Licensed Insurance Specialist experienced in managing complex policy documentation, compliance standards, and corporate client relations.
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Licensed Life & Health Insurance Professional with an academic background in Health Information Technology and extensive experience in Medicare compliance, policy language evaluation, and claims issue resolution. Skilled in analyzing documentation, maintaining data integrity, and navigating complex CMS regulations in fast-paced remote environments, seeking to leverage strong analytical and decision-making skills as a Med Supp Claims Professional.
Licensed Benefits & Enrollment Specialist | Independent |Contract |Houston, TX | 2025 - Present
Provide comprehensive policy analysis and detailed Medicare Supplement comparisons based on client profiles.
Manage eligibility pipelines and analyze documentation to resolve coverage discrepancies.
*Coordinate with major insurance carriers to adjudicate claims issues and review supporting medical documentation.
*Maintain meticulous data integrity within CRM systems to ensure total regulatory compliance.
Licensed Benefits Specialist | Colonial Life | Houston, TX | 2025 - 2026
*Educate employees on voluntary accident, disability, and life insurance benefits.
*Support core enrollment processing and respond efficiently to employee inquiries.
*Evaluate complex claims inquiries and policy disputes using contract terms.
*Ensure operational compliance with employer-sponsored benefit program guidelines.
Remote Medicare Insurance Specialist (Contract) | Pitch Health Solutions |Houston, TX | 2025 - 2026
*Maintained strict adherence to CMS regulations and HIPAA guidelines during data auditing.
*Guided senior beneficiaries on premiums, formularies, and supplemental health benefits.
*Logged tracking documentation and enrollment dispositions to ensure database compliance.
*Verified carrier eligibility rules and supported strict document intake requirements.
Human Resources & Technical Assistant (Contract) Robert Half | 2021 - 2023
Onsite IT Technician Specialist (Harris County Voting Polls — Houston, TX) | 2023
*Installed, configured, and troubleshot controller, duo, and scanner hardware to ensure network reliability.
Human Resources Assistant (Contract) | Robert Half (Gwinnett County Library) | 2021 – 2023
*Input and audited high-volume employee eligibility data to maintain database integrity.
*Utilized Human Capital Management software to manage intricate benefit records securely.
*Maintained confidential personnel files in strict compliance with internal regulations.
Education Bachelor’s Degree - Technical & Business Management (Accounting) - DeVry University Coursework toward AAS in Health Information Technology - Lone Star College Licenses &
Certifications Texas Life & Health License (2025) Texas Department of Insurance Active Non-Resident Licenses: Georgia, Michigan, Ohio, South Carolina, Virginia |AHIP Medicare Certification (2027) Federally Facilitated Marketplace (FFM) Certification (2026) – Centers for Medicare & Medicaid Services (CMS)
