Experience

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  Aflac and National Agents Alliance

  • Tampa/St. Petersburg, Florida Area, New Jersey

  • Agent

    • Jun 2013 - Present
    • Tampa/St. Petersburg, Florida Area, New Jersey

    Helping small and large businesses by offering "income protection" to their employees. Ask me how your business can add Short Term Disability, Life, Hospital, Accident, Dental, Vision plans and more to your employee benefits.

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  Insurance Administrative Solutions, LLC

  • United States
  • Insurance
  • 100 - 200 Employee

  • Assistant claims manager

    • May 2005 - 2012

    Hourly monitoring of call center statistics to ensure calls are answered promptly.Audited new customer files to verify medical necessity and satisfaction of coverage criteria.Performed weekly quality audits on call center staff and coached areas of improvement if needed. Created company's first employee manual including training and development for Customer Service.Trained new employees on plan policies and department procedures.Oversee daily office operations for staff of 60 employees.Ordered and distributed office supplies while adhering to a fixed office budget.Screened applicant resumes and performed in-person interviews.Responsible for scheduling and time off requests. Compiled monthly data used to create monthly performance reviews for each staff member.Composed all annual reviews and allocated percentage of increases for each staff members.Held weekly two way communication meetings with the customer service teamHighly involved (60% of my day) with the Customer Service team, answering questions, helping with complex cases and morale building

  • Customer Service Supervisor

    • May 2000 - Apr 2005

    Maintained production and quality reports and sent monthly tracing reports to clients. Oversee claims and customer service departmentsHeld weekly training classes and monthly 2 way communication meetings with staff.Performed 5 weekly quality audits on all customer service staff.Prepared monthly evaluations on customer service staffed and reviewed monthly evaluations on claims staff.Handled conflict resolution for all staff. Reviewed all Medical Records for Skilled Nursing and Contestability files. Reviewed and released all high dollar claims. Maintained all policy and procedures manuals Handled monthly rotating schedules for customer service.

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  Prudential AARP

  • Claims Processor

    • Nov 1992 - Jul 1999

    Processed a variety of claims, including part B Medicare Supplement claims, prescription claims, private duty nursing, skilled nursing, part A hospital claims, and cobra claims. Handled per existing investigations along with facility investigations.