Amelia Lia Lee
Las Vegas,USA
Summary
Ten years in health care delivering exceptional service through effective communication and problem resolution. Demonstrates an entrepreneurial mindset by streamlining processes and ensuring client satisfaction while adapting quickly to evolving needs.
Overview
37
37
years of professional experience
Work History
Sales Coordinator
Anthem
Las Vegas, NV
12.2020 - Current
- Coordinated ABF program operations, overseeing quotes, new business, renewals, and submission of FIR and HCRA until transition to FOA.
- Facilitated AHP program by preparing quotes and managing new business and renewals, enhancing overall client satisfaction.
- Reviewed and validated submissions for fully insured (FI), ABF, ASO, JAA, and AHP groups, ensuring accuracy and compliance.
- Processed large group quotes, new business, and renewals by collaborating with various teams for accurate information.
- Interact with brokers and clients across multiple channels (written correspondence and telephone) to ensure timely, effective engagement and support for quotes, new business and renewals.
- Support the client through completion of New Business paperwork and maintain timely follow-up with the broker and client to meet all submission deadlines.
- Understand and communicate the benefit design packages selected by the Account Executive to the assigned groups.
- Route the client to the appropriate internal contact to discuss plan benefit design, address premium discrepancies, and support enrollment-related questions.
- Utilized programs such as: Salesforce, Contraxx, D&B Finance Analytics, Producer Tool, ABACUS Standalone, NY Pools Desk, iDPS, DocuSign, and several others while logging inquiries and researching information for our Account Managers, Brokers, and Clients.
Consumer Service Associate (CSA)
Anthem
Las Vegas, NV
09.2018 - 12.2020
- Managed member concerns via Anthem chats, email, and scheduled callbacks, ensuring timely and effective resolutions.
- Resolved member concerns on claims, benefits, and appeals while coordinating appointment scheduling and provider communications on behalf of members.
- Delivered concierge service in call-center environment for over 10 large national employer groups, adhering to Anthem’s policies to meet service level requirements.
- Provided team leadership and supported colleagues by answering questions and helping resolve member concerns.
- Worked closely with account executives to ensure their employees received the highest quality of service.
- Represented Anthem on its first co-located team in Denver, partnering with on-site health professionals to provide members with expert guidance on their medical conditions.
- Comply with HIPAA regulations to ensure the privacy and confidentiality of members’ information.
Manager
Denver Water Company
Denver, Colorado
09.2000 - 09.2005
- Promoted to manager for a newly created outbound call center department.
- Managed accounts at risk of service termination and conducted outbound calls to arrange payments and resolve billing issues.
- Supervised a team of three employees.
- Promoted to Billing Clerk; oversaw payment posting and ensured accounts were accurately credited.
- Created a streamlined reporting process, reducing a 100-page report to a 10-page actionable report.
- Administrative Assistant; supported the Director with meeting scheduling, memos, and timesheet administration..
Library Branch Clerk
Pueblo Library District
Pueblo, Colorado
08.1989 - 05.1994
- Processed library materials for circulation and inventory management.
- Assisted patrons with account inquiries and resource requests.
- Coordinated interlibrary loans to enhance community access to materials.
- Maintained organization of library collections and public spaces.
- Utilized library software for cataloging and tracking resources.
- Supported staff training on new systems and procedures.
- Collaborated with team members to improve service delivery efficiency.
- Responded to patron feedback to enhance library services and resources.
Education
Sales License Life And Health Insurace -
Anthem
Las Vegas, Nevada07-2026
A.A.S - Medical Assisting
Red Rocks Community College
Lakewood, CO01-2008
Skills
- Sales experience in healthcare
- Sales Force
- Contraxx
- Client Care Access (COS)
- Medisys
- WGS
- Blue2
- Custom Point
- Solution Central
- Detail-oriented problem solver
- Results-driven
- Adaptable and efficient
- Collaborative team player
Timeline
Sales Coordinator
Anthem
12.2020 - Current
Consumer Service Associate (CSA)
Anthem
09.2018 - 12.2020
Manager
Denver Water Company
09.2000 - 09.2005
Library Branch Clerk
Pueblo Library District
08.1989 - 05.1994
Sales License Life And Health Insurace -
Anthem
A.A.S - Medical Assisting
Red Rocks Community College