Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angela Guidry

Stockton

Summary

Polished professional with over 10 years of experience in delivering exceptional customer service across high-pressure and relaxed environments. Expertise in building productive relationships, resolving complex issues, and fostering consumer loyalty through attentive listening and creative problem-solving. Proven ability to leverage strategic relationship-building skills, utilizing tact and diplomacy to navigate challenges and achieve mutually beneficial outcomes. Committed to enhancing customer satisfaction and driving business success through a customer-centric approach.

Overview

11
11
years of professional experience

Work History

Enrollment Processor- Senior (formerly known as Sales Implementation Specialist, Experienced)

BLUE SHIELD OF CALIFORNIA
06.2019 - Current
  • Company Overview: To ensure all Californians have access to high-quality health care at an affordable price.
  • Responsible for managing and maintaining my assigned Account Executives book of business as part of my Large Group renewal work.
  • Process Core and Premier renewals as well as providing assistance to the Implementation Team with processing Complex Jumbo Renewals.
  • Regularly contact internal customers and business partners to verify or obtain additional information to complete processing work.
  • Research information as appropriate to resolve inquiries and escalations.
  • Access and navigate various systems of recording to perform required job duties.
  • Provide assistance to our vendor partners with work processes.
  • Help train new employees and temporary workers.
  • Manage department specific desktop level procedures, training content, and projects as warranted by business needs.
  • Processing Change Notifications (CID) request that come in throughout the year, as well as processing TriNet Cal Cobra Change Request.
  • Review and create Desk Level Procedures (DLP) to ensure that new hires and/or current employees spend more time on productive work rather on avoidable errors or possible Member Touchpoint Measures (MTM).

Small Group Underwriter - Entry

BLUE SHIELD OF CALIFORNIA
07.2017 - 06.2019
  • Facilitates the implementation of exceptions to underwriting policy.
  • Requests and reviews documentation such as outside audits, credit histories, ERISA reports, payroll records, payment schedules and maintenance agreements to assist in determination of group/member eligibility.
  • Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
  • Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
  • Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
  • Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
  • Reviewing health insurance applications, analyzing medical history, lifestyle, occupation, financial information, and other relevant factors to assess the potential risk of insuring an applicant.
  • Based on risk assessment, determine the appropriate level of coverage and set premium rates that are fair and competitive for both the insured and the insurer.
  • Employed specialized health insurance software and analytical tools to streamline the risk assessment process and make informed decisions about policy approvals, denials, or adjustments.
  • Collaborated with agents, brokers, regional sales representatives and account managers to gather necessary information, clarify details, and effectively communicate underwriting decisions and policy terms.
  • Adhere to all relevant state and federal insurance regulations and company policies while making underwriting decisions.
  • Review updated the terms of existing policies based on new health information or changes in circumstances.
  • Keep up to date with industry trends, developments in healthcare, and changes in laws and regulations that may impact the underwriting process.

Administrative Assistant, One Stop Team - Senior

BLUE SHIELD OF CALIFORNIA
04.2014 - 10.2017
  • Responsible for providing support to our One Stop Brokers in a professional manner.
  • Responsible for preparation of reports, graphs, conducting research and illustrating data using spreadsheets.
  • Support our Small Business Account Managers and Group Sales in revolving simple to complex issues.
  • Hold educational Webex training for individual brokers and their staff on Blue Shield processed and guidelines.
  • Audit all incoming and outgoing work for accuracy before responding to the broker.
  • Responds to internal and external customer inquiries.

Education

Bachelor of Science (B.S) - Sociology

Ashford University
San Diego, CA
01.2018

Skills

  • Exceptional Verbal, written and mathematical proficiency
  • Resourcefulness
  • Scheduling and Calender management
  • Teamwork and collaboration
  • Flexibility
  • Skilled in Microsoft Office and Windows operating systems
  • Documentation and reporting

Timeline

Enrollment Processor- Senior (formerly known as Sales Implementation Specialist, Experienced)

BLUE SHIELD OF CALIFORNIA
06.2019 - Current

Small Group Underwriter - Entry

BLUE SHIELD OF CALIFORNIA
07.2017 - 06.2019

Administrative Assistant, One Stop Team - Senior

BLUE SHIELD OF CALIFORNIA
04.2014 - 10.2017

Bachelor of Science (B.S) - Sociology

Ashford University

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