ROBIN JOHNSON
Wyndmoor,PA
Summary
Dynamic professional with extensive experience at Aetna CVS Health, specializing in health insurance sales and customer service management. Expertise in data analytics and CRM platform management enhances client relationships and streamlines enrollment processes. Proven ability to ensure compliance and client satisfaction through tailored solutions.
Overview
19
19
years of professional experience
Work History
Care Management Liaison
Tapestry Health
10.2023 - Current
- Manage assigned care management facility accounts and resolve issues in coordination with operational teams.
- Lead onboarding of new facilities by collecting contact details, obtaining consent, and setting access requirements for stakeholders.
- Prepare and distribute reports proactively or upon request.
- Attend staff meetings, take notes, and publish meeting minutes.
Eligibility Consultant
Aetna – CVS Health
11.2018 - 10.2024
- Verified enrollment status and updated member/client records.
- Maintained eligibility databases and coordinated data transfers.
- Resolved complex enrollment issues by collaborating with clients, vendors, and internal partners.
- Served as liaison among clients, vendors, and IT to define business requirements for custom arrangements.
- Conducted system testing and validation to ensure seamless data flow across platforms.
- Ensured HIPAA compliance when handling sensitive member data.
- Coded policy and eligibility screens to support plan benefit activation and product releases.
- Interpreted online resources and developed account structure and benefit reference tools.
Underwriter Analyst Support
Aetna – CVS Health
10.2007 - 11.2018
- Created loan proposals and packages, and assessed financial statements for risk evaluation.
- Ensured data accuracy for underwriting applications.
- Conducted market research and due diligence in support of underwriting operations.
- Managed documentation and file systems via Microsoft SharePoint.
Sales Representative
The Hartford
03.2006 - 10.2007
- Promoted and sold Medicare health insurance plans to new and existing clients.
- Educated customers on plan benefits and assisted with the enrollment process.
- Maintained long-term client relationships through personalized service and follow-up.
- Conducted cost-benefit analyses and provided tailored insurance solutions.
Education
Bachelor of Science - Organizational Behavior / Applied Psychology
Albright College
Reading, PA06.2011
Skills
- Health insurance sales
- Customer service management
- Data entry and analytics
- Time management
- Microsoft Office Suite
- CRM platform management
Timeline
Care Management Liaison
Tapestry Health
10.2023 - Current
Eligibility Consultant
Aetna – CVS Health
11.2018 - 10.2024
Underwriter Analyst Support
Aetna – CVS Health
10.2007 - 11.2018
Sales Representative
The Hartford
03.2006 - 10.2007
Bachelor of Science - Organizational Behavior / Applied Psychology
Albright College
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