Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Khisha Shelford

Orlando,USA

Summary

Accomplished insurance professional with two decades of experience in group benefits administration, enrollment processing, and compliance. Proven ability to manage remote workflows and support open enrollment, renewals, and eligibility changes. Skilled at resolving claims issues, working closely with carriers, and providing exceptional support to employer groups. Seeking a fully remote position focused on internal operations and benefits coordination within a carrier or TPA environment.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Licensed Insurance Agent/Account Manager

Baker Magras & Assoc. Inc. (Marshall & Sterling)
10.2001 - Current
  • Process and manage health, dental, vision, disability, and life insurance enrollment for employer groups
  • Support open enrollment by prepping benefit comparisons, sending communications, and processing elections
  • Maintain high standards of customer service by building relationships with clients.
  • Ensure compliance with HIPAA regulations and maintain accurate employee benefits data
  • Coordinate with insurance carriers to resolve eligibility and claim-related discrepancies
  • Provide guidance to clients on plan selections and policy options via phone, email, and virtual meetings
  • Manage group accounts and facilitate annual renewals including initiating the renewal process and gathering plan details
  • Monitor and process monthly renewal and enrollment changes in HR/benefit platforms
  • Earn commission for managing and supporting employer groups with their benefits administration
  • Respond to customer calls swiftly to resolve issues and answer questions.
  • Monitor customer feedback and identified areas of improvement.
  • Evaluate competitors' products and services to gain competitive advantage.

Insurance Claims Assistant

Blue Cross Blue Shield of the Virgin Islands
06.1999 - 10.2001
  • Reviewed and validated medical claims for accuracy and compliance with policy terms
  • Liaised with healthcare providers to obtain necessary documentation for claims processing
  • Resolved claim disputes by analyzing coverage details and coordinating with policyholders
  • Maintained records of processed claims to ensure efficient tracking and resolution

Education

Associate of Arts - Business Management

University of The Virgin Islands
St. Thomas, VI
05.1999

Bachelor of Arts - Business Administration

University of the Virgin Islands
St. Thomas, VI
05.1999

Skills

  • Enrollment & Benefits Administration
  • Open Enrollment & Renewal Support
  • HIPAA Compliance & Eligibility Audits
  • Remote Communication & Client Relations
  • Carrier Coordination & Claims Resolution
  • Data Entry & Documentation Accuracy
  • Client Retention & Benefit Comparisons
  • Benefits Platforms: Inavigator

Certification

Life & Health Insurance License

Timeline

Licensed Insurance Agent/Account Manager

Baker Magras & Assoc. Inc. (Marshall & Sterling)
10.2001 - Current

Insurance Claims Assistant

Blue Cross Blue Shield of the Virgin Islands
06.1999 - 10.2001

Bachelor of Arts - Business Administration

University of the Virgin Islands

Associate of Arts - Business Management

University of The Virgin Islands

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