Summary
Overview
Work History
Education
Skills
References
Certification
Timeline
Generic

Tiffinie Nieves

Davenport

Summary

Successful and seasoned producer with expertise in providing a wide range of high-quality insurance solutions. Possesses deep knowledge of insurance industry with extensive experience assessing customer risk and providing tailored solutions to meet needs. Adept at building trust with clients, providing guidance and financial advice, and delivering outstanding service.

Overview

20
20
years of professional experience
1
1
Certification

Work History

220 Insurance Agent - General Lines

Clark & Bell Insurance Agency
10.2015 - Current
  • Build and solidify relationships with clients
  • Address client needs
  • Resolution of policy issues.
  • Successfully acquire new business revenue from new and existing clients.
  • Actively pursue prospects
  • Telephone calls and accepting visit requests.
  • Examination of documents application, Inspection reports, Flood maps & Zone Determination,
  • Work with Underwriters, insuring that all required information is obtained, proper applications are completed, quotes and binders are confirmed in writing, policies are issued promptly and accurately, state filings (where applicable) are made, and taxes paid in accordance with appropriate state laws.
  • Work with Underwriter when reviewing risks submitted by Producers, rate submissions for premium and terms, issue written binders.
  • Review indications, quotes, binders, submissions and policies for completeness and high degree of accuracy.
  • Careful review of each risk
  • Adherence to company underwriting guidelines.
  • Developed and maintained successful relationships with vendors, suppliers and contractors.
  • Coordinated special projects and managed special schedules

Insurance Operations Specialist

Oscar Health Insurance
12.2021 - 12.2023
  • Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services


  • Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations


  • Authorize claim payments within established limits; otherwise forward to LV3 ops


  • Potentially process refunds appeals, disputes and adjustments (when applicable);


  • Identify process improvement opportunities within the claim department and recommend system enhancements


  • Handles any additional responsibility which may be assigned

440- Licensed Insurance Commercial CSR

Northeast Insurance Center
01.2013 - 06.2015
  • Sales & Retention Commercial Insurance Remote & office location
  • Commercial CSR - Specialty Lines Sales: Specialty Market Insurance products
  • Highly competitive Marketing Amusement industry in all 50 States, 100% Virtual via Phone, internet, Cloud
  • Brokering business; Customize Insurance packages to accommodate individual clients
  • Verified coverage to state Departments to ensure customers' ability to operate business
  • Issued Certificates; Finance Agreements Interview prospective and current clients to obtain data regarding their financial needs and resources
  • Developed new clientele by networking and generated lists of prospective clients
  • Consistently Exceeded Sales Goals

440 - Insurance CSR

Nationwide Insurance - David Anthony Insurance Agency
08.2007 - 01.2013
  • Promoted client retention through high-quality service and follow through
  • Presented account proposals in a professional and timely manner
  • Finalized and maintained all types of personal lines insurance policies
  • Pursued continuing education and training programs to continue professional development
  • Promoted agency products to customers in via telephone in person and in writing
  • Promoted company as superior provider committed to customer needs and satisfaction
  • Determined financial needs by assessing existing coverage and aligning new products and services with long term goals
  • Built relationships with clients to provide excellent service.

440- Insurance CSR

Clark & Bell Insurance Agency
09.2003 - 09.2007
  • Present and sell insurance policies to new and existing clients
  • Develop and calculate suitable plans based on clients' needs
  • Resolve client inquiries and complaints
  • Expand business reach through networking techniques
  • Comply with insurance standards and regulations
  • Track and identify areas of improvement

Education

Bachelor of Arts - BUSINESS ADMINISTRATION

RASSMUSSEN COLLEGE
FORT MYERS, FL
06.2014

Associate of Arts - ACCOUNTING

INTERNATIONAL COLLEGE
FORT MYERS, FL
05.2003

High School Diploma -

Lehigh Senior High School
LEHIGH ACRES, FL
06.2002

Skills

  • Account Reconciliations
  • Client Retention
  • Client Relations
  • Revenue Generation
  • Product Knowledge
  • Risk Assessment
  • Adaptability and Flexibility
  • Analytical Thinking
  • Operations Management
  • New Client Acquisitions

References

  • Letter of recommendation
  • Professional References Available upon request

Certification

  • 0220 LICENSED - GENERAL LINES (PROP & CAS)
  • 0215 LICENSED - LIFE INCL VAR ANNUITY & HEALTH
  • NOTARY PUBLIC (BONDED)

Timeline

Insurance Operations Specialist

Oscar Health Insurance
12.2021 - 12.2023

220 Insurance Agent - General Lines

Clark & Bell Insurance Agency
10.2015 - Current

440- Licensed Insurance Commercial CSR

Northeast Insurance Center
01.2013 - 06.2015

440 - Insurance CSR

Nationwide Insurance - David Anthony Insurance Agency
08.2007 - 01.2013

440- Insurance CSR

Clark & Bell Insurance Agency
09.2003 - 09.2007

Bachelor of Arts - BUSINESS ADMINISTRATION

RASSMUSSEN COLLEGE

Associate of Arts - ACCOUNTING

INTERNATIONAL COLLEGE

High School Diploma -

Lehigh Senior High School
Tiffinie Nieves