Shanieka Edwards
@shaniekaedwards
Health insurance and benefits specialist helping members navigate complex healthcare systems.
What I'm looking for
I’m a healthcare and member services professional with over 10 years of customer service experience and more than 6 years of health insurance experience. I bring strong patient engagement and customer advocacy to every interaction, helping members understand coverage and take action with confidence.
At Florida Blue & Alliance, I provided inbound and outbound support for Marketplace members and prospective enrollees. I handled enrollment, renewals, eligibility verification, coverage maintenance, and educated members on deductibles, copays, provider networks, and prescription coverage.
I’m especially effective at resolving member issues end-to-end—collecting and uploading required documentation, processing first premium payments, and addressing delinquency concerns. I also support accounts through password resets and portal troubleshooting, responding via phone, email, text, and chat channels.
As a licensed Medicare Insurance Agent (Seasonal), I guided Medicare beneficiaries through plan selection and enrollment, explaining Medicare Advantage, Supplement, and Prescription Drug Plans. I conducted needs assessments, maintained compliance with CMS regulations, and supported documentation requirements, while also delivering high-quality customer service as a Customer Service Representative at HSN.
Experience
Work history, roles, and key accomplishments
Health Insurance Agent
Florida Blue & Alliance
Apr 2023 - Feb 2026 (2 years 10 months)
Provided inbound and outbound support for Marketplace members and prospective enrollees, assisting with enrollment, renewals, eligibility verification, and coverage maintenance. Educated members on deductibles, copays, provider networks, and prescription coverage while collecting documentation and resolving portal and delinquency issues.
Customer Service Representative
HSN
Sep 2017 - Dec 2024 (7 years 3 months)
Handled high-volume inbound calls and resolved billing, payment, account, and customer service concerns. Managed escalated situations and delivered customer-focused solutions while maintaining service quality standards.
Medicare Insurance Agent
Assurance IQ
Jan 2018 - Jan 2022 (4 years)
Guided Medicare beneficiaries through plan selection and enrollment by explaining Medicare Advantage, Supplement, and Prescription Drug Plans. Performed needs assessments, reviewed benefits and provider access, and maintained CMS compliance and documentation requirements.
Education
Degrees, certifications, and relevant coursework
Southern New Hampshire University (SNHU)
Bachelor of Science, Business Finance
Pursuing a Bachelor of Science in Business Finance with an expected graduation date of August 2027.
EBC Bushwick
Advanced Regents Diploma, High School
Earned an Advanced Regents Diploma in June 2009.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
Interested in hiring Shanieka?
You can contact Shanieka and 90k+ other talented remote workers on Himalayas.
Message ShaniekaFind your dream job
Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!
