Processed claims from 2012 to January 2026 and Managed Provider inquiries and provided accurate information regarding claims.
Facilitated team meetings collaborating with interdisciplinary teams.
Streamline claims processes and improve turnaround times.
Developed training materials for new representatives, enhancing onboarding efficiency and knowledge retention.
Implemented best practices for complaint resolution, increasing customer satisfaction rates.
In February 2026, I was promoted to the Provider Incentives dept. to assist with open gap measures and to work directly with the primary physicians and their staff to help them meet their incentive program goals.
Operations Manager
Anthem Blue Cross
Newbury Park, CA
01.2001 - 03.2012
Streamlined operational processes to enhance efficiency and reduce costs.
Led cross-functional teams to implement strategic initiatives aligned with organizational goals.
Developed and monitored performance metrics for continuous improvement in service delivery.
Managed vendor relationships to ensure compliance with contractual obligations and quality standards.
Education
Associate of Science - Business Administration And Management
Brigham Young University Idaho- Online Program
06-2020
Timeline
Provider Incentive Rep./Claims Representative
Optum, UnitedHealth Group
04.2012 - Current
Operations Manager
Anthem Blue Cross
01.2001 - 03.2012
Associate of Science - Business Administration And Management
Provider Services Rep Level 3 / Claims Adjuster at Neighborhood Health Plan of Rhode IslandProvider Services Rep Level 3 / Claims Adjuster at Neighborhood Health Plan of Rhode Island