Patricia Riley
Neptune City,NJ
Summary
Energetic and productive with an extensive background in the healthcare industry. Experience in sales, conducting presentations and committed to delivering high quality results with little supervision. Commended for taking on simultaneous tasks to support team needs. Excellent communication, multitasking and time management abilities.
Overview
28
28
years of professional experience
1
1
Certification
Work History
DMS Sales Agent
Humana
Neptune , NJ
05.2022 - Current
- Advised customers on various aspects of their health insurance policies.
- Assisted customers with selecting appropriate plans based on their needs.
- Maintained accurate records of sales activities and customer interactions.
- Provided product information and answered questions and concerns pertaining to Humana Plans.
- Followed up with clients regularly to ensure satisfaction and address any issues.
- Maintained a high level of professionalism when dealing with difficult customers.
- Received both inbound and outbound calls on a daily basis.
Sales Agent
Primerica
Cranbury, NJ
02.2021 - 04.2022
- Sold term life, auto and home insurance and legal and identity protection.
- Interviewed prospective clients to gather information on financial needs and discuss existing coverage.
- Upsold products to policyholders and potential new clients.
- Provided leadership and training for new agents regarding industry best practices and company policies.
- Cultivated professional relations to establish long-term profitable partnerships.
- Conducted in-home and group presentations to provide detailed explanations of policy guidelines and benefits to clients and families.
Medicare Sales Executive
Horizon Blue Cross Blue Shield of NJ
Newark, NJ
09.2014 - 05.2019
- Contacted current and potential clients to promote products and services.
- Used cold calling and networking to sell products and services.
- Addressed customer concerns immediately and promptly resolved issues to boost client satisfaction..
- Conducted presentations to groups of people in various venues addressing Medicare and Medicare products.
- Presented and clearly explained insurance policy options based on the client's individual needs and goals.
- Explained advantages, disadvantages and features of policies to promote sales of Medicare plans.
- Traveled throughout assigned territory and directly collaborated with community-based organizations to obtain referrals.
Health Advisor
Horizon Blue Cross Blue Shield of NJ
Wall Township, NJ
02.2012 - 09.2014
- Researched and corrected customer issues in areas such as plan benefits, coverage eligibility and claims processes.
- Stayed up to date on latest plans, products and services for different types of customers.
- Evaluated data to identify and address community-specific health needs.
- Educated community members on disease prevention, vaccines and mental health resources.
- Onboarded permanent and temporary staff with equipment, electronic devices, and office supplies.
- Responsible for making sure staff had active license, attended mandatory meetings, and completed required CEU's.
- Sold Medicare and Individual plans.
Managed Care Coordinator
Horizon BCBSNJ
Wall Township, NJ
11.1996 - 02.2012
- Ensured nursing staff completed required CEU's, certifications and maintained active license.
- Understanding of different plans utilization and authorization process.
- Collaborated with case managers for authorization approvals.
- Prioritized calls, messages and email to smoothly manage case-related communications.
- Managed intake and maintenance of patients' medical records.
- Prepared weekly and monthly reports outlining client cases assigned to each case manager.
- Uploaded, reviewed and tracked daily mail into case management system.
- Handled support tasks such as office supplies and meeting schedules to support senior case managers with workloads.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Education
Some College (No Degree) - Criminal Justice
Monmouth University
West Long Branch, NJSkills
- Sales and Market Development
- Market Trends Understanding
- Sales Presentations
- Report Writing Skills
- Territory Management
- Prospecting Skills
- Computer Skills
- Reliable and Trustworthy
- Administrative Skills
- Data Entry
- Inventory Management
- Microsoft Office
Certification
- Licensed Accident, Health and Life Insurance Producer - 2012-Present
Timeline
DMS Sales Agent
Humana
05.2022 - Current
Sales Agent
Primerica
02.2021 - 04.2022
Medicare Sales Executive
Horizon Blue Cross Blue Shield of NJ
09.2014 - 05.2019
Health Advisor
Horizon Blue Cross Blue Shield of NJ
02.2012 - 09.2014
Managed Care Coordinator
Horizon BCBSNJ
11.1996 - 02.2012
Some College (No Degree) - Criminal Justice
Monmouth University
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