Summary
Overview
Work History
Education
Timeline
Generic

Louise Constant

Middlesex

Summary

Medicare Sales Representative with extensive experience in selling Medicare plans and services. Expertise in educating clients on Medicare options, eligibility, and coverage benefits. Proven ability to build and maintain strong relationships with clients, insurance brokers, and healthcare professionals.

Overview

20
20
years of professional experience

Work History

Medicare Sales Representative

Wellcare-Fidelis
New York
09.2017 - Current

Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.

  • Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product
  • Understand and apply all policies and procedures pertaining to:
  • Disclosures and provisions of the Advantage Medicare product
  • Enrollment and disenrollment
  • Develop a presence in the local community to help generate enrollments
  • Conduct home visits and personalized appointments as needed to complete the enrollment process
  • Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated
  • Understand the covered benefits, non-covered benefits, exclusions and exemptions
  • Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members
  • Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation
  • Keep alert to competitive products and marketing practices, and to keep management informed concerning them
  • Conduct and participate in telemarketing/outreach efforts as required
  • Attend and participate in sales meetings, training programs, conventions, and special events
  • Complete applications in a timely and accurate manner
  • Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations
  • Performs other duties as assigned
  • Complies with all policies and standards

Medicare Enrollment Specialist

Wellcare-Fidelis
New York
07.2010 - Current
  • Assisted with special projects such as developing marketing materials for new products or services offered through the Medicare program.
  • Assesses and researches routine member and/or provider inquiries, requests and/or concerns to determines causes, and initiates corrective actions to other service or technical departments for follow up as needed
  • Mitigates and prevents complaints from being escalated to resolve in initial contact
  • Serves as the front-line resolution advocate on various member and/or provider inquiries, requests, or concerns
  • Provides support on various member or provider issues to ensure customers receive high-quality service
  • Maintains performance and quality standards based on established contact center metrics
  • Provides customer service in a high pace contact center environment over the phone, via live chats and emails
  • Documents all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications
  • Remains up-to-date and adheres to quality standards, regulations, and all other policies to ensure quality, consistency, and compliance
  • Provides expertise in resolving multiple inquiries, requests and/or concern across all areas of responsibilities
  • Performs other duties as assigned
  • Complies with all policies and standards

Customer Service Representative

Humana
New York
06.2007 - 10.2010
  • Answered customer inquiries and provided accurate information regarding products and services.
  • Assesses and researches routine member and/or provider inquiries, requests and/or concerns to determines causes, and initiates corrective actions to other service or technical departments for follow up as needed
  • Mitigates and prevents complaints from being escalated to resolve in initial contact
  • Serves as the front-line resolution advocate on various member and/or provider inquiries, requests, or concerns
  • Provides support on various member or provider issues to ensure customers receive high-quality service
  • Maintains performance and quality standards based on established contact center metrics
  • Provides customer service in a high pace contact center environment over the phone, via live chats and emails
  • Documents all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications
  • Remains up-to-date and adheres to quality standards, regulations, and all other policies to ensure quality, consistency, and compliance
  • Provides expertise in resolving multiple inquiries, requests and/or concern across all areas of responsibilities
  • Performs other duties as assigned
  • Complies with all policies and standards

Medical Assistant

Newkirk Medical Center
Brooklyn NY
02.2005 - 08.2006
  • Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
  • Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
  • Collected samples from patients for laboratory testing purposes.
  • Assisted 50 + patients per day with pre- and post-examination protocol:
  • Administered blood pressure and cheeked vitals, sign, set up blood
  • work/ phlebotomy, urinalysis, and EKGs.
  • Performed general administrative duties such as filing, faxing, and copying important medical documents, and updating patients' records.
  • Scheduled and confirmed meeting and patient appointment.
  • Managed the patient medical record filling system and ensured the confidentiality of patient personal information.

Education

Associate of Applied Science - Medical Assistant

ASA INSTITUTES- THE COLLEGE FOR EXCELLENCE
05-2005

Timeline

Medicare Sales Representative

Wellcare-Fidelis
09.2017 - Current

Medicare Enrollment Specialist

Wellcare-Fidelis
07.2010 - Current

Customer Service Representative

Humana
06.2007 - 10.2010

Medical Assistant

Newkirk Medical Center
02.2005 - 08.2006

Associate of Applied Science - Medical Assistant

ASA INSTITUTES- THE COLLEGE FOR EXCELLENCE
Louise Constant