Summary
Overview
Work History
Education
Skills
Certification
Timeline
Personal Information
Generic

Susan Pompey

Jacksonville,FL

Summary

Licensed insurance professional with over 29+ years of experience in customer service and public relations for leading insurance companies in the Jacksonville, FL area.

Overview

28
28
years of professional experience
1
1
Certification

Work History

Licensed Health Insurance Agent

Independent Health Broker
Jacksonville, FL
04.2017 - Current
  • Advised clients on selecting optimal health insurance plans to meet individual needs.
  • Facilitated enrollment processes for diverse health insurance products and services.
  • Educated clients on policy benefits, coverage options, and potential costs.
  • Analyzed client information to provide tailored recommendations for health insurance solutions.
  • Resolved customer inquiries and concerns promptly to ensure high satisfaction levels.
  • Developed relationships with insurers to enhance product offerings and client options.
  • Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
  • Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
  • Educated prospective clients on the benefits of various health insurance options, effectively matching them with suitable plans that met their unique needs.
  • Handled escalated customer concerns promptly and professionally, resolving issues to the client''s satisfaction.
  • Maintained accurate records of all client interactions and transactions, ensuring compliance with industry regulations and company policies.
  • Negotiated favorable terms with insurance carriers on behalf of clients, securing optimal coverage at competitive rates.
  • Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
  • Enhanced customer retention through effective relationship-building and follow-up strategies.
  • Led informational seminars about health insurance products for prospective clients and community organizations to increase brand visibility and generate leads.
  • Developed sales leads from direct referrals, networking and targeted marketing campaigns.
  • Educated clients on insurance policies and procedures.
  • Negotiated contracts and terms of sale with potential customers.

Sr. Marketing Outreach Specialist

Well care Health Plans, Inc.
Jacksonville, FL
07.2011 - 10.2016
  • Ordered, maintained, received, kept inventory and delivered supplies to all designated areas/locations.
  • Assisted leadership with internal projects which include promoting and analyzing all marketing opportunities
  • Organized and developed successful marketing enrollment events.
  • Ensured all member issues are documented and communicated clearly for issue resolution.
  • Participated in strategy meetings as necessary and made recommendations regarding WellCare and Harmony projects.
  • Aided in preparation of all marketing and education events, activities and all presentations to eligible candidates, community partners and provider partners.
  • Developed and maintained relationships within the business and community organizations.
  • Supported Management in mentoring and training current and new Marketing Outreach Specialist.
  • Thoroughly and accurately documented all program activities regarding the effectiveness of the programs.

Account Executive

FL BlueCross
Jacksonville, FL
03.2009 - 01.2010
  • Resolved group enrollment, maintenance and billing issues.
  • Provided guidance or expertise to less experienced representatives.
  • Established and maintained business relationships with groups administrators/ decision makers on assigned group of various sizes.
  • Ensured compliance with federal and state laws with group contracts
  • Invoiced and reconciled premium income in a timely manner to minimize financial risk to ensure corporate/departmental goals are achieved.
  • Served as a contact liaison for internal and external to resolved group issues which may require supervised visits to group locations.
  • Managed large volumes of work in a timely manner.

Office Manager

Southside Counseling
Jacksonville, FL
03.2008 - 03.2009
  • Managed and coordinated all day to day operations of counseling center.
  • Assisted Mental Health Counselors with new intakes.
  • Researched and prepared all legal forms, letters, and subpoena requested documents
  • Processed all claims, medical billing, and investigated all errors on accounts payable.

Provider Relations Manager

MD Medicare Choice
Jacksonville, FL
09.2007 - 02.2008
  • Coordinated and assisted with finalizing provider contracts with specific contractual, reimbursement and time requirements.
  • Administered all day to day aspects of an in-house health plan.
  • Conducted provider education in accordance with the relevant requirements of each plan.

Customer Relations Supervisor

JaxCare
Jacksonville, FL
01.2006 - 08.2007
  • Maintained good customer relations with employers regarding health care issues and services offered by JaxCare.
  • Interviewed program applicants to determine eligibility for JaxCare program.
  • Conducted orientation meeting with new enrollees to explain health care services available through JaxCare.
  • Accurately completed all documentation for enrollment in a timely manner.

