REGINA HOGAN
Sylvania,GA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Installation Administration Professional 2
Humana Insurance
04.2019 - 01.2024
- Establishes and manages relationships with internal and external clients
- Coordinates end to end process from the point of sale to members loaded in system, ID cards issued, claims opened for processing and certifications issued
- Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
Sales Advocate Specialist
Humana Insurance
05.2014 - 04.2019
- Manage all phases of the sales cycle—from prospecting to close and follow-up support
- Administer new business quoting process while validating information included in the RFQ/RFP for completeness and accuracy
- Manage implementation process, review enrollments spreadsheets for accuracy and completeness, obtain any missing documents, and review for accuracy
- Coordinate implementation as a single point of contact for Account Installation, Sales, and Client Management
- Engage with internal partners, including sales and underwriting through the process
- Interact with external partners (Brokers, Agencies, etc.) in securing required documents in a timely manner.
Account Advisor
Humana Insurance
11.2010 - 05.2014
- Represented a full line of insurance products, serving as a trusted advisor to businesses and individuals
- Gathered and analyzed key customer data to recommend best suited programs
- Assisted in the selection and management of new and renewal products
- Developed and managed Client and Broker relationships for growth and retention
- Facilitated enrollment meetings and responsible for employee education
- Broker education on all product lines
- Facilitated day-to-day resolution of escalated client issues
- Completed rigorous training opportunities and shared industry knowledge with team members.
Account Concierge Specialist
Humana Insurance
04.2009 - 11.2010
- Provided excellent customer service while negotiating the best possible contracts for clients
- Offered daily support to internal teams in effort to facilitate good client outcome
- Acted as a collaborator both internally and externally to resolve complex client situations
- Performed trend analysis of client inquires to identify opportunities for improvement and resolve global issues
- Attended training to stay abreast of new guidelines and industry trends.
Claims Research Analyst
Humana Insurance
03.2006 - 04.2009
- Reviewed and analyzed medical claims for correct adjudication
- Worked with internal department and external partners to resolve outstanding claims processing issues
- Met and exceeded production goals while maintaining quality metrics.
Customer Service Specialist
Humana Insurance
06.2005 - 03.2006
- Provided consultation and guidance to Humana members, partners and vendors about products and services
- Interpreted and understood benefit plans and guidelines
- Analyzed and identified root cause problems regarding data integrity
- Provided open enrollment support during high call volume periods
- Consistently met and exceeded call volume goals and expectations
- Training to stay abreast of new guidelines and industry trends.
Education
MBA in Business and Healthcare Administration -
South University
01.2013
Bachelor of Arts, Psychology -
Armstrong Atlantic State University
01.2000
Skills
- Friendly, Positive Attitude
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
- Attention to Detail
- Flexible and Adaptable
Executive Profile - Summary
Self-motivated, high energy professional with over 10 years of results-oriented client management administration and customer service skills that include excellent communication, presentation, and problem solving skills. Exceptionally well-organized, with a track record that demonstrates self- motivation, creativity, and initiative to attain organizational goals. Skilled at developing and maintaining longstanding professional relationships with existing and acquisition accounts to help build customer loyalty. Comprehensive knowledge of insurance products, services, and best practices.
Affiliations
Licensed Life and Health Agent
Key Qualifications
- Strategic Planning
- Business Analysis
- Policy Interpretation
- Client Retention
- Research/Root Cause Analysis
- Budgeting & Analysis
- Vendor Management
- Conflict Resolution
- Process Improvement
- Claims Resolution
Certification
- Licensed Life and Health Agent
- Notary for the State of Georgia
Timeline
Installation Administration Professional 2
Humana Insurance
04.2019 - 01.2024
Sales Advocate Specialist
Humana Insurance
05.2014 - 04.2019
Account Advisor
Humana Insurance
11.2010 - 05.2014
Account Concierge Specialist
Humana Insurance
04.2009 - 11.2010
Claims Research Analyst
Humana Insurance
03.2006 - 04.2009
Customer Service Specialist
Humana Insurance
06.2005 - 03.2006
MBA in Business and Healthcare Administration -
South University
Bachelor of Arts, Psychology -
Armstrong Atlantic State University
- Licensed Life and Health Agent
- Notary for the State of Georgia
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