Elida Lujan
Abilene,TX
Summary
Licensed insurance professional with extensive experience in sales, prospecting and lead generation. Seeking a position offering new challenges and opportunities for career growth and advancement.
Accomplished Benefits Consultant with 18 years of experience with optimal vendors and benefits plans. Skilled in benefits research and financial analysis.
Overview
20
20
years of professional experience
Work History
Health/Life Insurance Agent
Aflac
Abilene, TX
06.2017 - Current
- Utilized targeted marketing efforts to increase revenue, including email campaigns and cold calling
- Attended continuing education courses and workshops to gain additional insurance industry knowledge
- Promoted Aflac products and services using up selling and other sales strategies
- Tracked progress of all outstanding insurance claims
- Contributed ideas and offered constructive feedback at weekly sales and training meetings
- Conducted annual reviews of existing policies to update information
- Calculated premiums and established payment methods for sales
- Analyzed sales volume, retention and loss ratio trends to identify areas for improvement
- Finalized sales and collected necessary deposits
Appeals Specialist
Blue Cross And Blue Shield
Abilene, TX
01.2015 - 04.2017
- Prepared reports by collecting, analyzing and summarizing information
- Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims
- Participated in weekly team meetings to develop better plans and revise proper protocols to meet objectives
- Remain informed on current regulations, especially concerning research industry and document creation
- Reviewed Medical Policy and attached medical records to cases later reviewed by the Medical Review Unit of Blue Cross and Blue Shield
- Researched Benefit Book and Master Benefit Plan to determine claims denial or approval
- Assist members with a variety of prescription drug benefit plans
- Assist members with a variety of vision benefit plans
Predeterminations
Blue Cross And Blue Shield
Abilene, TX
01.2009 - 04.2017
- Maintained records of patient care, condition, progress or problems to report, and discussed observations with supervisor or case manager
- Initiated timely response to emails, voicemails and written correspondence
- Prepared reports by collecting, analyzing and summarizing information
- Provided excellent service to members and contracted providers
- Resolved customer complaints and issues involving plan benefits
Customer Service Representative
Blue Cross And Blue Shield
Abilene, TX
02.2003 - 01.2009
- Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations
- Answered up to 90 incoming calls in busy, fast-paced global call center
- Responded to customer comments and questions via LiveChat during 8-hour shifts
- Detailed payment options and transferred customers to billing department for payment or further questions regarding bill
- Documented and detailed calls and complaints using call center's Dashboard database
- Conferred with customers about concerns with plan benefits to resolve problems
- Addressed escalated customer service issues sent from Incoming WebChat and Correspondence to save customer relationships
- Entered customer interaction details in Dashboard to track requests, document problems and record solutions offered
Education
Certification of Correctional Officer - Corrections in Texas
Western Texas College
Snyder, TX11.1992
High School Diploma -
Abilene High School
Abilene TX05.1989
Skills
- Creative problem solving
- Professional telephone demeanor
- Administrative support
- Training development aptitude
- Computer proficient
- Data entry
- Money handling abilities
- Multi-line phone talent
- MS Office proficiency
- Quick learner
- Good listening skills
Timeline
Health/Life Insurance Agent
Aflac
06.2017 - Current
Appeals Specialist
Blue Cross And Blue Shield
01.2015 - 04.2017
Predeterminations
Blue Cross And Blue Shield
01.2009 - 04.2017
Customer Service Representative
Blue Cross And Blue Shield
02.2003 - 01.2009
Certification of Correctional Officer - Corrections in Texas
Western Texas College
High School Diploma -
Abilene High School
Similar Profiles
Angela SycksAngela Sycks
Benefits Advisor at AFLACBenefits Advisor at AFLAC
Quentin FosterQuentin Foster
Benefits Advisor at AflacBenefits Advisor at Aflac
Lisa V. LambertLisa V. Lambert
Field Sales Agent at AflacField Sales Agent at Aflac
Katherine FarringtonKatherine Farrington
Employee Benefits Advisor at AflacEmployee Benefits Advisor at Aflac
Mihee KotatsuMihee Kotatsu
General Ledger and Accounts Payable Specialist at Godiva Japan, Inc.General Ledger and Accounts Payable Specialist at Godiva Japan, Inc.