Melissa Kelly

Eligibility Analyst III at Catamaran
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Contact Information
us****@****om
(386) 825-5501
Location
Northbrook, Illinois, United States, US

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Experience

    • United States
    • Hospitals and Health Care
    • 500 - 600 Employee
    • Eligibility Analyst III
      • Nov 2014 - Present

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Senior Enrollment Analyst
      • Jun 2006 - Oct 2014

      Delivers an Unmatched Breadth of Health Care Capabilities, combines retail and PBM services.; Project managed the successful implementation of existing or new Health Plan clients of varying size. Conducted external meetings to obtain client business needs and interact with internal operational and technical staff to ensure the proper administration of a client’s requirements. Continuously looked to improve systems, processes and called upon to work on special project teams aimed at improvements. Key Results: Project lead in the development of system enhancements and process improvements that reduced the amount of time for internal testing by 15%. Structured, wrote and implemented processes and procedures in the areas of department processes, employee tools and cross department utilization. Creates, leverage and implement plans for developing new as well as updates existing learning solutions as per end to end learning process. Fostered a teamwork environment conducive to positive dialogue across the department. Personal efforts were cited as the model for best practices and worth ethic across the team. Conducted training programs and mentored team-members for an observed increase in performance Ability to make sound operational decisions in a fast-paced, high stress environment; ability to prioritize and multitask. Performed analyses to make business recommendations to improve the integrity of the eligibility data. Analyzed custom test plans to assure client expectations were met by the defined Account Structure. Show less

    • United Kingdom
    • Financial Services
    • 700 & Above Employee
    • Customer Service Associate
      • Aug 2003 - Jun 2006

      World’s leading HR consulting and outsourcing companies; Independently manage a large complex client. Consulted client on best practices and managed change control processes. Provided complete and accurate responses for participant and processing related issues that were escalated to senior client contacts. Key Results: Handled only client escalated issues, executive benefits administration and labor escalations. Drove continuous improvement and efficiency across client team by conducting research/projects and review workflow/case management documentations to investigate and resolve employee issues. Performed trend analysis and indentified root causes to enhance the efficiency of the system configuration Navigated among several applications/tools in a Windows based system through a series of databases in order to access the appropriate information/data to fully counsel participants Aligned within an integrated team to administer benefits across multiple client teams Consulted with customers to analyze business requirements and convert requirements into product and service solutions Show less

    • Guest Service Team Lead
      • Jan 2002 - Jan 2003

      Supporting communities through giving has always been a cornerstone of our business and a belief that guides so many of our decisions. Each year, we’ve given 5 percent of our income to communities, which add up to more than $3 million each week. We also believe that donating our time, talent and resources is equally important as the income we give. Our team members give hundreds of thousands of hours volunteering in their communities every year.; Meeting customers deadlines while providing outstanding customer service and established a rapport along with utilizing a deep subject matter expertise with each customer in mind. Key Results: Provided fast, fun and friendly service to guests by responding quickly to their needs, questions or issues, plus ring up transactions and handle other responsibilities Show less

Education

  • AMERICAN SCHOOL
    High School Diploma, 12
    1999 - 2000
  • Evanston Township High School
    N/A, 9-11
    1996 - 1999

Community

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