EMANI PACE
Winter Haven
Summary
Dedicated healthcare professional with over 3 years of experience in managing Medicare services and ensuring compliance with federal regulations. Seeking to leverage expertise in healthcare administration and patient advocacy in a challenging role. Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.
Overview
7
7
years of professional experience
Work History
Licensed Sales Agent
Crawford & Company
01.2022 - 01.2024
- Promoted and sold a variety of health insurance plans, including Medicare products.
- Conducted market research to identify potential clients and generate leads.
- Provided personalized recommendations based on clients’ healthcare needs and financial situations.
- Assisted clients with the enrollment process and answered any questions or concerns.
- Maintained detailed records of client interactions and sales activities.
Senior Medicare Coordinator
HealthPlan Services
01.2020 - 01.2022
- Lead a team of Medicare specialists in processing and reviewing Medicare claims.
- Ensure compliance with Medicare regulations and guidelines.
- Provide training and support to staff on Medicare policies and procedures.
- Develop and implement process improvements to enhance efficiency and accuracy.
- Conduct audits to ensure compliance with Medicare standards.
Assistant Claims Adjuster
Heritage Insurance
01.2017 - 01.2020
- Assisted senior adjusters with claim evaluations and settlements, providing support through data gathering and preliminary analysis.
- Reviewed and verified documentation related to claims, ensuring completeness and compliance with company standards.
- Communicated with claimants to gather necessary information.
- Prepared detailed reports summarizing findings and recommendations for claim resolution.
Education
High School -
George Jenkins High School
06.2015
Skills
- Expertise in Medicare compliance
- Engaging communication techniques
- Effective communication
- Service excellence
- Proficient in building rapport and understanding
- Proficient in CRM tools
- Sales data management tools
- Accounts receivable management
- Customer service management
- Strong organizational abilities
- Detail-oriented approach
- Claims assessment
Timeline
Licensed Sales Agent
Crawford & Company
01.2022 - 01.2024
Senior Medicare Coordinator
HealthPlan Services
01.2020 - 01.2022
Assistant Claims Adjuster
Heritage Insurance
01.2017 - 01.2020
High School -
George Jenkins High School
Awards
- Licensed Health Insurance Agent
- Medicare Sales Certification
- 620 Adjuster License