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Title Commercial Insurance Team Member
Target Location US-FL-Melbourne
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
EEMAIL AVAILABLEPPHONE NUMBER AVAILABLEA5041 Somerville Dr, Rockledge, FLOBJECTIVEKEY SKILLSTo become an integral team member in an organization that values loyalty and commitment, through utilization of my extensive knowledge and understanding of Medicare and commercial insurance policies to assist in effective medical decision making.PROJECT MANAGEMENTSCHEDULINGMEDICAL CLAIMS MGMTMEDICARE HEALTH BENEFITSCOMMERCIAL INSURANCE HEALTH BENEFITSSIX (6) PROGRAMMING LANGUAGESPROGRAMMING LANGUAGESCOBOLFORTRANASSEMBLERBASICPASCALMS DOSEDUCATIONAssociate of Science Information SystemsBrevard Community CollegeRockledge, FLRanked top 10% of classCoursework was focused on computer programming, business management, and technical writing.EXPERIENCENovember 2018  August 2023Medicare Customer Care SpecialistHealth First Health Systems  Rockledge, FLSubject Matter Expert (SME) of medical benefit coverages and eligibility responses to patients and medical offices.Employee of the Month for August 2023 for entirety of Health First Health Systems.Performed at 95% resolution for approx. 75 calls per day as a secondary line of escalation- working to maintain company goals of resolution on first call/contact.November 2007  August 2018Regional Customer Service ManagerPercepta, LLC  Melbourne, FLAttained white belt status leading charge to improvements in documenting telephonic interactions with customers of one of the largest vehicle manufacturers in the world regarding repairs, warranty work, extended warranties, and vehicle issues.September 1996  September 2005Retail Sales ManagerCircuit City  Melbourne, FLIntegral Technology Manager through business wind down operations in the bankruptcy and liquidation of local stores within territory.Succeeded in territory-wide compilation of SWOT analysis of competitors, their products, and marketing strategies to understand the competitive marketplace and sales advantages.TECHNICAL & SOFT SKILLSMedicare, Amisys, AWD, Microsoft Word (expert), Microsoft Excel (expert), Microsoft Outlook (expert), Evicore, Caremanager, time management skills, positive learning processes.

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