Versatile professional with 11 years of healthcare and insurance experience. Seeking a collaborative role that will leverage diverse perspective of the industry.
Overview
16
16
years of professional experience
Work History
Benefit Analyst
Sentinel Benefits & Financial Group
Wakefield, MA
09.2022 - Current
Maintained book of small and mid-sized employer groups business (40+ clients)
Conducted open enrollment meetings for clients as needed
Acted as main point of contact in matters relating to client concerns and needs
Built and maintained productive relationships with customers and internal partners
Provided support to consultant team with RFP process, excel spreadsheet preparation for existing large-group clients
Conducted RFPs and prepared analysis' to support new business and sales teams as needed
Oversaw implementation of new business
Employee Benefits Account Manager
Complete Benefits Solutions
Springfield, MA
10.2019 - 11.2021
Managed and maintained assigned book of business
Worked closely with Sales and Client Executives to efficiently manage the entire renewal process
Advised clients in reducing healthcare costs while offering competitive benefit options
Oversaw the daily service needs of clients
Assisted in growing the book of business through cross-sale opportunities when available
Educated clients on latest trends, concerns and changes in the industry
Effectively managed complex accounts and high-level service deliverables
Conducted open enrollment and other educational meetings for clients as needed
Assessed compliance with plan frameworks, company standards and legal statutes.
Researched employee benefit and health and safety practices, recommending changes or modifications to existing policies.
Prioritized and organized tasks to efficiently accomplish service goals.
Community Engagement and Budget Coordinator
Health New England
Springfield, MA
10.2018 - 10.2019
Owned the execution of events, sponsorships and community giving across all business lines
Managed the Sponsorship and Benefits Committee review meetings and budget spend
Primary contact in the community for HNE sponsorships, chamber and Commercial Sales events
Facilitated Health New England's presence at corporate and/or community sponsorship events
Created and developed content for sales collateral, direct mail and advertising efforts
Authored compelling copy to support a variety of marketing communication needs including digital and social media campaigns
Supported Director of Marketing in budget developing and planning
Tracked and managed budget and expenses by projecting expenses, documenting quotes received, executing appropriate invoice authorization, and maintaining accurate accounting of spend
Assisted with execution of ad hoc projects within Marketing Department
Account Manager, Employee Benefits
Dowd Financial Services LLC
Holyoke , MA
06.2016 - 10.2018
Maintained existing block of fully and self -funded existing business (60+ clients)
Managed all aspects of service for existing book of clients
Quoted and negotiated new and existing policies with a wide range of Medical and Ancillary carriers
Prepared detailed renewal analysis presentations via Excel and PowerPoint illustrating renewal options and prospective savings
Liaised between clients, carriers and sales executives
Researched emerging industry trends, applications and products
Represented agency at Broker Training Seminars and Employee Benefit Events
Developed and nurtured long-term relationships with key management within client organizations
Assisted clients with compliance questions (e.g. HIPAA, COBRA, FMLA, ERISA) as requested
Senior Customer Service Representative
Consolidated Health Plans
Springfield, MA
07.2014 - 06.2016
Accurately quoted eligibility, benefits and claim status to members and providers on a multi-line telephone system
Resolved escalated issues efficiently
Trained incoming customer service representatives
Initiated appeals, prescription overrides and requests for pre-determination of benefits on behalf of members
Cross-trained to process claims via Luminx claims system
Exceeded monthly production standards
Receptionist/Administrative Assistant
OnCall Urgent Care
Northampton, MA
05.2009 - 07.2014
Verified patient insurance and processed registrations
Trained incoming front desk and administrative staff
Obtained necessary referrals and prior authorizations from health insurance carriers
Per diem medical billing position with Emergency Medicine Solutions, a sister company to OnCall Urgent Care