To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Benefits Advisor
Willis Towers Watson Via Benefits
06.2023 - 01.2024
Assisted Medicare-eligible retirees in selecting their insurance plans based on individual needs
Utilized patience, knowledge, and care when providing and explaining complex information
Assured client focus and integrity in all interactions with participants to ensure confidentiality of all participant and client information
Licensed in 5 states
Assisted Medicare-eligible participants by addressing inquiries related to their account
Used a consultative approach to listen, assess, and resolve the retirees' needs and questions with carriers, clients, and third-party administrators
Effectively, and empathetically communicated over the phone
Used problem-solving skills to identify root causes and issues of inquiries, and provide feedback on resolutions
Represented the company effectively, while using patience, knowledge, and kindness to deescalate concerned callers
Worked as a team player in a diverse, professional call center environment
Senior Claims Manager
A Cut Above Roofing
07.2015 - 06.2023
Inspect and evaluate roofs of homeowners to identify storm damage
Assist insurance adjusters in evaluating roof damage
Re-evaluated denied claims for insurance companies
Assisted over 100 homeowners in filing, evaluating their roofing claim, worked with the adjusters and replacing their roofs.
Small Business Co-Owner, Manager & Trainer
Research Associates Management
01.1995 - 09.2015
Successfully helped new and experienced doctors and therapists to organize their office for better efficiency and increased income with proper insurance verification, billing and follow-up
Assisted with hiring and training staff, organization of the office for better patient flow, efficient office paperwork systems, insurance billing and follow-up, training in CPT, ICD9, ICD10 and HCPCS coding, continually up-dated offices with basic Medical Insurance, Medicare, Medicaid, and Texas Work Comp laws
Education
GED -
Houston Community College
Houston, TX
Skills
Project Management
Microsoft Office Proficiency
Customer Service
Active Listening
Organizational Skills
Problem Solving
Multitasking Abilities
Attention to Detail
Decision Making
Time Management
Records Maintenance
Certification
General Lines - Life, Accident & Health License - NPN 18717087
ICD10 Diagnosis Coding Training and Certification
HIPAA Training and Certification
Medisoft Insurance Billing Software
Medicare Law Certifications
Texas Workers Compensation Law Certifications
Medical Insurance Billing
Federal law on HIPAA Business and Office Management
References
References available upon request.
Timeline
Benefits Advisor
Willis Towers Watson Via Benefits
06.2023 - 01.2024
Senior Claims Manager
A Cut Above Roofing
07.2015 - 06.2023
Small Business Co-Owner, Manager & Trainer
Research Associates Management
01.1995 - 09.2015
GED -
Houston Community College
General Lines - Life, Accident & Health License - NPN 18717087
ICD10 Diagnosis Coding Training and Certification
HIPAA Training and Certification
Medisoft Insurance Billing Software
Medicare Law Certifications
Texas Workers Compensation Law Certifications
Medical Insurance Billing
Federal law on HIPAA Business and Office Management
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Licensed Benefit Advisor at Extend Health, Willis Towers Watson, VIA BenefitsLicensed Benefit Advisor at Extend Health, Willis Towers Watson, VIA Benefits