NEIL GREGORY
Jamaica,New York
Summary
Professional with both insurance sales experience and claims analyst experience. Licensed in both Health and Life. Engaging individual with over 20 years in the medical claims industry. Professional, Ancillary, Hospital processing but always willing to learn new tasks. Team player, detailed- oriented, adaptable, organized, knowledgeable and willing to grow with the right company.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Member Service Representative ( Remote)
Tufts Health Plan
05.2023 - Current
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
- Maintained high-quality service by adhering to company policies and standards in all member interactions.
- Managed 25 incoming calls from members and Providers. thru emails and Faxes.
Package Handler
United Parcel Service, UPS
04.2022 - Current
- Followed safety regulations to maintain safe work environment.
- Improved package handling efficiency by implementing proper sorting and organizing techniques.
- Maintained a safe work environment by adhering to company policies and guidelines for proper lifting techniques.
- Reduced damage rates for packages through careful handling and adherence to safety protocols.
- Maintained a safe work envirimumonment by adhering to company policies and guidelines for proper lifting techniques.
- Packaged 1,000 packages minimum per Truck.
Prime America Licensed Sales Agent
Prime America
Las Vegas, NV
11.2021 - Current
- Promoted products and services using upselling and other sales strategies.
- Developed, maintained and utilized diverse client base.
- Identified new business opportunities through cold calling, networking, marketing and prospective database leads.
- Managed over 25 calls per day between cold calling and customer contact.
Agent With New York Life
New York Life Insurance Co.
Rego Park, New York
01.2021 - 11.2021
- Developed sales leads from direct referrals, networking and targeted marketing campaigns.
- Met with customers to provide information about available products and policies.
- Offering variety of products that can help you meet number of insurance and financial needs, including but not limited to college funding, retirement, long-term care , managing costs for extended periods of care and lifetime income strategizes.
- Managed 25 calls per day on days not prospecting, learning and completing University courses, or on Zoom meetings.
Claims Analyst
Healthfirst
Manhattan, NY
06.2013 - 05.2020
- Established Professional with ability to process Professional, Ancillary, Medical and Hospital claims to completion. Increased productivity every year.
- Knowledge of Medicare and Medicaid billing, payments and coverage guidelines.
- Performed strong experience in root cause analysis. DRG Inpatient and Cost Outlier claims processing. Facets Software usage. ICD-10 codes.
- Microsoft Excel, Word, Powerpoint
Education
BBA - Business Administration
Brooklyn College
Brooklyn, NY2016
Associate of Arts - Business Administration
Borough of Manhattan Community College
New York, NY06.2009
Skills
- Insurance sales expertise
- Professional and Hospital claims processing
- Licensed Life and Health Agent
- Analytical and Critical Thinking
Certification
- Real Estate License ( Inactive)
- Medical Billing Certificate
- Basic Life Support Certification (BLS)
Certification
- Basic Life Support Certification (BLS)
- Real Estate License ( inactive)
- Medical Billing certificate
Timeline
Member Service Representative ( Remote)
Tufts Health Plan
05.2023 - Current
Package Handler
United Parcel Service, UPS
04.2022 - Current
Prime America Licensed Sales Agent
Prime America
11.2021 - Current
Agent With New York Life
New York Life Insurance Co.
01.2021 - 11.2021
Claims Analyst
Healthfirst
06.2013 - 05.2020
BBA - Business Administration
Brooklyn College
Associate of Arts - Business Administration
Borough of Manhattan Community College
- Real Estate License ( Inactive)
- Medical Billing Certificate
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