Licensed Health Insurance Agent Resume Samples

Description :

1. Verified insurance coverage and benefits with insured members and healthcare providers.
2. Handled Medicare supplement plans, Medicare Part D Aetna personal health insurance plans, and hospital indemnity supplemental plans.
3. Communicated with different departments to provide escalation outcome and maintain documentations.
4. Performed low level audits on accounts.
5. Met enrollment and sales goals for the department.
6. Met monthly quality.
7. Assisted with medical claims and reviewing the Explanation of Benefits (EOB's) to patients and medical providers.

Experience

2-5 Years

Level

Junior

Education

Masters

Description :

1. Acted as a retention specialist for Cigna Healthspring during AEP.
2. Attended meetings, seminars and programs to learn about new products and services, learned new skills, and received technical assistance in developing new accounts.
3. Calculated premiums and established payment methods.
4. Called on beneficiaries to deliver and explain policy, to analyze insurance programs and to suggest additions or changes.
5. Developed marketing strategies to compete with other individuals or companies who sell Medicare lines of insurance.
6. Ensured that policy requirements were fulfilled, including any necessary completion of appropriate forms and documents.
7. Explained features, advantages and disadvantages of various policies to promote sale of Medicare insurance plans.
8. Installed and updated bookkeeping systems and resolved system problems.
9. Planned and over sought the incorporation of insurance programs into bookkeeping system of company.

Experience

10+ Years

Level

Senior

Education

Bachelors

Description :

1. Evaluates insurance applications.
2. Uses computer applications to calculate risk.
3. Minimizes losses for insurance agencies.
4. Determines insurance premiums for policyholders.
5. Meets with applicants, including individuals representing various companies and employers.
6. Analyzes information from relevant reports.
7. Assesses overall risk that applicants pose to company.
8. Assists policyholders in settling claims.
9. Offers financial planning services.

Experience

2-5 Years

Level

Junior

Education

Vocational

Description :

1. Responsible for effective screening and completing a series of medical questions for applicants that meet eligibility requirements as defined by State/Federal regulations.
2. Identified current coverage type and determined eligibility for Guaranteed Issue products.
3. Provided timely feedback to applicants who do not meet eligibility requirements as defined by state and/or federal regulations.
4. Educated customers about Guarantee issue products and benefit options available.
5. Documented the system of record for all correspondence, both written and verbal, from internal and external customers.
6. Researched, resolved and responded to critical inquiries received from Office of Insurance Regulation, Medical Underwriting, Legal Affairs, and Membership and Billing.
7. Completed the enrollment application process via telephone and/or face-to-face interviews with accuracy.
8. Determined enrollment eligibility and assist with the completion of enrollment applications.

Experience

2-5 Years

Level

Junior

Education

Bachelor's

Description :

1. Takes incoming calls from interested parties to discuss applicable insurance plans.
2. Educates callers by confirming public, private and confidential information of these programs.
3. Educates callers by confirming public, private, and confidential insurance plans.
4. Complies with insurance, Medicare, and state sales, marketing and enrollment guidelines as applicable.
5. Determines the eligibility of each prospect using CMS (Center for Medicaid Services) guidelines as applicable.
6. Processes customer requests as they relate to these programs.
7. Navigates through multiple system applications to fulfill caller requests, update caller information, create leads for the field team, and research caller status inquiries Accomplishments Served as interim SME helping team members handle various customer related issues.

Experience

5-7 Years

Level

Executive

Education

Masters

Description :

1. Educates medicare recipients on Kaiser Permanent health insurance.
2. Nominates for employee of the month 3 times and received the award once for overall excellent service.
3. Involves in training new agents on the phones without calls, to make sure all agents are ready to take live calls.
4. Mentors on the production floor to assist Amy agents needing assistance.
5. Focuses in a fast-paced environment.
6. Defuses to irritate prospects or clients.
7. Beyonds the client's or the companies expectations.

Experience

7-10 Years

Level

Management

Education

B.A

Description :

1. Licensed through the Department of Financial Services.
2. Licensed in the state of Florida, Texas, Illinois, Oklahoma, Montana, and New Mexico.
3. Assisted customers in understanding the laws associated with the affordable care act; as well as explaining recommended plans to them.
4. Designed and delivered a very detailed needs assessment for each customer to ensure that they have the plan that will work for them.
5. Followed up with each client and verified they had a completed application on file.
6. Performed administrative tasks such as answering phones in a high call volume setting, making appointments and using Microsoft Office, Excel, Power point, One Note and Outlook.
7. Obtained underwriting approval by completing application for coverage.

Experience

2-5 Years

Level

Junior

Education

Masters

Description :

1. Conducted a thorough assessment of the customers situation, including medical history, family details, insurance coverage, etc.
2. Provided advice on how a patient can navigate through the healthcare system in order to best meet their health goals
3. Gathered information about the customers needs, goals and priorities including how they want to use healthcare services in order to help them find an appropriate plan
4. Presented available plans to the customer and explain how each one will work for them and why it is better than another one
5. Assisted customers in comparing different plans by answering questions about what is covered under a plan
6. Sold and service the company products to both individual and small business customers
7. Attended educational courses to increase knowledge of company product offerings

Experience

5-7 Years

Level

Executive

Education

Bachelors

Description :

1. Provides knowledgeable responses to telephone inquiries in a courteous and professional manner.
2. Maintains a current understanding of the processing procedures while adhering to the HIPAA as it relates to the confidentiality of information released.
3. Strictly adheres to the CMS and IBX/AmeriHealth's marketing regulations.
4. Schedules individual meetings and group presentations members and prospects.
5. Enrolls eligible individuals in Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment guidelines.
6. Assists the prospect in completion of the enrollment application.
7. Communicates on a regular and ongoing basis with legal counsel and records particulars of the communication in the litigation database.

Experience

10+ Years

Level

Senior

Education

Master's

Description :

1. Established rapport and assessed client needs to provide options for insurance coverage.
2. Researched, identified and successfully sold potential targeted clients through company leads and cold calling in a call center environment.
3. Sold Humana Medicare Part D, Humana Gold plus Medicare Advantage HMO, Humana Choice PPO and Supplement plans.
4. Implemented sales plans and managed all phases of the sale cycle from prospecting to close and follow up support.
5. Responsible for calculating the premium amounts and set up payment methods.
6. Improved and promoted wellness through communication, education and health care referral resources.
7. Comprehend and understand the insurance laws and regulations and offered explanation of policy coverage to client.
8. Assisted members in enrollment applications, changing and renewing their health plans.

Experience

2-5 Years

Level

Junior

Education

Management