Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
24
24
years of professional experience
Work History
Contract Specialist 1
Blue Cross and Blue Shield
Richardson, Texas
12.2016 - Current
Process Legal request inquiries sent via Enterprise Booklet Inquiry mailbox for Benefit Booklets for all Market segments and States (Illinois, Texas, Oklahoma, New Mexico, and Montana)
Processed Print requests from accounts requesting benefit booklets mailed to physical addresses for all Market segments and states
Manage Projects requested by the Legal department for benefit booklets on a prompt and exact basis
Possess problem-solving skills, the ability to work in a team, a strong work ethic, communication skills, and leadership qualities
Possess verbal and written communication skills to interact with corporate departments in areas of primary responsibility
Process inductions request sent via Enterprise Booklet Intake mailbox for Custom and Blue Balanced ASO Funded accounts
Experience in manual uploading benefit booklets to UCR to display on Blue Access for Employers and Members
Drafted procedures and job aids to train team members to aid in the Enterprise Booklet Inquiry mailbox for Legal requests, SBC team to process translation request in RRD tool
Experience performing audits on Montana Small Standard booklets for any discrepancies
Testing new process and RRD tool for translation requests for benefit booklets and SBCs
Project management skills with EConsent print reports that coordinate with Marketing the print/mailing for renewing accounts to distribute Standard Benefit Booklets, GAD's and SBCs for Small, Mid-Market and Large standard plans.
Account Specialist 1
Blue Cross and Blue Shield
Richardson, Texas
03.2013 - 12.2016
Supply prompt response to inquiries to offshore partners processing Benefit Changes, Renewals and New groups
Work as a liaison among account management, underwriting, leads on the team to ensure all urgent matters conducted in a timely manner
Train team members and new hires on procedures and guidelines for Blue Direction/Trionfo accounts and other procedures processed throughout the unit
Work as a liaison for stakeholders to elicit, analyze, communicate, and confirm requirements for changes to business processes, policies, and information systems
Manage projects as well as any other tasks management assigned on a prompt basis meeting and exceeding quality, individual and team goals
Attend, help and engage in departmental meetings related to changes within the area as well as team updates, discussions to ensure fluid communication
Aid with the Lead team in creating Help Desk tickets on issues occurring within BlueSTAR system to coordinate with ITG team to resolve issues.
Account Specialist I, II, III
Blue Cross and Blue Shield
Richardson, TX
10.2000 - 03.2013
Completed exact and prompt account level set up and maintenance
Analyzed and interprets Sold Group Paperwork including Summary Plan Designs (SPD)
Support team activities, deliverables, and issue resolution
Assisted Unit Leads on escalated and urgent issues
Support, encourage and contributed to ensuring the company was the best industry meeting and exceeding member and customer needs
Assessed New process within Small Group Renewal team such as EWF, Small Group Workflow, Plan Change Automation
Coordinated with Brokers to update Broker information such as contact information, region, district, and territory
Subject Matter Expert for BlueSTAR, Benefit Coding, underwriting issues needing aid within the team to resolve issues
Successfully completed all assigned tasks on a prompt basis to meet and exceed goals
Processed Group/Member level entries using via RBY and BlueSTAR
Processed dispositions, advanced premium reports, and special account reconciliation for Management teams in Group Accounts.
Education
Some College (No Degree) - Medical Secretary
BMI
Marshall, TX
Skills
Problem-solving
Teamwork
Work ethic
Communication skills
Leadership qualities
Verbal communication
Written communication
Project management
System Knowledge
PC ability to include Microsoft Word, Microsoft Excel, Microsoft Outlook, Lotus notes