• Handle inquiries from members regarding benefits, claims, and other related concerns with their coverage• Knowledge to comfortably navigate all Highmark websites, INSINQ, OSCAR, Cash Management Systems, OLL, Medco, Directory Smart, Medical Policy and all other related member service applications • Monitor and review mail correspondence sent in by members, providers, potential members, etc• Work with claims in the claims flow/processing and provider feedback via the internet to inquiring members• Research and complete inquiries in ISINQ regarding correspondence from Members via postal mail, web portal and Providers via NaviNet• Provide backup relief to the technical assistance in training and answering question for customer service associates.

Advocate for elderly individuals while coordinating and managing all aspects of healthcare and finances.Utilized my knowledge of Federal, State and Local agencies to find funding for home modifications and services. Secured installation of new stair lift, grab bars in the master bathroom, internal and external handles on all door to the outside and increased the height of the couch by 4 inches. $4000 project was done with only $800 out of pocket expense. Project completed prior to release for the hospital ensuring the best quality of life since being at home was the individual's wish.Established and gained rapport and trust with medical staff, and administrators in the subacute and long term acute care hospitals, residential rehabilitation facilities, home health care agencies and individuals insurance providers. Sharing information with the key players insured the best comprehensive care and services.Created an information system for family members to have all pertinent information so that decisions could be made as a team. This included those living in other time zones and countries. The system was also used along with video chats to provide the patient time with family members and at the end for those family members to be able to say goodbye to their loved one.Supervised home health care, administered prescribed meds when needed including monitoring of insulin and wound vacuum.The individuals best quality of life was at the forefront of all decisions. Little things to help that happen such as 20 flavors of lip balm since she was not able to take anything by mouth. Providing speaker phone and video phone when she had a treach allowing her to spend time with friends, family and business contacts. Those little things make a world of difference to a person trapped in their body due to medical conditions.

Quickly promoted into a leadership position and shortly after to management. Maintained a positivebalance between sales, management, and recruitment. All the while hosting workshops for both our sales and management force, building a team and identifying and growing new leaders.Provided our members with an insurance consultation and needs analysis. Provide supplemental benefit programs like Final Expense Benefit, Income Protection and Mortgage Protection. Licensed Health and Life Insurance Producer for Pennsylvania and DelawarePromoted to Management in six monthsSupervised 20 managersRecruited and trained over 100 licensed agents and managersConsistently achieved goal