Dawn Marie Arzu
Louisville,KY
Summary
To obtain a position that will enable me to utilize strong organizational skills, educational background, and ability to work well with people to excel in the health insurance industry. Knowledgeable Account Manager with proven background in consulting, delivering strategic insights and effective solutions to clients. Successfully led multiple projects, enhancing operational efficiency and driving business growth. Demonstrated expertise in problem-solving and client relationship management. Professional consultant with track record of providing valuable insights and strategic solutions to diverse clients. Adept at leveraging analytical skills and industry knowledge to drive impactful outcomes. Known for fostering team collaboration and adapting to dynamic environments, ensuring project success and client satisfaction.
Overview
19
19
years of professional experience
Work History
IA Relationship Consultant
ADP
05.2024 - Current
- Manage 300+ small group clients in all aspects of Health and Wellness benefits
- Quote benefits at renewal and implement plan change if necessary
- Educate employees on health and benefits package
- Upsell ancillary lines of coverage and offer all ADP products not currently implemented
- Provide excellent customer service to all clients via phone, email, webex and bookings
- Translation work as needed (written and verbal)
- Prompt, efficient and amicable case resolution with 24 hour turn around response time
- Update EASE system and all deductions at renewal
Mid Market Account Manager II
BB&T Insurance Services/McGriff Insurance Services
01.2015 - 05.2024
- Educate members on health insurance benefits and provide over the phone or face to face consultation
- Facilitate the quoting process of all renewals for Group Medical and Ancillary Policies
- Upsell Ancillary if group does not currently provide those benefits
- Handle all high level claims, billing inquiries and customer service issues and provide resolution
- Perform Open Enrollment meetings at client sites as needed
- One on one employee enrollment via online enrollment portal
- Translate benefit booklets from English to Spanish
- Open Enrollment meetings in Spanish (as needed)
- Assist in renewal and quoting process for all mid-sized groups
- Respond back to all client inquiries and concerns within 24 hours
- Assist with online tools, navigation and employer education
- Provide monthly legislative and essential healthcare updates to all clients
- Assist clients with setting up online enrollment systems, COBRA Services and online enrollment tool as needed
Account Manager
RH Clarkson Financial
07.2015 - 12.2015
- Trained and Certified Agent with the Kentucky Healthcare Connection (KYNECT)
- Enroll members in Healthcare Reform Plans and assist in all customer service matters after enrollment
- Assist members in renewal of all KYNECT Policies
- Educate members on health insurance benefits and provide over the phone or face to face consultation
- Facilitate the shopping of all renewals for Group Medical and Ancillary Policies
- Work closely with clients on day to day resolution of claims, billing and enrollment and all aspects of employee benefits
- Aid in wellness fairs (setting up and engaging employee participation in company's wellness program)
- Meeting with Company Human Resources to come up with Health and Wellness program that will fit company's needs
- Manage customer service and renewals for clients (2-150 members enrolled)
- Compile new hire enrollment packets and distribute to client locations
- Conduct employee enrollment and renewal meetings and answer related benefits, claims, billing and enrollment questions and assist with enrollment during open enrollment
- Inform clients of wellness programs and assist in enrollment process
- Send out Health Care Reform changes and educational pieces to all clients
- Periodic client visits to ensure client satisfaction of group benefits
- Assist HR Manager in all day to day employee benefit operations such as: order i.d
- Cards, resolve unpaid claims
- Facilitate appeals process, provider and dentist search, enroll and terminate employees on Insurance Carrier websites
Large Group Benefits Consultant
Strategic Employee Benefit Services
05.2008 - 03.2011
- Manage all group renewals and customer service for 100+ clients
- Facilitate all enrollment and employee meetings for client's renewals to discuss and explain benefits
- Reconcile bills to ensure accurate installation of new business
- Travel to client site to discuss annual group renewals for Health and ancillary products
- Provide employers with MEDICARE related paperwork to ensure compliance with Centers for Medicare Services (CMS)
- Claims processing, adjudication assistance and escalated claims procedure and resolution
- First point of contact for any group benefit issues, question or concerns that need to be addressed
Account Manager
Sterling G Thompson Co
03.2006 - 05.2008
- Handle group health renewals and sales of life, health and ancillary products
- Work solely with over 50 large and small groups and individual members in all aspects of life and health insurance
- Provide service to employees in life, dental, vision, and disability benefits
- Handled renewal and group benefits for Sterling Thompson Co
- Ensure client knowledge, understanding and comfort with medical and other health related plans
- Provide Customer support to clients' life, medical, dental, retirement and disability products
Education
B.A. - English, Minor in Education
SPALDING UNIVERSITY
01.2003
Associates - Business Administration
ST. JOHN'S JR COLLEGE
01.1999
Skills
- Licensed Life and Health Insurance Agent
- Proficient in Microsoft Office Products
- Written Spanish Translation
- Problem-Solving
- Attention to Detail
- Client Relationships
Professionalreferences
Available upon request
Skillsandcertificates
- Licensed Life and Health Insurance Agent in Kentucky and Indiana
- Certificate of Achievement in KYNECT 2016 Certification
- Proficient in all Microsoft Office Products
- Girl Scout Volunteer
- Written Spanish Translation
Affiliations
- Adelante Hispanic Team member
- IDEB - Inclusion and Diversity Chair
Inclusion, Diversity and Equity Chair
Fostering and promoting the retention of a Diverse workforce
Languages
Spanish
Professional Working
Timeline
IA Relationship Consultant
ADP
05.2024 - Current
Account Manager
RH Clarkson Financial
07.2015 - 12.2015
Mid Market Account Manager II
BB&T Insurance Services/McGriff Insurance Services
01.2015 - 05.2024
Large Group Benefits Consultant
Strategic Employee Benefit Services
05.2008 - 03.2011
Account Manager
Sterling G Thompson Co
03.2006 - 05.2008
Associates - Business Administration
ST. JOHN'S JR COLLEGE
B.A. - English, Minor in Education
SPALDING UNIVERSITY
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