Tynique Thomas-Gilyard
Linden
Summary
Benefits and insurance professional with background in claims processing. Experienced in compliant enrollments, customer education, and benefits support. Known for accuracy, empathy, and clear communication.
Overview
8
8
years of professional experience
Work History
Health Insurance Agent
Health Market Solutions
03.2024 - Current
- Compare premiums,deductibles, and benefits ro recommend policies aligned with individual healthcare needs.
- Maintained compliance with all industry regulations while completing paperwork accurately and efficiently.
- Conducted thorough research on available health insurance plans, staying up-to-date on industry trends and policy changes.
- Educate clients on health insurance plans, eligibility requirements, and coverage options.
- Mitigated potential objections from customers by proactively addressing concerns before they became barriers to closing deals.
Claims Benefit Specialist
Unum
09.2022 - 03.2024
- Processed and managed claims across multiple lines of business including disability, family medical leave, and life insurance.
- Review documentation, verify coverage eligibility, and adjudicate claims in compliance with policy guidelines and federal regulations.
- Communicate complex benefit determinations clearly to employees and their families.
- Maintain accurate case documentation while meeting productivity, quality, and compliance standards.
Customer Service Representative
Maximus Federal
11.2021 - 11.2022
- Assisted customers with completing and submitting online insurance applications for federal programs.
- Provided professional, policy-based responses to high-volume inbound calls.
- Ensured accuracy and compliance in application in application documentation and customer records.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Call Center Coach
Patient Prism
04.2019 - 03.2020
- Coached and mentored call center agents on quality standards, compliance, and customer interaction best practices.
- Monitored calls and evaluated agent performance, providing targeted feedback and corrective action.
- Analyzed performance metrics and prepared reports to support leadership decision-making.
- Served as a recourse for agents handling complex or escalated customer issues.
Telesales Agent
Humana
08.2017 - 12.2018
- Followed approved scripts and compliance guidelines to educate and enroll individuals in Medicare plans.
- Maintain accurate client records and improve data reliability through organized spreadsheet tracking.
- Developed strong relationships with clients to enhance customer satisfaction and retention.
- Conducted needs assessments to provide tailored insurance solutions for diverse clientele.
Education
High School Diploma -
Armwood Highschool
Tampa, FL06-2015
Skills
- Benefits Administration (FMLA,Disability,Life)
- Claims Processing & Adjudication
- Regulatory Compliance(ERISA, State& Federal)
- Coverage Verification & Documentation
- Customer Advocacy & Issue Resolution
- Data Accuracy & Reporting
- Call Center & High-Volume Support
- CRM & Claims Management Systems
- Enrollment Proficiency
- 2-15 Insurance License
Timeline
Health Insurance Agent
Health Market Solutions
03.2024 - Current
Claims Benefit Specialist
Unum
09.2022 - 03.2024
Customer Service Representative
Maximus Federal
11.2021 - 11.2022
Call Center Coach
Patient Prism
04.2019 - 03.2020
Telesales Agent
Humana
08.2017 - 12.2018
High School Diploma -
Armwood Highschool