Marya Majors
Springfield,TN
Summary
Skilled medical underwriter with over 10 years of experience in the insurance industry. Proven ability to evaluate and assess medical information to make sound underwriting decisions. Expertise in health insurance products and services.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Sr Underwriting Associate
Aetna Senior Supplemental Insurance
Franklin, TN
05.2011 - Current
- Analyze applications, ICD-10 and CPT coding, and medical records, and medications to determine insurability.
- Review of Physician's statements for reconsideration.
- Maintains knowledge and understanding of our underwriting guidelines as well as state, federal regulations for Guaranteed Issue policies.
- Communicate decisions to sales agents and customers.
- In depth knowledge of our systems and the technical skill to navigate through them to get to information quickly.
- Skilled at working independently and collaboratively in a team environment.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Resolved problems, improved operations and provided exceptional service.
- Managed time efficiently in order to complete all tasks within deadlines.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
Sales and Service Representative
State Farm
Springfield, TN
04.2010 - 05.2011
- Optimized customer support by establishing collaborative service environments through targeted operational initiatives.
- Educated customers about billing, payment processing and support policies and procedures.
- Handled difficult or escalated calls, appeals or inquiries from applicants, current members, member representatives and internal customers with a timely follow through.
- Reached out to customers after completed sales to suggest additional service or product purchases.
- Trained new personnel regarding company operations, policies and services.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Trained staff on operating procedures and company services.
Health Information Management Director
Christian Care Center Of Springfield
Springfield, TN
04.2006 - 04.2010
- Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
- Conducted education and training activities for physicians, nursing staff and administrative personnel on HIPPA regulations.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Prepare charts for litigation.
- Facilitator of release of information.
- Auditing medical charts for deficiencies.
- Credentialing physicians and outside contractor for JCAHO compliance.
- HIPPA Officer
Education
Medical Transcription
Kaplan College - Phoenix
Phoenix, AZCertification - Medical Transcription
The School of Medical Transcription Institute
Phoenix, AZHigh School Diploma -
Knott County Central High School
Hindman, KY05.1989
Accomplishments
- Updating Underwriting Guidelines and Drug List.
- Subject matter expert for Medical Supplement, Ancillary, and Final Expense products.
- Identified problems and proposed solutions to streamline the application process to improve the underwriting turn-around time (TAT).
- Systems improvement tester. Provided technical review of the software by identifying defects and recommending enhancements for its intended use in Individual Underwriting.
- Mentor Underwriting team members.
- Develop and present training materials for underwriters and sales agents.
- Pilot work from home program and wrote SOP for associates transiting from the office to home.
- Assist in developing Pro Map and SOPs for training.
Additional Information
- Microsoft Office Suites
- Outlook
- Word
- Development of SOP
- Mentor and consult coworkers
Certification
- Property and Casualty
- Life and Health License
- Bank Certified with State Farm
- Certificate of Medical Transcription
Skills
- Underwriting experience
- Underwriting knowledge
Timeline
Sr Underwriting Associate
Aetna Senior Supplemental Insurance
05.2011 - Current
Sales and Service Representative
State Farm
04.2010 - 05.2011
Health Information Management Director
Christian Care Center Of Springfield
04.2006 - 04.2010
Medical Transcription
Kaplan College - Phoenix
Certification - Medical Transcription
The School of Medical Transcription Institute
High School Diploma -
Knott County Central High School
Similar Profiles
Lacey CarterLacey Carter
Claim Associate - Injury at State Farm Mutual Automobile Insurance CompanyClaim Associate - Injury at State Farm Mutual Automobile Insurance Company
Mary TomasiniMary Tomasini
Registered Nurse, Post-op In-home Care at Private Supplemental InsuranceRegistered Nurse, Post-op In-home Care at Private Supplemental Insurance
Stacy MaddenStacy Madden
Sales Agent at Aflac Supplemental InsuranceSales Agent at Aflac Supplemental Insurance
Viviana Perez CortesViviana Perez Cortes
House Cleaner at Luciana PerezHouse Cleaner at Luciana Perez
noah Ottennoah Otten
Host at The Depot Bar and GrillHost at The Depot Bar and Grill