Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Marvin Shirley

San Antonio,TX

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Independent Insurance Adjuster

Allcat Claims Service
San Antonio, TX
09.2023 - Current
  • Prepared detailed reports summarizing findings from investigations and outlining recommended resolutions.
  • Negotiated settlements between claimants and insurance companies while ensuring fairness for all parties involved.
  • Evaluated policy language to assess coverage issues in accordance with state laws and regulations.

Fraud Analyst Agent

Ebay
08.2021 - Current
  • Navigate successfully through security issue
  • Operate in a fast-paced multi-channel environment
  • Work across a broad range of categories enforcing site policies, improving the safety of the eBay marketplace
  • Address basic appeals concerning action taken on accounts with questionable business practices.

Telesales Specialist

Medicare Plans, Humana Military Inc
05.2013 - 05.2020
  • Inbound and Outbound calls, to promote Medicare Advantage healthcare program and engage prospective clients, increasing customer experience by providing information on program benefits, rates, and enrollment procedures based on state of residence. Address, investigate, and resolve complaints which could affect customer acquisition, retention levels, and service metrics.
  • Support field agents, schedule appointments and respond to product inquiries.
  • Full knowledge of Medicare Advantage, Medicare Supplements and Prescription Drug Plans (Part D), selling and enrollment process.
  • Maintain and surpass strict sales goals while keeping in compliance of CMS (Center of Medicare and Medicaid Services) regulations and quality requirements.
  • Provide dedicated service with high quality standards in order to create new business for the company.
  • Coordinate seminars and appointments for eligible Medicare participants.

Licensed Insurance Agent

Humana Insurance Company
01.2013 - 01.2020
  • Health and Life in 30 states
  • Inbound and Outbound calls, to promote Medicare Advantage healthcare program and engage prospective clients, increasing customer experience by providing information on program benefits, rates, and enrollment procedures based on state of residence
  • Address, investigate, and resolve complaints which could affect customer acquisition, retention levels, and service metrics
  • Support field agents, schedule appointments and respond to product inquiries
  • Full knowledge of Medicare Advantage, Medicare Supplements and Prescription Drug Plans (Part D), selling and enrollment process
  • Maintain and surpass strict sales goals while keeping in compliance of CMS (Center of Medicare and
  • Medicaid Services) regulations and quality requirements
  • Provide dedicated service with high quality standards in order to create new business for the company
  • Coordinate seminars and appointments for eligible Medicare participants.

Central Beneficiary Service Rep

Humana Military Healthcare Services
11.2011 - 05.2013
  • Provided beneficiaries and providers with benefit information, claims, and other TRICARE inquiries
  • Handle high call volume, providing service for different Queue's (CBSR line, Referrals, Puget Sound
  • Appt
  • Line)
  • Assisted beneficiaries with PCM changes, account overview, enrollment and TRICARE policy guidelines and procedures.

Customer Service/ Billing Representative

Time Warner Cable
01.2010 - 01.2011
  • Received high volume of incoming phone calls and responded to inquiries in a manner which met high quality, productivity and other performance standards
  • Sold and upgraded company core products in accordance with company requirements and customer needs
  • Provided information regarding products and services, billing and responded to other company related types of inquiries

Production Team Lead

West Corporation
01.2006 - 01.2010
  • Responsible for the development and coaching of 20+ team members
  • Managed quality assurance and production for the team
  • Met and surpassed quality goals set forth by the company
  • Awarded Production Leader of the Month

Customer Service Rep/ Loan Processor

American Funds
01.2005 - 01.2006
  • Established and maintained contact with broker and shareholder to ensure quality processing of loans
  • Responsible for the processing of mutual funds received through mail

Bank Teller

Wells Fargo
01.2004 - 01.2005
  • Responsible for the processing of various customer transactions
  • Identified and made sales referrals, recommended alternate channels, cross-sold bank services and products for Wells Fargo Partners
  • Provided quality customer service to all members and non-members of Wells Fargo

Education

Diploma - General

East Central High School
2002

Skills

  • Telephone Etiquette
  • Property Claims
  • Property Adjusting
  • Claims Processing
  • Claims Investigations
  • Claims File Management Processes
  • Customer Service
  • Sales

Certification

  • Al
  • AR
  • FL
  • GA
  • LA
  • MS
  • NC
  • OK
  • SC
  • TX

Timeline

Independent Insurance Adjuster

Allcat Claims Service
09.2023 - Current

Fraud Analyst Agent

Ebay
08.2021 - Current

Telesales Specialist

Medicare Plans, Humana Military Inc
05.2013 - 05.2020

Licensed Insurance Agent

Humana Insurance Company
01.2013 - 01.2020

Central Beneficiary Service Rep

Humana Military Healthcare Services
11.2011 - 05.2013

Customer Service/ Billing Representative

Time Warner Cable
01.2010 - 01.2011

Production Team Lead

West Corporation
01.2006 - 01.2010

Customer Service Rep/ Loan Processor

American Funds
01.2005 - 01.2006

Bank Teller

Wells Fargo
01.2004 - 01.2005

Diploma - General

East Central High School

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