Janay Riggins
Phoenix,US
Summary
Adaptable and driven, I possess a robust work ethic and excel in both team-oriented and self-driven settings. I have outstanding communication and customer service skills, along with excellent de-escalation abilities. I flourish in fast-paced work environments and have superb multitasking capabilities. My work ethic is exceptional, and I am adept at problem resolution.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medicare Insurance Agent (Humana)
TZ Insurance Solutions LLC
Tampa , FL
2023.08 - Current
- Conducted customer needs assessments to identify appropriate coverage levels and options.
- Advised clients on their insurance needs and coverage options based on individual requirements.
- Ensured compliance with all federal, state, local laws and regulations regarding insurance practices.
- Addressed current customer inquiries and issues to foster excellent service and cultivate enduring relationships.
- Skilled in utilizing systems including MARX, Sunfire, Vantage, Microsoft Teams, and Outlook.
- Consistently achieves commission during AEP, OEP, and LIS seasons.
- Actively licensed in 21 states.
Centralized Support Specialist
One Medical
Phoenix , US
2023.05 - 2023.07
- Receive high volume of inbound phone calls and message inquiries from patients and those involved in their care regarding complex healthcare inquiries.
- Use problem-solving skills to assist with, including but not limited to, medical records, authorizations, and referrals.
- Coordinates care among members, care partners like pharmacies, testing laboratories, specialists, and insurance companies.
- Use systems RingCentral, Slack, and Zoom on a frequent basis in order to interact with team members and patients to complete work.
- Collaborates frequently with healthcare providers and other operations team members to complete urgent tasks.
Member Support Specialist
Aston Carter
Phoenix , US
2022.10 - 2023.03
- Received high volume of inbound phone calls and messages from client One Medical members and those involved in their care regarding complex healthcare inquiries.
- Used problem-solving skills to assist with, including but not limited to, medical records, authorizations, and referrals.
- Coordinated care among members' care partners, such as pharmacies, testing laboratories, specialists, and insurance companies.
- Used systems RingCentral, Slack, and Zoom on a frequent basis in order to interact with team members and patients to complete work.
- Collaborated frequently with healthcare providers and other operations team members to complete urgent tasks.
Eats Driver
Uber Eats
Phoenix , US
2021.12 - 2022.10
- Completed on-time deliveries by selecting the best and most efficient routes.
- 100% satisfaction rate reported by customers.
Medicare Insurance Agent
Clear Link Insurance Agency, LLC
Draper , UT
2021.08 - 2021.11
- Enrolled beneficiaries into Medicare Advantage, Supplemental Insurance, and Prescription Drugs Plans.
- Provided benefits analysis and provided recommendations based on customer needs.
- Adhered to Center of Medicare and Medicaid Guidelines.
- Followed local, state, and federal statutes and regulations.
- Licensed in 38 states.
Seasonal, Medicare Customer Service Representative
Maximus
Phoenix , US
2019.08 - 2020.02
- Compared and submitted applications for beneficiaries into Medicare Advantage, Supplemental, and Prescription Drug Plans.
- Assisted beneficiaries with general claim, complaints, and coverage inquiries.
- Received 'Ready to Fly' Award in Training.
- Employee of the Month, November 2019.
Seasonal Marketplace Customer Service Representative
Maximus
Phoenix , US
2018.11 - 2019.01
- Assisted consumers with application process for Marketplace (ACA) insurance plans.
- Provide technical support for consumers via chat.
- Answered high volume of phone calls during AEP, during evening, and overnight hours.
- Handled customer escalations.
Education
High School -
Independence High School
Glendale, AZ01.2005
Skills
- Professional Demeanor
- Effective communication skills
- Multitasking
- Self Motivation
- Active Listening
- Lead Conversion
- Problem-solving abilities
- Goal-Oriented
Certification
Licensed Life, Accident, Health and Sickness
Timeline
Medicare Insurance Agent (Humana)
TZ Insurance Solutions LLC
2023.08 - Current
Centralized Support Specialist
One Medical
2023.05 - 2023.07
Member Support Specialist
Aston Carter
2022.10 - 2023.03
Eats Driver
Uber Eats
2021.12 - 2022.10
Medicare Insurance Agent
Clear Link Insurance Agency, LLC
2021.08 - 2021.11
Seasonal, Medicare Customer Service Representative
Maximus
2019.08 - 2020.02
Seasonal Marketplace Customer Service Representative
Maximus
2018.11 - 2019.01
High School -
Independence High School
Licensed Life, Accident, Health and Sickness
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