Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tushema Foulks

Miramar

Summary

  • Dynamic and results-driven insurance professional with over 10 years of experience in healthcare insurance sales and customer service. Proven track record of success in high-pressure environments, with a focus on delivering exceptional customer experiences and driving sales growth. Adept at managing high call volumes and utilizing multiple computer applications simultaneously while maintaining attention to detail. Committed to resolving member inquiries with empathy and compassion, ensuring a seamless enrollment experience.
  • Florida Licensed Health Insurance Agent (2-40): Expertise in guiding clients through the complexities of health insurance options, assessing individual needs, and recommending suitable plans. Skilled in explaining different plans and eligibility criteria, ensuring clients receive coverage that aligns with their budget and lifestyle. Proficient in maintaining compliance with CMS guidelines and remaining up-to-date on changes in the health insurance landscape.

Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.

Overview

16
16
years of professional experience

Work History

Medicare Enrollment Specialist

Aetna, a CVS Health Company
09.2022 - Current
  • Successfully handled high call volumes during the Annual Enrollment Period (AEP), completing over 150 Medicare enrollment applications, establishing myself as a top agent.
  • Reviewed clients' healthcare plans and assessed their needs, providing tailored recommendations for supplemental insurance options, including prescription drug, vision, and dental policies.
  • Demonstrated exceptional multitasking abilities by utilizing multiple computer applications simultaneously within a production-based environment, ensuring accuracy and efficiency.
  • Resolved issues and inquiries from members with empathy, fostering strong relationships and enhancing overall customer satisfaction.

Senior Medicare Sales Representative

GoHealth
04.2022 - 08.2022
  • Assisted Medicare-eligible seniors with health plan enrollments, expertly guiding them through the process with a consultative sales approach.
  • Managed high volumes of inbound and outbound calls, connecting individuals with suitable Medicare products tailored to their specific needs.
  • Ensured compliance with all regulations while achieving 100% customer happiness through effective sales closure.

Licensed Insurance Agent & Broker

Independence Blue Cross
07.2020 - 04.2022
  • Sold Individual Health and Dental insurance policies to new and existing clients, identifying additional needs to optimize product offerings.
  • Utilized active listening skills to address member inquiries compassionately, ensuring a positive customer service experience.
  • Followed up diligently with prospects to process sales and renewals, resulting in a significant increase in client retention.

Licensed Telesales Agent - Medicare

E-Telequote Insurance
Fort Lauderdale
02.2019 - 07.2020
  • Conducted thorough interviews with prospective clients to evaluate their existing Medicare policies and provide optimal coverage recommendations.
  • Developed meaningful relationships with clients, consistently exceeding production expectations and enhancing overall sales performance by over 20%.
  • Addressed customer service needs efficiently, ensuring a seamless experience throughout the enrollment process.

Licensed Insurance Agent & Broker, Direct Sales

Florida Blue
Doral
08.2018 - 01.2019
  • Sold Individual and Medicare Health and Dental insurance policies, while processing applications both off-market and on the marketplace.
  • Provided exceptional customer service and adhered to insurance standards and regulations, ensuring compliance and accuracy.

MEDICAL BILLING/COLLECTIONS SPECIALIST (REMOTE)

CONIFER HEALTH SOLUTIONS (ARISE)
04.2017 - 02.2018
  • Resolved client billing issues and reduced accounts receivable delinquency through effective customer service and timely follow-up on payment arrangements.
  • Ensured accurate entry of demographic, billing, and clinical information to maintain data integrity.

Patient Care Representative

Univita Healthcare
Miramar
07.2012 - 05.2015
  • Verified insurance eligibility for a range of services, coordinating authorizations and resolving customer concerns with a focus on patient satisfaction.

Vacation Planner/Sales

Norwegian Cruise Line
Miami
03.2010 - 11.2012
  • Initiated conversations through calls, texts and approved communication channels to drive sales, acting on leads and/or prospects.
  • Present cruise products and make travel recommendations.
  • Establish and maintain customer relationships by delivering excellent customer service, meeting customer needs and expectations to meet/exceed sales goals.
  • Maintain the Customer Relationship Management (CRM) database and build relationships with new/existing guests in order to close sales.

Intake Coordinator/Customer Service

U.S. Medical Supply
Doral
01.2012 - 06.2012
  • Managed the initial setup for new customer sales and ensured compliance with patient eligibility and authorization processes.
  • Developed new business and new accounts with a strong customer service background.

Customer Service Benefits Specialist

ADP TotalSource
Miami
02.2009 - 07.2009
  • Assisted members with HR-related inquiries, providing accurate information regarding medical, vision, and dental insurance.
  • Provided customer service and advocates for the benefit participant to resolve complex claim, eligibility and coverage issues.
  • Act as a facilitator between the employee/participant and health, welfare, retirement and voluntary program vendors.
  • Provided assistance to employees trying to enroll online in benefits programs.
  • Served as a resource for internal and external HR partners and employees to insure benefits matters in a Reduction in Force situation are understood and executed properly.

Education

Bachelor of Science - Business Administration, Marketing

Florida International University
07-2029

Skills

  • Sales techniques
  • Customer relationship management
  • Problem solving
  • Healthcare industry
  • Medicare
  • Objection handling
  • Cross-selling proficiency
  • Up-selling techniques
  • Eligibility determination
  • Enrollment processing
  • Excellent communication
  • Organizational skills
  • Telephone etiquette
  • Task prioritization
  • Interpersonal skills
  • Research skills
  • Professional demeanor
  • Needs assessment
  • Teamwork and collaboration
  • Goal setting
  • Continuous improvement
  • Resourcefulness
  • Documentation and paperwork
  • Reliability
  • Multitasking ability
  • Adaptability
  • Initiative-taking
  • Lead conversion

Timeline

Medicare Enrollment Specialist

Aetna, a CVS Health Company
09.2022 - Current

Senior Medicare Sales Representative

GoHealth
04.2022 - 08.2022

Licensed Insurance Agent & Broker

Independence Blue Cross
07.2020 - 04.2022

Licensed Telesales Agent - Medicare

E-Telequote Insurance
02.2019 - 07.2020

Licensed Insurance Agent & Broker, Direct Sales

Florida Blue
08.2018 - 01.2019

MEDICAL BILLING/COLLECTIONS SPECIALIST (REMOTE)

CONIFER HEALTH SOLUTIONS (ARISE)
04.2017 - 02.2018

Patient Care Representative

Univita Healthcare
07.2012 - 05.2015

Intake Coordinator/Customer Service

U.S. Medical Supply
01.2012 - 06.2012

Vacation Planner/Sales

Norwegian Cruise Line
03.2010 - 11.2012

Customer Service Benefits Specialist

ADP TotalSource
02.2009 - 07.2009

Bachelor of Science - Business Administration, Marketing

Florida International University
Tushema Foulks