Paul Dye Email and Phone Number

Responsible for assessing medical risk for a PEO-sponsored medical plan. Works within specific limits of authority on assignments requiring significant technical complexity and coordination. Utilizes underwriting policies and guidelines, rating rules and carrier regulations to appropriately price medical risk. • Collects and reviews customer-specific information such as existing group medical plans and rates, employee census, carrier history and previous claim experience to ensure submission completion and accuracy. • Works with Sales and support teams to ensure all collateral required for quoting is received. Must be able to quickly and clearly explain/request missing items or discrepancies with submission.• Calculates rates for complex group cases based on thorough analysis of the group’s experience, industry, location, size, and demographic nature using underwriting methodologies.• Develop judgement to assess new business for master medical plans as needed while working with senior underwriters or management, to insure a profitable book of business. • Reviews and completes all sales requests and inquiries within company established standard and policy guidelines.• Updates all underwriting systems as appropriate. • Provides underwriting knowledge sharing and education to peers and/or members of the sales team.• Review and become familiar with plan offering internal relationships, underwriting and team guidelines, processes and procedures, company business strategy and organization.• Must be detail-oriented, but also able to switch quickly from task to task as needed. Must be proficient in using several systems/programs at once.• Utilizing multi-tasking skills with the ability to manage and prioritize several incoming requests at once in a fast-paced environment.

Responsible for evaluation and risk analysis of all individual health products currently offered by the company including Accident, Cancer, Heart, Disability and Hospital Indemnity applications. Handles necessary communications with agents and applicants. Responsible for keeping underwriting within accepted service levels. Manages requests for additional information such as APS, Para-meds, HOS and other medical information, medical questionnaires, MIB and application verifications. Comprehend and apply underwriting guidelines, policies, and procedures. Approved and authorized to underwrite all current health products offered by the Company. Independently conduct discussions with sales agents regarding underwriting policies and procedures.• Promoted to a full underwriter and continued to gain medical knowledge and mastery of our underwriting guidelines for each supplemental health product that we offer to our clients.• I’ve helped to complete special assignment calls for our special investigative unit teams and when necessary to assist in reporting of any information to SIU as required.• Currently meeting productivity goals and with an error rate of less than 1%

Responsible for evaluation and risk analysis of Accident, Cancer, and Heart applications and all applicable riders. Handles necessary communications with agents and applicants. Responsible for keeping underwriting within accepted service levels. Manages requests for additional information such as APS, Para-meds, HOS and other medical information, medical questionnaires, MIB and application verifications. Comprehend and apply underwriting guidelines, policies, and procedures. With supervision, handle communications with agents and applicants. Approved and authorized to underwrite Accident, Cancer, and Heart products offered by the company. Independently conduct discussions with sales agents regarding underwriting policies and procedures.• Promoted to an associate underwriter and continued to gain medical knowledge and mastery of our underwriting guidelines for each supplemental health product that we offer to our clients.• I’ve helped to complete special assignment calls for our special investigative unit teams and when necessary to assist in reporting of any information to SIU as required.

In my most recent role, I am entrusted with the task of executing administrative duties on new and renewal policies to deliver expert-level support to underwriting staff. Preparing applications utilize within new business for the underwriter by gathering the necessary details on applications for effective risk management. Owning control over compilation of preliminary risk assessment for each application and preparation of file for underwriting. Ensuring delivery of error free underwriting service by validating medical history and incongruities on application through making of outbound calls to applicants. Streamlining routine processes for optimal efficiency by leveraging numerous workflow systems. Driving smooth flow of operations by managing and concluding required tasks in timely manner, including making of phone calls to gather information from applicants, completion of clerical duties, and setting up of timelines and tasks in the workflow system to attain service level agreements.Below listed are my key accomplishments:• Met productivity goals by 100% with and error rate of less than 1%.• Uncovered and rectified complex problem by delivering support to other departments.• Gained medical knowledge to answer the customer questions during medical verification and obtained all specific details to meet application guidelines by acquiring knowledge-rich training.

Leveraging exceptional professional, I was assigned with the task of ensuring timely resolution of customer queries by responding to inbound calls and recording customer requests. Driving on time communication with customer to resolve query by managing incoming/outgoing mail, email faxes and/or any other type of correspondence from customers. Uncovering and rectifying service issues by providing problem solving resolutions. Steering overall activities involved in handling of incoming calls and placement of outbound calls in a follow-up queue for future resolution. Enabling problem rectification by tracing purpose and monitoring resolution through management of up-to-date record of each contact into the computer system. Consistently maintaining minimum quality standards in service request accuracy and call monitoring expectations through provision of remarkable customer service. Managing special projects and executed assigned task in timely manner.My key contribution are listed below: • Received recognition and positive feedback from the customers completing surveys.• Improved customer satisfaction by delivering excellent customer service and ensuring one-call resolution of issues.• Enrich customer experience by eliminating issues through steering of collaborative efforts with other departments.

My duties comprised of enhancing client retention through delivery of outstanding customer service, while serving as ambassador of Fidelity's values and brand. Improving client engagement by educating clients in numerous areas, including enrollments, correspondence, various plan options, specific benefits, and features of those plans, general account information, and balance queries. Coordinating entire aspects involved in processing of essential retirement services actions, such as loan initiations and withdrawals. Keeping updated the client with necessary information regarding tax considerations and relevant time frames for receiving distributions by educating. Ensuring delivery of outstanding service and continuous process enhancement by coordinating with management team and colleagues.Following are my core contributions.• Won world class customer service support awards for providing guidance to customers and encouraging to save money in their 401K plans and investment accounts.• Drove attainment of overall organization goals and objectives to support business growth by working in team environment.

I was responsible for receiving, evaluating, and ascertaining customer's requests for best possible information retrieval. Gauging the relevance and reliability of information by assessing transactions, updating records, and adjusting errors.Following is my key accomplishment:• Improved customer satisfaction by delivering information and answering to queries relating to invoices and payments for major companies.