Stephanie Fernandes
Tampa,FL
Summary
Insurance professional with a proven track record in claims and customer account management, notably with Health Plan Services. Expert in insurance products, policy interpretation, demonstrating initiative and self-direction in fast-paced environments, showcasing strong interpersonal skills. Achieved improvements in client engagement and claim handling through effective coordination and negotiation. Committed to continuous professional development and leveraging expertise in insurance products for optimal client service.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Independent Contractor
Tampa, FL
11.2020 - Current
- Identified and obtained evidence to ascertain claim value.
- Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
- Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
- Communicated effectively with policyholders, providing updates and explaining claim processes.
Direct Marketing Sales Representative
Humana
Tampa, FL
07.2016 - 11.2020
- Implemented marketing plans for new and renewal Medicare enrollments in Medicare Advantage, Medicare Supplements, Dental and Vision.
- Utilized CRM software tools to track sales progress throughout the process.
- Ensured full completion, accuracy, and compliance of proposals and submissions with company standards.
- Coordinated business logs with management via agency systems.
- Facilitated ongoing client engagement through various channels, such as calls and seminars.
- Educated and informed clients on policy coverage, changes, and exclusions.
- Worked within a fast-paced, changing-priority environment.
Customer Account Management Specialist
Health Plan Services
Tampa, `FL
01.2012 - 07.2016
- Facilitated new and existing client service needs and modifications as needed, while fulfilling marketing duties.
- Ensured precision in client details while handling applications for ACA, individual, group, dental, vision, accident, and life insurance.
- Verified requested coverage rates and premiums for both new and renewal accounts.
- Cultivated strong partnerships with established companies and organizations.
- Verified accuracy of new and renewal policies, endorsements, audits in rating, typing, coverage, signatures.
- Managed weekly records of new business activities including quotes, applications and policy documentation.
- Consistently participated in professional development programs.
Admissions Counselor
University Of Phoenix
Tampa, FL
08.2005 - 12.2011
- Assisted with recruitment efforts by interviewing potential candidates and providing input on hiring decisions.
- Held weekly staff meetings to review project updates, discuss issues, and brainstorm solutions.
- Resolved customer complaints in an effective manner while maintaining a high level of customer service.
- Managed a caseload of prospective students, providing personalized advice and guidance through the admissions process.
- Gathered comprehensive information from clients regarding their prior employment, educational achievements, and professional objectives.
Medical and Public Health Administrator
US Air Force
Colorado Springs, CO
08.2005 - 12.2011
- Maintained records related to patient treatments and billing information.
- Assessed staffing needs to determine appropriate allocations of resources.
- Ensured that all documentation was accurate, up-to-date, and compliant with relevant regulations.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Facilitated communication between medical staff, administrators, and support personnel.
- Maintained records management system to process personnel information and produce reports.
Education
Bachelor of Arts - Criminology
University of South Florida
Tampa, FL05-2015
Skills
- Effective Communication Across Levels
- Strong Interpersonal Skills
- Ability to Work in Fast-Paced, Team Environment
- Understanding of Insurance Products, Policy, Coverages and Ability to Interpret Information
- Punctual and Self Motivated
- Initiative to Prioritize Duties and Self-Direction
Certification
- Life, Health and Annuities License (215)
- All Lines Adjuster License (620)
Timeline
Claims Adjuster
Independent Contractor
11.2020 - Current
Direct Marketing Sales Representative
Humana
07.2016 - 11.2020
Customer Account Management Specialist
Health Plan Services
01.2012 - 07.2016
Admissions Counselor
University Of Phoenix
08.2005 - 12.2011
Medical and Public Health Administrator
US Air Force
08.2005 - 12.2011
Bachelor of Arts - Criminology
University of South Florida
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