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APAC - Licensed Representative for WellPoint Resume Example

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Matthew Harris
XXXX XXXXXX XX, Charlotte, NC 28208
Professional Summary
    Individual Marketplace Certification for Agents & Brokers
    New York Health Benefit Exchange (NYHBE) Individual Market Certification
    New York Health Benefit Exchange (NYHBE) SHOP Certification
      Conflict Resolution/Mgmt
  • Procedural Terminology
    • Strong Oral & Written Communication Skills  
        Microsoft Word/PP/Excel/Outlook        
    • Organizational Skills
      • Customer Service Experience
      • Life/Health/Medicare Insurance Licenses
      • Telesales Experience
Licensed Representative for WellPoint (East Region) Dec 2013Present APAC Charlotte, NC Utilize strong insurance background to effectively educate, research and assist individuals in applying for Qualified Health Plan coverage.  Provide coverage and subsidy information to individuals being introduced to the Affordable Care Act plans (for Empire Blue Cross/Blue Shield) offered in NY, ME, CT, VA, GA and NH.  Manage incoming and outbound calls, assist customers in understanding the subsidy guidelines and calculations, explaining the different metal levels and comply with the standards set by the exchange.  Completed Exchange specific training and certified to register with the exchange to ensure thorough knowledge in eligibility and enrollment of qualified individuals.  Accessing multiple producer portals, maintaining an updated schedule for follow-up calls to customers and effectively utilizing a microsite ensures that each consumer's needs is addressed in a timely manner. 
United Health Care Medicare/Group Retirees Telesales Agent (Enrollment/Education) Aug 2013Dec 2013 Connextions, Inc., Charlotte, NC
Utilized effective communication skills to manage incoming calls
from Medicare customers
in order to explain and enroll potential clients into UHC Medicare plans and services.  Exhibited excellent verbal/written communication skills while ensuring each customer's HIPAA information was maintained according to CMS guidelines.  Identified and determined any specialty needs of the current and potential clients to ensure that their individual insurance needs were addressed, easily understood and electronically processed in a timely manner.  Processed telephonic enrollments in accordance with UHC, Medicare and each group retirees' guidelines
Retail Pharmacy Help Desk Agent Aug 2012Sep 2013 Connextions, Inc. Charlotte, NC

 Provided efficient customer service to clients.

  Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.

  Verified payments by insurance companies were accurate and according to contract guidelines.

Thoroughly reviewed remittance codes from EOBS/AR's

  Provided efficient customer service to clients.

  Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.

 Verified payments by insurance companies were accurate and according to contract guidelines.

Thoroughly reviewed remittance codes from EOBS/AR's

 Provided efficient customer service to clients.

Recorded and filed patient data and medical records.

  Precisely completed appropriate claims paperwork, documentation and system entry.

  Professionally and courteously verified appointment times with patients.

Scheduled patient appointments.
CUSTOMER SERVICE Oct 2006Mar 2009 SAM'S CLUB Charlotte, NC

§  Answered questions regarding the store and its merchandise.

§  Greeted customers and ascertained customers' needs.

§  Maintained knowledge of current promotions, policies regarding payment and exchanges, and security practices.

Recommended merchandise based on customer needs.
medical billing and coding college diploma Apr 2011 kaplan college Charlotte, NC
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Resume Details

This is a real resume for a Licensed Representative for WellPoint in Charlotte, North Carolina with experience working for such companies as Apac, Connextions, Inc. This is one of the hundreds of Licensed Representative for WellPoint resumes available on our site for free. Use these resumes as templates to get help creating the best Licensed Representative for WellPoint resume.

Previous Companies:

  • APAC
  • Connextions
  • Inc

Previous Job Positions:

  • Licensed Representative for WellPoint
  • United Health Care Medicare
  • Group Retirees Telesales Agent
  • Retail Pharmacy Help Desk Agent
  • Patient Account Representative


  • kaplan college

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