Taylor Smith
Cockeysville,MD
Summary
Highly motivated individual with experience in the insurance sector. Proven record of success in meeting sales targets, managing customer relations and providing exceptional customer service. Skilled in using technology to streamline operations and develop innovative strategies to increase sales. Looking to leverage extensive knowledge and experience to generate a positive impact in a new role.
Personable and dedicated customer service representative with extensive experience in industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Overview
11
11
years of professional experience
Work History
Enrollment Specialist
Aetna
Linthicum, US
02.2020 - 12.2025
- Processed open enrollment applications, reviewed eligibility requirements, verified information accuracy and communicated discrepancies to customers
- Maintained up-to-date records of all employee benefit enrollments, changes and terminations
- Used SharePoint for send out the information or ID card to the member
- Investigated and resolved employee benefit issues and complaints
- Responded to benefit inquiries from employees on plan provisions, benefits enrollments and status changes
- Provided assistance with open enrollment processes and answered questions regarding eligibility requirements
- Assisted employees in completing forms, providing general responses to benefits inquiries
- Used Facets to enter patient information
- Managed the annual renewal process by evaluating existing plans against new offerings from carrier
- Assisted in the development of enrollment strategies, resulting in higher conversion rates and overall growth
- Enhanced team productivity through effective time management and prioritization techniques during peak
Credentialing Specialist
Carefirst
Columbia, US
06.2015 - 01.2020
- Generated leads through cold-calling, networking and other outreach methods
- Assisted with credentialing applications for new providers, ensuring all required documents were submitted and in compliance with guidelines
- Verified validity of licenses and certificates to meet regulations
- Conducted detailed research to verify provider credentials
- Collaborated closely with healthcare administrators on credentialing matters while adhering to established protocols
- Verified training certificates, licenses and other qualifications against internal standards and external requirements
- Obtained appropriate documents from various resources to complete applications
- Utilized electronic databases to obtain information regarding licensing, education, and certifications
- Analyzed verification data from various sources such as state boards, national organizations, and hospitals
- Coordinated the renewal process for existing providers' credentials on a timely basis
Education
Completed coursework towards HSD -
New Town High School
Owings Mills, MDSkills
- Reporting and Analytics
- Account Management
- Attention to Detail
- Insurance Coverage Verification
- Multitasking
- CRM Software
- Insurance Eligibility
- Enrollment verification
- HIPAA compliance
Timeline
Enrollment Specialist
Aetna
02.2020 - 12.2025
Credentialing Specialist
Carefirst
06.2015 - 01.2020
Completed coursework towards HSD -
New Town High School