Health Insurance Representative Resume Samples

A Health Insurance Representative is a licensed benefit professional who helps individuals and businesses handle the health insurance selection process from start to finish. A well-drafted Health Insurance Representative Resume mentions the following core duties – researching the plan options, selling health-related products and insurance to clients, seeking out clients, presenting the health insurance options that meet the needs, assisting with getting claims settled, meeting the client’s scheduling needs, and promoting new products to existing clients.

Those seeking to make a career in this line should be able to demonstrate on the resume the following skills – remarkable sales experience in the health-insurance business, knowledge of sales presentation and product demos through phone and internet, the ability to stay customer service-focused, and strong sales knowledge. Formal education varies from employer to employer, while some expect a degree, many others necessitate a high school diploma with relevant work experience.

Health Insurance Representative Resume example

Health Insurance Representative Resume

Objective : Health Insurance Representative is responsible for the design, development, and management of health insurance product offerings. This includes developing pricing strategies, product and service requirements, and implementing new products.

Skills : Strong Team Leader / Excellent Organization / Interpersonal / Communication / Working Knowledge Of Microsoft Outlook / Power Point / Experienced In The Use Of Photocopy / Fax Machines / Type 70 Wpm.

Description :

    1. Worked for Member Services for Health Net Health Insurance.
    2. Health Net focuses on giving the best Medicare Advantage Plans to our members.
    3. Responsible for monthly premiums, co payments, co insurance, claims and much more.
    4. Verified each members personal information (Hippa).
    5. Verified his/her information if not than we must have a P.O.A ( power of attorney) on file to be able to continue.
    6. Responsible for taking credit card payments over the phone due to their monthly premium or any additional packages with their plans.
    7. Made sure that each and every incoming call were taken with care, accurate information, professional, and polite to each and every member.
    8. Stated the benefits on the members Medicare Advantage Plan , having knowledge of what is covered and who is contracted.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Highest Education


Health Insurance Representative Resume

Summary : Focused and results driven sales professional with over 20 years experience in customer service, benefit administration and marketing life, health, disability, and annuities insurance. Recognized for effective communication, leadership, and strategizing skills. Self-motivated team player and dedicated to achieving organizational goals.

Skills : Prospecting skills, Meeting sales goals.

Description :

    1. Managed new and existing accounts.
    2. Received requests from account members for current information regarding Anthem health benefit options.
    3. Prepared health insurance illustrations, present and illustrate health benefits.
    4. Supplied account members with appropriate brochures and sales material.
    5. Completed required applications and organize all health insurance documents.
    6. Forwarded customer correspondence to Anthem underwriting department for internal review.
    7. Reviewed, researched and negotiated health insurance plans, benefit packages and other contracts.
    8. Researched and accessed computerized financial information to answer questions related to specific accounts.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Associate


Health Insurance Representative Resume

Summary : Top performing, self confident professional with over 14 years of sales, administration customer service experience. Energetic and enthusiastic. Seeking fulfillment in a career that will allow me to utilize my experience & education. Committed to self development to enhance my career, and to be an asset to my future employer.

Skills : MS Suite, Bilingual Spanish, Customer Service, Human Resources.

Description :

    1. Strong knowledge of the individual health insurance market.
    2. High volume of inbound and outbound calls.
    3. Assessed an individual health needs and make recommendations for a specific product.
    4. Presented and effectively closed on the sale.
    5. Met monthly and yearly goals.
    6. Updated and maintained customer files and records using Goldmine program.
    7. Assembled health insurance media kits for customers to review.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
MBA

Health Insurance Representative Resume

Headline : To utilize my existing experience, people skills, and grow within the customer service field. Health Insurance Representative is responsible for the daily administration of health insurance policies.

Skills : Microsoft, Cashier, Multi-Tasking, Sales, Power point, Excel, Customer Service, Collections, Training Development, Medical Terminology.

Description :

    1. Participated productively as member of team, possibly in a team lead role.
    2. Completed complex tasks, assignments and defined processes with some level of independence.
    3. Worked multiple assignments and complete simultaneously as directed by leadership.
    4. Identified, prioritized and resolved most questions and issues independently.
    5. Answered questions of peers.
    6. Escalated more complex questions or issues appropriately.
    7. Complied with contract requirements, business unit rules and related industry and legal regulations.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
BS In Healthcare Administration

Health Insurance Representative Resume

Summary : To succeed in an environment of growth and excellence to meet personal and organizational goals, also seek challenging opportunities where I can fully use my skills for the success of the organization.

Skills : Customer Service, Microsoft Office, Sales, Management, Bilingual, Receptionist.

Description :

    1. Performed as liaison agent for United Healthcare provider and member as health plan coordinator for verifying detailed plan benefits.
    2. Verified insurance coverage and eligibility for members Giving detailed information on how patients Medicare plans coordinate with other insurance plans.
    3. Processed medical claims and giving detailed breakdown to providers and members.
    4. Resolved customer service inquiries regarding billing and payment issues.
    5. Used questioning and listening skills that support effective telephone communication.
    6. Gave information regarding Explanation of Benefits.
    7. Responded to complex customer calls regarding benefit and eligibility.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Diploma

Health Insurance Representative Resume

Objective : To contribute skills and education to a challenging position. Health Insurance Representative is responsible for all aspects of the insurance process: sales, customer service, billing, and administration.

