Experience

Anthem

• United States
• Insurance
• 700 & Above Employee

• Team Manager

  • May 2019 - Present

  I currently maintain and coach a newly assembled team of 37 credential specialists, making sure that the rigorous standards our client sets are met--and exceeded. In short time since taking on my new team, I have increased our Production Values by 146% percent, time on system by 20%, and External Quality by 8%. I also work closely with upper management to develop new strategies and polices to ensure the overall success of the program. My team is critical to this success, and I work one-on-one with each individual to ensure they have all the tools they need to excel.



Health First

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Team Manager

  • Aug 2018 - May 2019

  Managed and oversaw a team of 20 claims examiners, ensuring that the team met client expectations and company standards in accuracy and production. I was also the team's Subject Matter Expert and trainer, and was responsible for managing payroll, communicating with the clients, and other administrative tasks. Led a newly hired team of 25 claims examiners to consistently rank as #1 on the floor out of nine teams for Time On System over a three-month period

• Subject Matter Expert

  • Apr 2018 - Aug 2018

  In addition to providing excellent scores for processing claims, I also reduced errors and increased production; held daily feedback sessions regarding errors and updates.I also created multiple documents describing best practices for examiners on the floor, documents which have since been implemented company wide as the "golden standard" of what will deliver proven results.Led a new time of 28 examiners to meet 100% of claim per hour production standards within one week of starting, and exceeding floor-wide accuracy of 93% within two weeks.

• Medical Claims Examiner

  • Oct 2017 - Apr 2018

  I processed healthcare claims to payment with superb accuracy and attention to detail. During this time, I was also giving the responsibility of managing special projects due to attention to detail and problem-solving skills among my team. I maintained a claim accuracy score above the company goal of 95%; consistently performed 15% above production goals of 235 claims daily. Top performer of over 90 agents in November of 2017 for claim accuracy, production, and attendance. Served as a member of Houston Site Council: attended bi-monthly meetings focused on improving employee engagement and satisfaction; helped coordinate and execute monthly perfect attendance rewards; as a member of sub-council, helped organize collection and donation of food and toys during the holiday season



Market Source, Inc

• Sales Representative

  • Mar 2012 - Oct 2017

  I was responsible for training and building long lasting relationships with retail stores for Hewlett Packard products. My training and guidance led to increased sales in these retail locations, as well fostering a forward facing customer experience that gave higher confidence in the product. Also helped facilitate many team building exercises through the encouragement of fun rewards programs. I was responsible for training and building long lasting relationships with retail stores for Hewlett Packard products. My training and guidance led to increased sales in these retail locations, as well fostering a forward facing customer experience that gave higher confidence in the product. Also helped facilitate many team building exercises through the encouragement of fun rewards programs.