Katie Cummings

Appeal Processing Senior Representative at The Cigna Group
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Experience

    • Hospitals and Health Care
    • 700 & Above Employee
    • Appeal Processing Senior Representative
      • Jan 2022 - Present

      Dallas, Texas, United States - Rejoined Cigna in medical claims in 01/2022 - Moved to Committee appeals in 05/2022 --Classify and route appeal issues to the appropriate area --Research and schedule appeals for states that mandate a Committee panel review --Collaborate with internal and external teams to include required participants --Support teammates through on-the-job-training and learning curves --Coach teammates, as directed by manager --Provide SME support

    • Owner & Operator
      • Nov 2018 - Mar 2022

      Dallas/Fort Worth Area ---> Provide white-glove pet care service ---> Member of Professional United Pet Sitters (PUPS) ---> Doubled revenue in second half of 2019 ---> Achieved 30% of 2019 revenue in 1Q20 ---> Swiftly navigated pandemic impacts and rescaled business in order to continue to serve clients ---> Developed network of referral partners to provide full service pet care

    • United States
    • Information Services
    • 700 & Above Employee
    • Senior Operations Associate
      • Apr 2020 - Dec 2021

      Irving, Texas, United States ---> Verify income and employment on the lender's behalf for borrower's going through the mortgage loan or refinancing process ---> Mentor new team members and perform on-the-job training ---> Research and resolve escalated issues ---> Quality review transcribed verifications and track errors and feedback to support supervisors and team leads in improving staff performance ---> When appropriate, recommend process changes to drive operational efficiency and improve the… Show more ---> Verify income and employment on the lender's behalf for borrower's going through the mortgage loan or refinancing process ---> Mentor new team members and perform on-the-job training ---> Research and resolve escalated issues ---> Quality review transcribed verifications and track errors and feedback to support supervisors and team leads in improving staff performance ---> When appropriate, recommend process changes to drive operational efficiency and improve the customer experience Show less

    • United States
    • Advertising Services
    • 1 - 100 Employee
    • Publisher
      • Jan 2018 - Dec 2019

      Dallas, TX ---> Tripled distribution networks; 10,000 weekly copies delivered across North Texas ---> Tripled sales in first year ---> Consult with clients on effective ad design and work with design team to fulfill client requests ---> Secure ad sales through network marketing and referrals

    • United States
    • Financial Services
    • 700 & Above Employee
    • Financial Advisor
      • Aug 2016 - May 2018

      Dallas/Fort Worth Area ---> Series 66 & 7 licensed ---> Managed over $9M in individual retirement and education assets ---> Facilitated monthly informational sessions for clients and prospective clients

    • United States
    • Financial Services
    • 700 & Above Employee
    • Vendor Manager
      • Apr 2013 - Dec 2015

      Dallas/Fort Worth Area Managed $3M+ of offshored, life and disability insurance enrollment work and supported 200+ on and off shore associates. Oversight for thousands of weekly transactions. Sourcing Lead for new operations opportunities. • Achieved 25% operational savings by identifying additional sourcing opportunities and seeking continuous improvements on existing sourcing projects • Attained strong business relationships between on and off shore teams by resolving operational problems, issues, and… Show more Managed $3M+ of offshored, life and disability insurance enrollment work and supported 200+ on and off shore associates. Oversight for thousands of weekly transactions. Sourcing Lead for new operations opportunities. • Achieved 25% operational savings by identifying additional sourcing opportunities and seeking continuous improvements on existing sourcing projects • Attained strong business relationships between on and off shore teams by resolving operational problems, issues, and disputes • Coordinated contract change requests enabling the vendor to support a larger scope of work which also resulted in operational rigor and savings

    • Business Process Analyst
      • Oct 2010 - Mar 2013

      Windsor, CT / Sherman, TX Represented Operations on multi-million dollar projects, leading up to six moderate to high complexity-scoped projects simultaneously. • Delivered benefits of 20 FTE savings through sourcing 2 operational roles • Realized $570K savings over 5 years through the implementation of forecasting tools and workload management processes in Operations • Achieved premium and revenue benefits of $3.2M in Y1 by implementing new, 100% voluntary, Disability product in Operations • Migrated… Show more Represented Operations on multi-million dollar projects, leading up to six moderate to high complexity-scoped projects simultaneously. • Delivered benefits of 20 FTE savings through sourcing 2 operational roles • Realized $570K savings over 5 years through the implementation of forecasting tools and workload management processes in Operations • Achieved premium and revenue benefits of $3.2M in Y1 by implementing new, 100% voluntary, Disability product in Operations • Migrated Operations online reference tool environments and redesigned their web pages which prevented increased user outages and improved the navigational experience

    • Operations and Risk Manager
      • Jan 2007 - Sep 2010

      Windsor, CT Oversaw annualized budget of $550K for systems enhancements and staff recognition. • Developed a combined team of Medical Underwriting and Enrollment staff, with 10 – 23 direct reports; included directing implementation support and responding to Requests for Proposals and Performance Guarantees • Collaborated with Field partners to drive key Voluntary and self-service Consumer strategies • Executed new audit programs and procedures for Evidence of Insurability (EOI) workflows

    • United States
    • Wellness and Fitness Services
    • 700 & Above Employee
    • Operations Manager
      • Sep 1998 - Jan 2007

      Bristol, Connecticut, United States ---> Managed teams of claims analysts, quality analysts, and sales support staff ---> Consolidated behavioral health claims processing team from nine locations across the United States into one centralized location --->

Education

  • University of North Texas
    Bachelors of Arts, History
    2001 - 2005

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