Skills : Customer Service, Microsoft Office.

Description :

    1. Enrolled patients in county and state health insurance programs.
    2. Corresponded with agencies regarding enrollment status for patients.
    3. Completed monthly reports and trainings.
    4. Participated in outreach activities to recruit patients for health services.
    5. Provided case management services to patients with diabetes.
    6. Provided support to patients in navigating the health care system.
    7. Provided best-in-class customer service and problem resolution to customer queries over the voice based phone service.
    8. Supported customers across Healthcare, and Meet customer requirements through first contact resolution.
    9. Interacted with customers through answering incoming phone calls, providing quality customer service using Windows based computer for entering work orders, customer account information.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
A.A. In Human Services

Health Insurance Representative Resume

Summary : Healthcare professional with 10+ years of experience in varied health care and health care administration positions. Compassionate, self-motivated and remarkably adaptable, exceptional patient skills as well as proven administrative capabilities make me an ideal candidate to fill the position of Medical Secretary.

Skills : Customer Service, Typing 50 Wpm, Cash Handling, Cash Register.

Description :

    1. Researched and obtained clients for both heath and life insurance policies.
    2. Managed client data base and demonstrated persuasive and effective communication skills to gain new clients.
    3. Represented companies honestly and ethically and created loyal customer base.
    4. Enhanced presentation and intrapersonal skills by effectively explaining policies to clients.
    5. Gained on average 15 new clients per month Created new company insurance policies which saved small business over 25% in employee insurance costs.
    6. Tampa Educate consumers and brokers on the products and services.
    7. Handled a combined inbound/outbound 60 total calls per day Gather and document all call and quoting transactions in CRM.
    8. Followed up all outstanding quotes generated for customers.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
BS In Communications

Health Insurance Representative Resume

Headline : To obtain a Health Insurance Representative position that best utilizes my skills in an organization that offers challenging assignments and opportunities for advancement within my career.

Skills : Word Perfect, Power Point, Data Entry, Quick Books.

Description :

    1. Processed client profiles and organized office system to ensure smooth work flow.
    2. Answered a high-volume of client calls- answering health insurance benefits/concerns along with providing any additional information.
    3. Managed a high-volume workload within a deadline-driven environment.
    4. Resolved an average of 550 inquiries in any given week and consistently meet performance benchmarks in all areas (speed, accuracy, volume).
    5. Helped company attain the highest customer service ratings-- earned 100% marks in all categories including communication skills, listening skills, problem resolution and politeness.
    6. Developed and sustain sales relationships with key decision makers and influencers on all levels of organization.
    7. Helped cliental with heath insurance based questions, found providers and other facilities in and out of network for different based health insurance plans.
    8. Scheduled doctor appointments and found medical supplies from different facilities based off of health insurance coverage options.
    9. Maintained proper information and banking information in order to take monthly premium payments for customers.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Business Administration

Health Insurance Representative Resume

Headline : An accomplished Health Insurance Representative and Insurance Agent with the ability to represent different carriers products, while meeting all federal, state and company policies.

Skills : Planning, Faxing, Fast Learner, Medical Terminology, Training, Healthcare, Insurance.

Description :

    1. Served as the primary point of contact for United Healthcare insurance consumers.
    2. Provided consultation regarding health care options including primary physicians, available in-care facilities, dental referrals, prescription restrictions.
    3. Worked as the liaison between insurance provider and consumer to analysis issues, potential problems, and provide actionable recommendations.
    4. Consistently completed 70+ customer service requests daily Active member of the team with the highest level of customer satisfaction.
    5. Assisted commuters by providing detailed directions and road-side assistance.
    6. Actively engaged in using available resources to troubleshoot driver issues and potential problems.
    7. Used judgement to map out optimal driving paths for commuters in emergency situations and contacted emergency officials.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
High School

Health Insurance Representative Resume

Headline : Current senior possessing strong organizational and problem solving skill. Accustomed to fast pace environments, multi-tasking and strong attention to detail. Highly trustworthy, ethical and committed to organizational goals.

Skills : Motivation for sales, Product knowledge, Organizational skills.

Description :

    1. Developed pricing strategy and set price targets based on market requirements.
    2. Developed new products and services with vertical market focus.
    3. Defined the risk profile of new products.
    4. Implemented new features and features updates to existing products.
    5. Identified customer needs and customers in each state or territory across the country.
    6. Maintained active coverage with a large provider network and relate to customers on a daily basis.
    7. Created marketing materials for each state or territory in the country that are relevant to each state or territorys individual market needs.
    Years of Experience
    Experience
    5-7 Years
    Experience Level
    Level
    Executive
    Education
    Education
    Diploma