Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tionna Prince

Greenville,SC

Summary

Seeking to leverage skills in a challenging role that promotes personal and organizational growth. Committed to delivering impactful contributions that drive success and enhance team performance. Passionate about continuous learning and development, with a strong desire to create a positive impact.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Case Management Associate

Calculated Hire
02.2025 - 04.2025
  • Oversee the entire new business process for assigned relationships and incoming business. This involves interacting with various internal teams and key partner (TPA) offices.
  • Communicate daily with wholesalers, TPA, and broker offices on new business cases.
  • Ensure state variations and additional documents, such as 1035 Exchange paperwork, are included.
  • Verify agent licensing and appointments. Coordinate with the TPA/broker and Licensing team if licensing is incomplete.
  • Work with the pricing actuary to validate pricing for each case, ensuring all paperwork aligns with assumptions.
  • Coordinate with the Illustration team to finalize illustrations.
  • Review census data against consents, face amounts, premiums, birthdays, social security numbers, fund selection, and smoker status. Verify amounts are within limits or obtain necessary exceptions.
  • Monitored and recorded clients' progress to ensure that goals and objectives were met.
  • Implemented best practices in case documentation for improved accuracy and compliance.
  • Facilitated communication between clients, providers, and community resources to enhance support networks.

Retirement Case Administrator

Verizon
08.2023 - 12.2024
  • Consultation on initial plan design
  • Preparation of Summary Plan description for participants and beneficiaries
  • Approval of transactions (loans, distributions, etc.)
  • Monitoring compliance with plan rules and federal obligations
  • Audit Support
  • Compliance filing (Form 5500, Safe Harbor notices, Form 1099-R, 401k and 454)
  • Generation of annual participant census
  • Day-to-day employee communication
  • Assisted clients with applications for various services and benefits.
  • Provided support to other team members as needed when working on complex cases.

Insurance Processing Advisor II

Aetna
02.2023 - 06.2023
  • Maintaining up-to-date knowledge of competitive marketplace key competitors at client
  • Make changes in coverages ( Medicaid and Medicare)
  • Accurately process quote and sale information in the system
  • Responsible for the accurate and timely processing of claims
  • Researches and processes claims according to business needs, internal standards, and processing guidelines
  • Verifies the coding of procedure and diagnosis (CPT) codes
  • Performed administrative tasks such as data entry, filing paperwork, and preparing correspondence.
  • Collaborated with other advisors within the team to share knowledge and best practices.
  • Adjustments to appropriate claims procedure (Processing policies, grievance procedures, state mandates and CMS.)

Front Desk Receptionist

Sandhills Pediatrics
06.2022 - 02.2023
  • Assisting patients with check-in/check-out, scheduling appointments, and insurance check
  • Manage incoming phone calls (Inbound and outbound calls), emails, and messages
  • Monitor stock and supplies at a healthcare facility
  • Processing referrals
  • Collected, verified, and documented patient information, including but limited to demographics and validation of identity
  • Collect signatures on documents such as HIPAA privacy statements, consent forms, authorization for treatment, and release of information
  • Collects and processes visit charges, co-pays, deductibles, previous cash balances, and notices of overdue payments at the time of the visit
  • Managed incoming calls, directing them to appropriate staff members or taking detailed messages as necessary.
  • Demonstrated excellent customer service skills by responding to inquiries and resolving complaints promptly and courteously.

Captioning Assistant

Captel/Communication Service for the Deaf (CSD)
02.2021 - 04.2022
  • Assist the deaf and hard to hear
  • Speak to pronounce and enunciate complex words/sentence structure
  • Read text aloud from a computer and listen to spoken word and transcribe to text on a computer
  • Make content accessible to audiences with sensory disabilities on behalf of customers, providing both live and offline captions for a wide variety over a digital telephone
  • Edited transcripts for grammar, punctuation errors as well as formatting issues prior to delivery.
  • Proofread transcripts for correct spelling of words.

Education

Associate in Science - Science

Midlands Technical College
Columbia, SC
05.2022

High School Diploma -

Spring Valley High School
Columbia, SC
05.2019

Skills

  • Computer Proficient
  • Google Docs
  • IOS
  • Support
  • Time Management
  • Leadership
  • Problem Solving
  • Active Listening
  • Claims Processing
  • HIPAA Knowledge
  • Medical Terminology
  • Appointment Scheduling
  • EMR
  • Childcare
  • Food Safety
  • Self Motivation
  • Microsoft Office
  • Windows Operating Systems
  • Customer Service
  • Communication
  • Ethics
  • Teamwork
  • Decision-making
  • Patience
  • First aid/CPR
  • Professionalism
  • Document Review
  • EHR
  • ICD-10
  • Retirement Case Management
  • Culinary Arts
  • Food Preparation
  • Adaptability

Certification

  • CPR Certified, 2018-04-01, 2024-04-01
  • ServSafe Food Handler (ANSI Accredited) Certificate, 2019-05-01, 2024-05-01
  • Home Health Aid Certificate, 2019-08-01, 2024-08-01

Timeline

Case Management Associate

Calculated Hire
02.2025 - 04.2025

Retirement Case Administrator

Verizon
08.2023 - 12.2024

Insurance Processing Advisor II

Aetna
02.2023 - 06.2023

Front Desk Receptionist

Sandhills Pediatrics
06.2022 - 02.2023

Captioning Assistant

Captel/Communication Service for the Deaf (CSD)
02.2021 - 04.2022

Associate in Science - Science

Midlands Technical College

High School Diploma -

Spring Valley High School

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Tionna Prince