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Western Health Advantage - Account Representative Resume Example

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Isaac Wright
XXXX XXXXXXXX XXX, Sacramento, CA 95823
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXX
Professional Summary
  • MSFT Office
  • MSFT Word
  • MSFT Excel
  • MSFT Power Point
  • Access
  • Trizetto
  • 10 Key
  • Time Efficient
  • Customer Focused
  • Contract Negotations
Skills
  • Customer Service Focused
  • Troubleshooting
  • Negotiation
  • Judgment and Decision Making
  • Critical Thinking
  • Time Management
  • Audience Based Presentations
Professional Work Experience
Account Representative Aug 2005Present Western Health Advantage Sacramento, CA Manage business processes that support promoting new membership and sustaining existing membership.  Promote account representative servicing functions to existing accounts to ensure deadlines are met. Create sales opportunities through external customer enrollment activities, effective relationship with broker and consultants, and providers to increase membership and enhance customer loyalty & retention.  Ensure accurate and complete data is entered into the correct business applications across the different departments. Manage resolution of customer and member service issues.  
Underwriting Group Specialist Aug 2002Aug 2005 Western Health Advantage Sacramento, CA Provide in-depth analysis of submissions, pricing, plan design for group employer benefits cases. Supports and works closely with sales and account management to ensure submissions for new and renewal accounts are complete and the underwriting/rating is accurate. Prepare, distribute, and manage various reports requested by employer.
Policy Service Representative Oct 2001Aug 2002 USAA Sacramento, CA Provide excellent customer service by giving prompt, accurate and detailed information regarding USAA auto and home owner and renter polices.  Identify, discuss, educate and offer multiple products to cover various exposures and eliminate coverage gaps.  Perform underwriting analysis to evaluate risk acceptability and determine appropriate product pricing for client of a auto or home owner/renter policy.  
Lead Network Data Analyst Feb 2000Aug 2001 First Health Group Corporation Sacramento, CA Analyze and interpret contract documents to determine rebate calculations.  Create, update, distribute, and manage project-tracking reports for management and other department heads.  Work closely with department managers and colleagues to troubleshoot errors or other issues.   
Workers Comp System Specialist Apr 1999Feb 2000 First Health Group Corporation Sacramento, CA Analyze and review claims to determine if providers/hospitals were contracted through network and if claims were pricing accurately. Adjust rates in database as needed.  Work closely with negotiators and customer support to resolve contract issues that may have resulted in the incorrect pricing of a claim.  
Education
Bachelor of Arts : Health and Safety May 1998 California State University, Sacramento Sacramento, CA
California Life and Health License
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Resume Details

This is a real resume for a Account Representative in Sacramento, California with experience working for such companies as Western Health Advantage, Usaa, First Health Group Corporation. This is one of the hundreds of Account Representative resumes available on our site for free. Use these resumes as templates to get help creating the best Account Representative resume.

Previous Companies:

  • Western Health Advantage
  • USAA
  • First Health Group Corporation

Previous Job Positions:

  • Account Representative
  • Underwriting Group Specialist
  • Policy Service Representative
  • Lead Network Data Analyst
  • Workers Comp System Specialist

Schools:

  • California State University, Sacramento
  • California Life and Health License

Level of Education:

  • Bachelor of Arts

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