Donnell "Jimmy" Anderson
Philadelphia
Summary
Dynamic and detail-oriented Health Insurance Professional and Customer Service Specialist with a strong background in policy analysis, customer relationship management, and claims processing. Known for effective team collaboration and adaptability to changing needs. Skilled in navigating complex regulations, delivering clear client communication, and driving results. Proven track record of implementing quality control processes that prioritize accuracy and efficiency while fostering a customer-centric approach. Committed to leveraging extensive knowledge to enhance operational effectiveness and deliver exceptional service.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Licensed Accident & Health Insurance Agent
Employment Solutions of New York
Corning, NY (Remote)
06.2025 - 01.2026
- Educated clients on the features and advantages of Geisinger's Medicare and Medicaid Advantage RX health insurance plans to ensure optimal coverage.
- Informed customers about policy updates and regulatory changes to enhance compliance awareness.
- Assessed client needs to recommend suitable HMO, PPO, and DSNP coverage plans.
- Analyzed client needs and crafted tailored communication strategies to improve engagement levels.
Customer Care Representative
ACC Premiere
Southington, CT (Remote)
01.2025 - 05.2025
- Maintained a knowledge base of Wakefern Food Corporation's evolving products and services.
- Resolved customer inquiries and issues, ensuring high satisfaction levels.
- Managed multi-channel communication through phone, email, and live chat.
- Documented customer interactions in CRM system to maintain accurate records.
Data Analyst Specialist
J & J Staffing Resources, Inc
Horsham, PA (Remote)
05.2023 - 12.2024
- Implemented systematic data cleansing and validation techniques to guarantee precision and thoroughness of the Law School Admission Council (LSAC) application data.
- Established quality control protocols to enhance accuracy in data reporting and analysis.
- Coordinated efforts with cross-functional teams to optimize data collection and reporting processes.
Customer Service Representative Team Lead
AmeriHealth Administrators
Cranbury, NJ (Remote)
10.2022 - 04.2023
- Directed team efforts to enhance customer satisfaction by implementing effective communication and conflict resolution strategies.
- Addressed and resolved escalated customer complaints, employing negotiation techniques to ensure customer satisfaction.
- Enhanced customer satisfaction through efficient resolution of intricate problems and provision of timely solutions.
- Guided junior representatives in skill development to enhance team efficiency.
Health Service Concierge
Aetna, a CVS Health Company
Hartford, CT (Remote)
11.2020 - 10.2022
- Facilitated effective communication with customers during peak call times, fostering a welcoming environment at the Healthhub.
- Addressed and resolved patient inquiries promptly, ensuring a positive experience and satisfaction.
- Managed appointment scheduling, ensuring optimal use of resources and timely service delivery.
Desktop & I.T. Support Analyst
Information Technology Solutions (ITS)
Grand Junction, CO (Remote)
06.2013 - 10.2020
- Diagnosed and resolved hardware and software problems within user environments involving Kofax Contact Manager (KCM) and Lawson applications.
- Provided technical support to identify and rectify system errors, ensuring seamless operations through effective use of remote assistance tools and ticketing systems.
- Developed and executed SQL queries to retrieve data and establish permissions on tables, procedures, workbaskets, batch classes, and processes.
Senior Regional & Special Projects Manager
Automated Document Solutions (ADS)
Philadelphia, PA
02.2006 - 05.2013
- As the Eastern Regional Manager, I fostered strong client connections to facilitate service acquisition, resulting in significant improvements in quarterly and annual financial performance.
- As the Philadelphia Area Manager, I oversaw comprehensive project management initiatives for document conversion, ensuring rapid scanning and indexing of medical records to optimize company EMR/EHR systems.
- As the Special Projects Manager, I designed and optimized processes and documentation systems that significantly improved productivity and reduced overhead costs over a two-year period.
Education
Associate of Science - Business Management; Minor in General Business Administration
Delaware Technical & Community College (DTCC-Terry)
Dover, DESkills
- Policy analysis
- Critical thinking
- Organizational skills
- Excellent verbal and written communication
- Insurance policy sales
- Data entry
- Team leadership
- Active listening
- Health insurance
- Negotiation
- Teamwork and collaboration
- Problem-solving
- Attention to detail
- Multitasking
- Call center customer service
Certification
- PA Resident Producer Individual Accidental & Health Insurance License 2025-2028
- AHIP Medicare + Fraud, Waste, & Abuse Certification 2026
- Health Insurance Portability & Accountability Act (HIPAA) compliant 2002-2026
Timeline
Licensed Accident & Health Insurance Agent
Employment Solutions of New York
06.2025 - 01.2026
Customer Care Representative
ACC Premiere
01.2025 - 05.2025
Data Analyst Specialist
J & J Staffing Resources, Inc
05.2023 - 12.2024
Customer Service Representative Team Lead
AmeriHealth Administrators
10.2022 - 04.2023
Health Service Concierge
Aetna, a CVS Health Company
11.2020 - 10.2022
Desktop & I.T. Support Analyst
Information Technology Solutions (ITS)
06.2013 - 10.2020
Senior Regional & Special Projects Manager
Automated Document Solutions (ADS)
02.2006 - 05.2013
Associate of Science - Business Management; Minor in General Business Administration
Delaware Technical & Community College (DTCC-Terry)
Accreditations
- PA Resident Producer Individual Accidental & Health Insurance License 2025-2028
- AHIP Medicare + Fraud, Waste, & Abuse Certification 2026
- Health Insurance Portability & Accountability Act (HIPAA) compliant 2002-2026