Marketing Representative

Quality Health Plans
Jacksonville, FL
07.2005 - 02.2006
  • Scheduled and conducted seminars for Medicare recipients.
  • Presented benefits to prospective members via in-home visits, represent company at public events.
  • Provided assistance to existing members, assisted management with special projects as needed.
  • Played a vital role in building and maintaining public image through daily customer interactions.

Community Relations Manager

Preferred One/Wellcare(CT)
New Haven, CT
04.2004 - 06.2005
  • Organized and developed marketing sites throughout the state of Connecticut for over 25 licensed insurance agents.
  • Produced and updated marketing schedule and event calendar.
  • Processed funding and sponsorships for upcoming events
  • Performed daily and weekly presentations for potential marketing organizations.
  • Completed weekly and monthly sales report.
  • Served as a liaison between Preferred One and the public sector.

Licensed Sales Agent

WellCare
Jacksonville, FL
03.2001 - 04.2004
  • Enrolled eligible clients into private insurance carrier.
  • Explained medical benefits to current members.
  • Provided services to participating local medical network.
  • Weekly presentations to state mandated applicants.
  • Worked health fairs and events for customer assistance and potential member enrollment.

Marketing Coordinator

Humana Inc.
Jacksonville, FL
12.1997 - 03.2001
  • Processed agents’ enrollment applications.
  • Assignment of physicians to monthly mandate list.
  • Ordered supply giveaways.
  • Maintained enrollment log for AFDC.
  • Distributed lead information to sales agents.
  • Computed monthly commissions & weekly submission reports.
  • Updated marketing literature.
  • Composed minutes for Monthly Staff meeting.

Resolution Dept Supervisor

Humana Inc.
Jacksonville, FL
12.1997 - 03.2001
  • Supervised a team of Resolution specialists.
  • Collected & distributed complaint forms to specialists for completion.
  • Maintained document log for follow up and quality assurance.
  • Produced weekly reports on individual & group’s performances.

Resolution Specialist

Humana Inc.
Jacksonville, FL
12.1997 - 03.2001
  • Handled all escalated problems requiring additional extensive research.
  • Assisted Customer Service with any overflow calls.
  • Resolved correspondence issues sent in by members.

Education

Some College (No Degree) - Insurance

FL Community College of Jacksonville & Columbia College
Jacksonville

Skills

  • Proficient with Microsoft Word, PowerPoint, Access, Excel, Outlook, Siebel, Bluesenroll, AEMT, Cirts, EVT, Diamond , TSO, RBMS, PRIME, Convergence, BlueBiz, PMAT, VPI, WeQ, AUT, OPS reporting, EIP, METL, Legacy, and Special Exception tools
  • Strong interpersonal and communication skills and great technical ability
  • Able to perform in a multifunctional environment
  • Strong customer service experience
  • Proven Accounts Receivable and payable experience
  • Detail oriented and excellent multi-tasking ability

Certification

Licensed Health Insurance Agent

Timeline

Licensed Health Insurance Agent

Independent Health Broker
04.2017 - Current

Sr. Marketing Outreach Specialist

Well care Health Plans, Inc.
07.2011 - 10.2016

Account Executive

FL BlueCross
03.2009 - 01.2010

Office Manager

Southside Counseling
03.2008 - 03.2009

Provider Relations Manager

MD Medicare Choice
09.2007 - 02.2008

Customer Relations Supervisor

JaxCare
01.2006 - 08.2007

Marketing Representative

Quality Health Plans
07.2005 - 02.2006

Community Relations Manager

Preferred One/Wellcare(CT)
04.2004 - 06.2005

Licensed Sales Agent

WellCare
03.2001 - 04.2004

Marketing Coordinator

Humana Inc.
12.1997 - 03.2001

Resolution Dept Supervisor

Humana Inc.
12.1997 - 03.2001

Resolution Specialist

Humana Inc.
12.1997 - 03.2001

Some College (No Degree) - Insurance

FL Community College of Jacksonville & Columbia College

Personal Information

Title: Licensed Health Insurance Agent
Susan Pompey