Jeanne Paul
Dallas,TX
Summary
Detail-oriented and problem-solver. Ready to apply 10+ years' experience proven skills in customer service. Proactive and tenacious with an adaptable nature and superior work ethic. Seeking part-time position.
Overview
5
5
years of professional experience
Work History
Health Insurance Agent
- Provides service to clients changing or in need of health insurance needed
- Establishes productive working relationships with clients
- Completes coverage by delivering policy, planning future follow-up visits, and evaluations of needs
- Compiles lists of prospects
- Obtains underwriting approval by completing application for coverage.
Financial Counselor
Florida Cancer Specialists
11.2017 - 09.2020
- Analyzed insurance claims data and EOB's to ensure proper reimbursement per patient's health plan
- Ensured patients accounts were balanced with no more than an AR of $100
- Established relationships with patients, staff, medical personnel and hospitals to coordinate overall patient care
- Developed strong relationships with internal and external representatives regarding buy and bill hematology/oncology drug injectables
- Met with patients to discuss treatment coverage and costs per insurance guidelines
- Processed credit refunds, contractual adjustments and self-pay discounts.
Customer Service Associate
Cigna International Health Services
09.2015 - 08.2017
- Managed specific Group Accounts in reference to claim issues, eligibility benefits plan discrepancies
- Responded to inquiries from policy holders, providers and/or third-parties regarding claims payment to timely filing
- Performed research to respond to claim inquiries and interpreted policy provisions to determine most effective resolution
- Escalate policy discrepancies with employer groups account manager and/or HR coordinator
- Independently responded to inquiries, grievances, complaints and or appeals ranging from routine to moderate complexity.
Caregiver
P&D Companion Services
- Built strong relationships with clients to deliver emotional support and companionship.
- Enhanced patient comfort by providing compassionate and attentive care, addressing individual needs and preferences.
- Contributed to a positive atmosphere for patients by using effective communication and active listening skills.
- Completed regular check-ins and progress report for each client.
- Assisted clients with activities of daily living, promoting independence and quality of life.
Education
Bachelor of Science - Health Science/Occupational Wellness
Florida A&M University
Tallahassee, FL05.2013
Skills
- Customer relation management
- Problem solver
- Effective communicator
- Collaboration
- Time management
- Attention to detail
Languages
Haitian Creole
Native or Bilingual
Timeline
Financial Counselor
Florida Cancer Specialists
11.2017 - 09.2020
Customer Service Associate
Cigna International Health Services
09.2015 - 08.2017
Health Insurance Agent
Caregiver
P&D Companion Services
Bachelor of Science - Health Science/Occupational Wellness
Florida A&M University