Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
GeneralManager

Princess Evans

Kansas City,MO

Summary

I’ve excelled as a Health Insurance Programs Representative, leveraging strong analytical skills and exceptional customer service to enhance patient satisfaction and streamline insurance application processes. My expertise in policy analysis and dedication to teamwork significantly improved client decision-making and operational efficiency, showcasing a proven track record in navigating complex healthcare systems. Experienced with managing health insurance programs and resolving client inquiries. Utilizes strong communication and problem-solving skills to ensure client satisfaction. Knowledge of policy details and claims processes, ensuring efficient and accurate service delivery.

Overview

8
8
years of professional experience

Work History

Health Insurance Programs Representative 1

Maximus
09.2024 - 01.2025
  • Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
  • Rescan and reviewing application data and cross-referencing with policy guidelines.
  • Enhanced patient satisfaction by efficiently processing health insurance applications and addressing inquiries.
  • Managed high volume of applications accurately, maintaining strict adherence to deadlines and regulatory requirements.
  • Conducted information sessions on various health insurance options, empowering clients to make informed choices about their coverage needs.
  • Resolved client concerns promptly, fostering a positive experience with the health insurance program.
  • Assisted clients in navigating complex healthcare system, clarifying policies and processes for informed decisionmaking.
  • Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
  • This job was a contract open season position

Customer Service Representative

Evolent Health
10.2020 - 07.2024
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.

Data Entry Clerk

Internal Revenue Service, IRS
04.2017 - 06.2022
  • Completed data entry tasks with accuracy and efficiency.
  • Followed established procedures to enter and process data correctly.
  • Organized, sorted, and checked input data against original documents.
  • Scanned documents and saved in database to keep records of essential organizational information.

Education

Nurse Assistant - Medical

Job Corp
Kansas City, MO
06.2013

Skills

  • Effective problem solving
  • Claims processing
  • Strong analytical skills
  • Policy interpretation
  • Insurance regulations
  • In-depth industry awareness
  • Policy analysis
  • Health insurance
  • Negotiation
  • Teamwork
  • Teamwork and collaboration
  • Customer service
  • Attention to detail
  • Multitasking
  • Call center customer service

Accomplishments

  • Achieved Result by completing Task with accuracy and efficiency.
  • Supervised team of Number staff members.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Customer Relations - Earned highest marks for customer satisfaction, company-wide.
  • Telephone Service - Professionally processed 80+ calls per day, providing information and service to ensure customer satisfaction.

Timeline

Health Insurance Programs Representative 1

Maximus
09.2024 - 01.2025

Customer Service Representative

Evolent Health
10.2020 - 07.2024

Data Entry Clerk

Internal Revenue Service, IRS
04.2017 - 06.2022

Nurse Assistant - Medical

Job Corp
Princess Evans