Producer License, Life and Health, 2026
Sr. Data Analyst - Group Retiree Solutions at Blue Cross Blue Shield of IllinoisSr. Data Analyst - Group Retiree Solutions at Blue Cross Blue Shield of Illinois
Senior Data Analyst, Group Retiree Solutions at Blue Cross Blue Shield of IllinoisSenior Data Analyst, Group Retiree Solutions at Blue Cross Blue Shield of Illinois