Client-focused professional with significant insurance industry background eager to
contribute exceptional administrative, organizational and interpersonal skills toward supporting a dynamic company in optimizing bottom-line performance.
Well-versed in employee benefits operations and administration, medical insurance claims, client relationship management, and office operations.
Considerable talents in staff training, leadership, mentoring, coaching and supervision.
Employ solid critical thinking skills to scrutinize challenges, propose modifications, and drive solution implementation; consistently focus on productivity and cost control.
Strive to establish a collaborative climate across multiple departments and identify opportunities which will result in long-term benefits for the employer.
Outstanding prioritization, decision-making, organizational, and communication skills.
Reputation for integrity, thoughtfulness and professionalism.
Maintain confidentiality of files and documents, and develop highly productive employees.
CoreSource, Inc. (a Trustmark Company), Wayne, PA 2000 to Present
Client Coordinator (2006 to Present)
Apply strong communication, interpersonal and problem solving skills toward serving as liaison between CoreSource and third-party administrator for group medical benefits and clients.
Facilitate cohesive efforts among multiple departments to expedite responses to client inquiries and achieve swift problem resolution.
Assist Client Managers to ensure delivery of top-notch service and attain 100% client satisfaction.
Leverage sharp administrative capabilities to generate reports, answer incoming calls, and prepare business correspondence.
Actively participate in client implementations, benefit fairs, and open enrollment meetings.
Medical Claims Department Team Leader (2000 to 2006)
Demonstrated exemplary leadership talents in training, supervising, motivating, mentoring and evaluating team of up to eight claims analysts.
Proactively investigated and resolved complex claim situations, vital to overcoming deficiencies, enforcing corporate and regulatory compliance, and attaining quality and quantity goals.
Reviewed and processed subrogation/third party reimbursements for office.
Monitored and ensured adequate phone coverage via IVR (interactive voice response) system.
Cooperatively interacted with attorneys, service providers, and clients on a regular basis.
Maintained up-to-date file for PPO (Preferred Provider Organization) Network.
B.A. in English, University of Alabama, Tuscaloosa, AL
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