Experience

Jack Conway & Co., Inc.

• Real Estate
• 400 - 500 Employee

• Realtor

  • May 2020 - Present

  Swampscott, Massachusetts, United States - Facilitate the purchase and/or rental of residential property in MA - Advertise and generate leads for potential home purchases, sales, and rentals - Generate leads and referrals for loans and mortgages



Tufts Health Plan

• United States
• Insurance
• 700 & Above Employee

• Enrollment and Premium Billing Revenue Specialist

  • Jan 2020 - Present

  Watertown, Massachusetts, United States - Processing daily payments for commercial insurance premiums via wire, manual check, online, ACH and retro payments - Cash Journal maintenance and balancing - Reconciliation of high dollar HMO, PPO, POS bank accounts - Coordinate billing resolutions and reconciliation - Perform quarterly audits of all accounts for state and federal regulatory compliance - Coordinate new business set ups for ACH billing - Process adjustments and refunds to client accounts and reconcile… Show more - Processing daily payments for commercial insurance premiums via wire, manual check, online, ACH and retro payments - Cash Journal maintenance and balancing - Reconciliation of high dollar HMO, PPO, POS bank accounts - Coordinate billing resolutions and reconciliation - Perform quarterly audits of all accounts for state and federal regulatory compliance - Coordinate new business set ups for ACH billing - Process adjustments and refunds to client accounts and reconcile discrepancies

• Enrollment and Premium Billing Senior Representative

  • May 2019 - Jan 2020

  Watertown, Massachusetts, United States - Primary point of contact for assigned employer groups to manage company’s health insurance payments for employees. - Process and evaluate health insurance enrollment submissions for assigned employer groups in compliance with federal and state regulations. - Coordinate and process premium billing and account status for assigned employer groups and their employees. - Process and file electronic data interchange (EDI) reports from employer groups to meet state and federal compliance… Show more - Primary point of contact for assigned employer groups to manage company’s health insurance payments for employees. - Process and evaluate health insurance enrollment submissions for assigned employer groups in compliance with federal and state regulations. - Coordinate and process premium billing and account status for assigned employer groups and their employees. - Process and file electronic data interchange (EDI) reports from employer groups to meet state and federal compliance and ensure accuracy of records. - Review and process enrollment and history adjustment requests from enrollment processing and co-located inbox to accommodate internal and external requests.

• Provider Services Senior Rep

  • Jan 2017 - May 2019

  Watertown, Massachusetts - Medical insurance point of contact for medical facilities and provider’s offices to verify patients insurance, benefits and claims processing status - Research and assist medical billing offices with processing of medical referrals, authorizations, claims, appeals and status adjustments. - Point of contact for insurance members investigating coordination of benefits issues - Facilitate providers in scheduling peer to peer reviews for denied or disputed authorizations. -… Show more - Medical insurance point of contact for medical facilities and provider’s offices to verify patients insurance, benefits and claims processing status - Research and assist medical billing offices with processing of medical referrals, authorizations, claims, appeals and status adjustments. - Point of contact for insurance members investigating coordination of benefits issues - Facilitate providers in scheduling peer to peer reviews for denied or disputed authorizations. - Responsible for assisting team with complex issues as well as post training supervision and resolve issues for escalated callers from other team members. - Responsible for conduction side by side coachings for new hires and coordinating and assisting with various trainings



Century 21 Commonwealth

• Real Estate
• 100 - 200 Employee

• Realtor

  • Nov 2016 - Aug 2019

  250 Boylston St Chestnut Hill MA 02467 - Facilitate the purchase and/or rental of residential property in MA - Advertise and generate leads for potential home purchases, sales, and rentals - Generate leads and referrals for loans and mortgages



SolarCity

• Renewable Energy Semiconductor Manufacturing

• Field Energy Consultant

  • Sep 2015 - Nov 2016

  Greater Boston Area - Provide in home consultations for residential solar projects - Manage projects from consultation to installation and beyond - Design pre-survey residential solar systems - Present homeowners with clear and concise solar solutions that fit each individual’s needs and goals - Generate and executed 20 year agreements - Evaluate credit and facilitate 10 or 20 year loan agreements - Self-generate leads for residential solar by conduction events at farmers markets, auto… Show more - Provide in home consultations for residential solar projects - Manage projects from consultation to installation and beyond - Design pre-survey residential solar systems - Present homeowners with clear and concise solar solutions that fit each individual’s needs and goals - Generate and executed 20 year agreements - Evaluate credit and facilitate 10 or 20 year loan agreements - Self-generate leads for residential solar by conduction events at farmers markets, auto shows, and various other events

• Field Energy Specialist

  • Nov 2014 - Sep 2015

  Greater Boston area MA (Mostly - Chelsea, Everett, Revere, Winthrop) - Sales and lead generation for SolarCity’s clean energy solutions - Meet and exceed personal and team sales goals and objectives - Motivating and coaching existing team members as well as training majority of new hires - Collaborating with outside solar sales consultants - Hosting and conducting in-store seminars and events for 100 or more people



Citizens Bank

• United States
• Banking
• 1 - 100 Employee

• Personal Banker

  • Dec 2012 - Nov 2014

  Watertown MA On a daily basis I was responsible for many banking responsibilities - Generating leads and opening checking and savings accounts, as well as money market accounts, CDs, and investments referrals. - Originating mortgages, home equity loans/lines of credit, personal secured/unsecured loans, as various credit building tools - Assist customer with account maintenance, withdrawals and deposits and fee management - Assist colleges with fraud detection and awareness as well as - Vault… Show more On a daily basis I was responsible for many banking responsibilities - Generating leads and opening checking and savings accounts, as well as money market accounts, CDs, and investments referrals. - Originating mortgages, home equity loans/lines of credit, personal secured/unsecured loans, as various credit building tools - Assist customer with account maintenance, withdrawals and deposits and fee management - Assist colleges with fraud detection and awareness as well as - Vault custodian - Order, ship and distribute branch cash - Open and close branch for daily business. Show less



Best Buy

• Retail
• 700 & Above Employee

• Sales

  • Feb 2011 - Dec 2012

  Watertown MA - Premium Home theater sales - Home appliance sales - Inventory control and department maintenance



Brookstone

• United States
• Retail
• 500 - 600 Employee

• Assistant Store Manager

  • Nov 2009 - Dec 2010

  Chestnut Hill MA - Sales of wide array of gadgets, electronics, bedding and mattresses along with luxury massagers/massage chairs - Manage and train sales team in the process of creating value and closing the sale - Maintain and monitor store's sales, profitability and inventory records - Maintain and monitor cash, safe, and night deposits - Scheduling and staffing - Daily opening and closing store duties



Simon Property Group

• United States
• Real Estate
• 700 & Above Employee

• Guest Service Representative

  • Oct 2005 - Sep 2009

  Chestnut Hill MA - Point of contact for mall customers to mall management - Line of communication for mall tenants and security to management - Sold Simon gift cards



National Tire and Battery

• United States
• Motor Vehicle Manufacturing
• 1 - 100 Employee

• Automotive Repair Technician

  • Feb 2007 - Mar 2008

  Newton MA - Automotive diagnostics and repair - Service sales and customer support



The Chocolate Dipper

• United States
• Food and Beverage Services
• 1 - 100 Employee

• Supervisor

  • Sep 2004 - Feb 2008

  Chestnut Hill MA Gourmet chocolate shop - Create and sell gourmet chocolate desserts - Sell and create large catering orders - Opening and closing responsibilities