Jared Vincent

• Managed high-volume caseloads, prioritizing tasks effectively to ensure timely resolution of all assigned claims.
• Maintained strict adherence to confidentiality guidelines, ensuring sensitive client information was securely handled and protected at all times.
• Efficiently navigated company databases to retrieve essential information for accurate claim handling and reporting purposes.
• Mitigated client claim exposures through strategic management of claims.

• Informed customers of sales and promotions to build customer base, boost traffic and increase customer loyalty. Exceeded call monitoring expectations through accurate reporting and processing. Handled customer inquiries and high volume calls to solve billing and ordering problems, independently resolving a large percentage of issues. Reviewing calls of other agents and grading them to help them improve so the agents can avoid Section A which is any bad marks against the agent. Built client list and strengthened customer relationships through consistent communication via phone and internet. Acquired and applied Healthcare knowledge to create effective dialogue with customers.

• Anthem Independently analyze records, cases, and situations and make timely,accurate decisions in providing expert consultation to customers via the client and provider toll-free lines, written correspondence, and email.
• Handled several different calls about benefits, finding doctors, enrollment and dis-enrollment, dental and vision questions.
• Problem solve, think critically and address issues logically and consistently; help clients make informed decisions in an ethical and zealous manner.

Reduced rapid dis-enrollment by coaching
members on how to get their questions answered,
explaining how to use their membership materials,
and what to expect next.
Increased enrollment in specific MA plans by
assessing members' and prospects' current and
predicting future needs.
Assigned to a team that contributed to persuade
members to convert to new Medicare Advantage plan

by presenting to members on outbound campaigns.

• Provided independent decision making skills and demonstrated initiatives to resolve issues for internal and external customers.
• Composed and typed routine letters and documented file activity on a regular basis on the computer.
• Performed clerical functions which included opening, sorting and distributing incoming mail and processing outgoing mail, copy work.
• Handled office 70 claims a day including Big Lots, School District of Berlin WIS filing and assisting the unit and supervisor in multiple projects using expert time management with little supervision.
• Continental is a 3rdparty administrator and has networks through Aetna and Cigna corporations, as well as handling medicare pricing and claims.

• National (Dominion), is a leading provider of dental and visionbenefits, offering managed care and complete comprehensive planadministration.
• Among our 900,000 customers are leading health plans,employer groups, major municipalities & associations, and individuals.
• Handled an average of 40 calls per day regarding coverage issues foralliance clients such as Kaiser, Capital Blue Cross, Blue Cross Blue Shield ofAZ, UPMC (University of Pittsburgh Medical Center) and Federal employeeplans.
• (FedVip).
• Resolved requests involving medical insurance, benefits,claims, eligibility, Open Enrollment, and terminations; accepted paymentsand walked customers thru the website and assisted with enrollment.
• Received callers providing exceptional listening skills to determine thenature of their call in order to clearly and precisely address their inquiries ina professional manner.
• Typed memos, correspondence, reports and otherdocumentation including follow-up letters to customers to ensure theirquestions were addressed and to assure them of support throughout the lifeof their membership.

• Aetna is one of the nation's leading providers of health care and relatedgroup benefits, serving over 36.5 million affiliated customers, with annualrevenue in excess of $20 billion., Processed claims for the State of Alaska, one of Aetna's largest nationalclients, processed $5,800,000 in high dollar, highly visible hospital claims.
• Maintained an accuracy rate of greater than 99%, type of claims includehospital, medical, durable medical equipment, physical therapy, ambulanceand Medicare.
• Coordinated benefits with foreign claims from countriesincluding Mexico, Canada, Costa Rica, Japan, New Zealand, Australia,Germany and France.

• Investigated claims for pre-existing conditions, saved Aetna over $1,000,000in denied claims, consistently met and exceeded Aetna quality standards forspeed and accuracy.
• Provided independent decision making skills anddemonstrated initiatives to resolve issues for internal and externalcustomers.

• Received the Customer Service Champion award for “Excellence in CustomerService, responded to requests and issues dealing with individual customersand plan sponsors.
• Resolved issues by explaining member rights andresponsibilities in accordance with plan contracts, expert in dealing with avariety of plans such as Managed Choice (MC), Open Choice PPO.
• Experienced in Traditional Choice, Elect Choice and Flexible SpendingAccounts, assessed benefits needs as outlined by group plan sponsors, andhandle enrollment packages.
• Consistently able to resolve issues correctly atgreat than 98% accuracy on first contact, In-depth knowledge of detailedplan needs and management techniques.