Katie Cummings
Appeal Processing Senior Representative at The Cigna Group- Claim this Profile
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Experience
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The Cigna Group
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Hospitals and Health Care
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700 & Above Employee
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Appeal Processing Senior Representative
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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
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Owner & Operator
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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
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CoreLogic
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United States
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Information Services
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700 & Above Employee
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Senior Operations Associate
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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
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Coffee News®
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United States
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Advertising Services
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1 - 100 Employee
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Publisher
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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
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Edward Jones
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United States
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Financial Services
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700 & Above Employee
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Financial Advisor
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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
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The Hartford
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United States
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Financial Services
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700 & Above Employee
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Vendor Manager
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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
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Business Process Analyst
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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
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Operations and Risk Manager
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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
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Cigna
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United States
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Wellness and Fitness Services
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700 & Above Employee
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Operations Manager
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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 --->
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Education
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University of North Texas
Bachelors of Arts, History