Jahmea Tenzie
Philadelphia,PA
Summary
Proven expertise in insurance products, service and customer needs. Familiar with analyzing documentation, liaising between parties and handling both routine and complex issues each day. Identifies and resolves concerns while promoting new products and meeting sales objectives.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Licensed Health Insurance Agent
HealthPlanOne
08.2023 - Current
- Educate the client about Medicare and Medicaid, Low Income Subsidy, and other Federal/State assistance programs to clarify out of pocket expenses client may be responsible for
- Maintain precise knowledge of Original Medicare, Medicare Advantage, and Prescription Drug Plans to describe its features and additional benefits the client may be interested in
- Understand the relationship between primary care physicians, pharmacists, and insurance companies to explain the process of utilization review, claims, etc
- Fully understand, abide by and stay current with all Center for Medicare and Medicaid Services (CMS) rules and regulations
- Illustrate then sell insurance policies to new and existing clients via telephone
- Develop and maintain relationships through communication and follow-ups.
- Close sales and underwrite policies for clients, complete applications accurately
- Work with internal supervisors, managers, training staff, and customer service representatives
- Successfully meet daily/weekly/monthly sale goals.
Retiree Advocate I
Retiree First
02.2023 - 08.2023
- Advocate on behalf of retiree with Medicare, Social Security, healthcare providers, and pharmacies, to understanding prior authorizations, generic availability, and other pharmacy-related questions.
- Help retirees understand their benefits, connect them to programs that will improve their health and wellbeing, and provide them with a stress-free experience.
- Proactively help retirees with everything from formulary, tier, and copay assistance, to educating seniors about their network and doctors that are available to them.
Health Benefits Coordinator/Application Processor
Conduent, Inc.
06.2022 - 02.2023
- Average knowledge of (Supplemental Nutrition Assistance Program (SNAP), Medicaid, and Temporary Assistance for Needy Families (TANF) policies and guidelines
- Process eligibility applications and determine eligibility for the NJ Family Care program
- Refers beneficiaries that are potentially eligible for Medicaid to DMAHS for review
- Review renewal information on the web-based system and associated imaged documents
- Verify if data displayed for the renewal is consistent with the information on imaged documents
- Verify the information provided by beneficiaries and investigate discrepancies
- Initiate telephone calls to beneficiaries to follow up and confirm information, as necessary.
Support Specialist
Legacy Treatment Services
02.2021 - 02.2022
- Short-term residential program that offers a safe, therapeutic option for those who are at risk of hospitalization due to exacerbation of their mental illness
- Services include case management, treatment, housing assistance, wellness groups and life skills training
- Offers peer support, education, support groups, medication services, co-occurring substance abuse services, Wellness Recovery Action Planning (WRAP) and follow-up support
- Screen and triage individuals in crisis within community settings as opposed to a hospital setting
- Demonstrates knowledge of mental health challenges and substance use concerns and the services available in the community
- Transports consumers in Agency vehicles
- Understands medication procedures for the purpose of observing the administration of medications.
Education
Bachelor of Science - Psychology
Rowan University
Glassboro, NJ05-2021
Associate of Science - Psychology
Rowan College At Burlington County
Pemberton, NJ05-2018
Psychology
Rowan College At Gloucester County
Sewell, NJ05-2017
Skills
- Healthcare regulations
- Policy sales
- Account Management
- Compliance knowledge
- Data Entry
- Goal-Oriented
Certification
- Life Insurance
- Accident and Health Insurance
Timeline
Licensed Health Insurance Agent
HealthPlanOne
08.2023 - Current
Retiree Advocate I
Retiree First
02.2023 - 08.2023
Health Benefits Coordinator/Application Processor
Conduent, Inc.
06.2022 - 02.2023
Support Specialist
Legacy Treatment Services
02.2021 - 02.2022
Bachelor of Science - Psychology
Rowan University
Associate of Science - Psychology
Rowan College At Burlington County
Psychology
Rowan College At Gloucester County