Experience

Member Benefits, Inc.

• United States
• Insurance
• 1 - 100 Employee

• Account Manager

  • Nov 2021 - Present

  Assist employer groups and individual employees via email and phone with requests and general, billing and policy questions Process employee enrollments, changes, and terminations Process new client enrollment submissions and current client renewals Set up and maintain clients in the carrier and in house systems Manage over 100 groups Work multiple adjustment reports Assisted in the training of new hires Assist employer groups and individual employees via email and phone with requests and general, billing and policy questions Process employee enrollments, changes, and terminations Process new client enrollment submissions and current client renewals Set up and maintain clients in the carrier and in house systems Manage over 100 groups Work multiple adjustment reports Assisted in the training of new hires



Florida Blue

• United States
• Insurance
• 700 & Above Employee

• GEMB Service Advocate IV

  • Mar 2020 - Nov 2021

  Serve as primary resource and subject matter expert for various requests from small and large groups and internal partnersResearch and analyze issues, past operational actions and decisions, operational policies and procedures to determine problems, causes and appropriate solutionsProvide service to customers by answering the most complex questions, researching and resolving issues, inquiries and exceptions and ensuring customers understand the Company’s products and processesPerform enrollments, cancellations, reinstatements, etc. of the group’s membersMaintain and reconcile billing for large and small groupsManagement and maintenance of over 300 groups Inbound and outbound calling to and from the group’s benefit administrators, agent and decision makerAdherence to strict deadlines and guidelines Show less

• CEMB Service Advocate IV

  • Jul 2016 - Mar 2020

  Performed in a multi-function and ever changing environmentResolve non-critical and escalated inquiries and ensure quality of processes and procedures for consumers.Critically evaluate data through questioning, probing, and reasoning for process improvementsExecute transaction requests within various health insurance processing systems (HICS, Edifecs, PSP, Siebel, Archer, EBtools, Client Letter, One Note, PeopleSoft,etc.) Responsible for management of delinquency, cancellation, reinstatement processesPoint of contact for the Agent Service Center and Blue Diamond representativesAssisted the HICS team by working and resolving Market place cases Show less



Alluvion Staffing/Novitas

• Jacksonville, Florida, United States

• Provider Services Advocate

  • Dec 2015 - May 2016

  peak with providers to assist with Medicare Part B inquiries and resolutions Analyze claim edits and audits to determine reasons for denials and overpayments Access claims processing systems ,The Center for Medicare and Medicaid Services website and internal systems and resources to research customer problems and record inquiry types peak with providers to assist with Medicare Part B inquiries and resolutions Analyze claim edits and audits to determine reasons for denials and overpayments Access claims processing systems ,The Center for Medicare and Medicaid Services website and internal systems and resources to research customer problems and record inquiry types



Bank of America

• United States
• Banking
• 700 & Above Employee

• Foreclosure Pre-Sale Specialist II Team Lead

  • Jun 2012 - Jul 2015

  Performed quality control audits and approval of Pre-Sale Specialist I file transfers to post sale and bidding instructions required by the attorney for foreclosure sales, served as a subject matter expert, updated shared database, and dispensed daily reports.Ensured that attorney deadlines, investor, insurer, and government agency guidelines are met. Managed Pre-Sale Foreclosure processes on Prime and Subprime Loans for FHA, VA and Conventional Loan types.Worked alongside counterparts for process and system improvements. Analyzed data to detect non-compliance with laws, regulations, company policies and resolution of escalated loan issues.Managed full portfolios, adhered to time sensitive deadlines and productivity quotas set by the employer and government. Show less

• Foreclosure Specialist I

  • Sep 2010 - Jun 2012

  Ensured that attorney deadlines, investor, insurer, and government agency guidelines are met. Communicated with internal departments, external vendors, attorneys, and third-party interest via telephone and written correspondence.Managed Pre-Sale Foreclosure processes on Prime and Subprime Loans for FHA, VA and Conventional Loan types.Analyzed data to detect non-compliance with laws, regulations, company policies and resolution of escalated loan issues.Managed full portfolios, adhered to time sensitive deadlines and productivity quotas set by the employer and government. Show less