Summary
Overview
Work History
Education
Skills
Timeline
Generic

AUSTIN LOMICA

Pleasant Hill,IA

Summary

Patient and versed employee with a Bachelors degree accompanied by a strong desire to be a contributing member to this team. Motivated employee that thrives in a fast-paced, team-based environment. Excellent at building relations and collaborating with others to accomplish task at hand.

Overview

10
10
years of professional experience

Work History

Performance Management Team

Wellmark Blue Cross And Blue Shield Of Iowa
Des Moines, IA
01.2024 - Current
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments, handling several varying projects at one time.
  • Skilled at working independently with minimal direction and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Oversee handling of sensitive personal information with proper regulatory compliance.

Claims and Sales Coordinator

Gavnat And Associates
Des Moines, IA
02.2022 - 01.2024
  • Liaised with clients, management, sales, contractors, and insurance carriers to better understand what is needed for a correct, timely resolution.
  • Compiled client profiles and entered information into operating system.
  • Kept detailed records of sales and client information in CRM software, updating database regularly to maintain top-notch service.
  • Oversee entire claims process (90+ claims), start to finish. Keeping all appropriate parties up to date throughout.
  • Developed business operating procedures and translated to written documents.

Customer Experience Advocate III

Wellmark Blue Cross And Blue Shield Of Iowa
11.2018 - 02.2022
  • Collaborate with internal team members to resolve customer concerns and deliver enhanced customer experiences.
  • Trained in claim adjustments, CRM tools, remediation/research projects, utilizing multiple programs to find a resolution
  • Review changes made to member files, claims, and/or other insurance and provide appropriate feedback to team members when needed.
  • Work help desk on a weekly basis to provide support and guidance to team members in the FEP department.
  • Reached position of Customer Experience Advocate III in under 3 years.

Loan Counselor

Iowa Student Loan
04.2017 - 11.2018
  • Process documentation, review documents and files to make sure all information is correct.
  • Review of all items to make sure they are with compliance guidelines.
  • Budget counseling and completion of financial worksheets with customers.
  • Process applications submitted by borrowers, with emphasis on detail.
  • Processing payments in Western Union system, payment reapplications when a payment is applied incorrectly.
  • Develop plans to benefit customers/borrowers with strong detail to customer relations.
  • Handle confidential information in regards to other individuals.

Youth Care Worker

Youth Homes of Mid-America
09.2016 - 03.2017
  • Assisted in juveniles daily functions in cottages and running programs.
  • Communicated with parents, court officials, and attorneys via phone on a daily basis to represent Youth Homes in a professional manner.
  • Author of reports pertaining to juveniles and behavior.
  • Report author of juvenile overall end goals while staying at youth home.

Client Service Coordinator

Central Iowa Juvenile Detention Center
10.2015 - 09.2016
  • Communicated with residents in detention, parents, juvenile court officers, and attorneys on a daily basis via phone/in person, in a professional manner.
  • Assisted in proper functioning of the juvenile detention center's daily programs showing knowledge of a complex facility.
  • Wrote numerous reports pertaining to observed behavior and future outlook on that behavior illustrating proper report composer.
  • Poured over a copious amount of extensive documents, including court documents and insurance relating to juveniles.

Education

Bachelor of Arts - Interdisciplinary Studies(Criminal Justice) and Sociology

Iowa State University
Ames, IA
2016

Skills

  • Effective verbal communication
  • Decisive decision-making
  • Organizational skills
  • Relationship building
  • Attention to detail
  • Critical thinking

Timeline

Performance Management Team

Wellmark Blue Cross And Blue Shield Of Iowa
01.2024 - Current

Claims and Sales Coordinator

Gavnat And Associates
02.2022 - 01.2024

Customer Experience Advocate III

Wellmark Blue Cross And Blue Shield Of Iowa
11.2018 - 02.2022

Loan Counselor

Iowa Student Loan
04.2017 - 11.2018

Youth Care Worker

Youth Homes of Mid-America
09.2016 - 03.2017

Client Service Coordinator

Central Iowa Juvenile Detention Center
10.2015 - 09.2016

Bachelor of Arts - Interdisciplinary Studies(Criminal Justice) and Sociology

Iowa State University

Similar Profiles

  • Yeison RamirezYeison Ramirez

    Master Resilience Trainer - Performance Expert at Strategic Resources Inc.Master Resilience Trainer - Performance Expert at Strategic Resources Inc.

  • Heba T-ullah SolimanHeba T-ullah Soliman

    Senior Performance Marketing Specialist at NawySenior Performance Marketing Specialist at Nawy

  • Kok E-ZenKok E-Zen

    First City University Performance Arts Club Member at NAFirst City University Performance Arts Club Member at NA

  • HEATHER PETTITHEATHER PETTIT

    <ul><li>Oversaw all operational functions during the successful amalgamation of two legacy mutual insurers into a single, unified organization. Reported directly to the CEO and played a key leadership role in aligning people, processes, and performance with long-term strategic goals.</li><li>Led the full operational transformation of Salus Mutual, uniting teams and systems from two legacy organizations under a cohesive structure with shared goals and culture.</li><li>Redesigned leadership accountabilities and implemented new KPI and SLA frameworks, enabling stronger performance management and outcome tracking.</li><li>Built internal capacity in key operational areas, reducing reliance on external consultants and establishing a culture of ownership, capability, and continuous improvement.</li><li>Established an Operations function to support Claims, Underwriting, and Sales, delivering enterprise-wide value through data insights, process improvements, project delivery, and enhanced customer service.</li><li>Collaborated closely with the Senior Leadership Team and Board of Directors to co-develop and launch the organization’s first corporate strategy post-amalgamation.</li><li>Held P&L responsibility for $45M in Gross Written Premium, with a strong focus on operational efficiency and strategic growth.</li><li>Delivered key strategic outcomes, including: First-ever member rebate in company history, First employee engagement survey, achieving a 75% engagement score, 3% reduction in expense ratio through operational efficiencies and cost control.</li></ul> at Salus Mutual Insurance Company<ul><li>Oversaw all operational functions during the successful amalgamation of two legacy mutual insurers into a single, unified organization. Reported directly to the CEO and played a key leadership role in aligning people, processes, and performance with long-term strategic goals.</li><li>Led the full operational transformation of Salus Mutual, uniting teams and systems from two legacy organizations under a cohesive structure with shared goals and culture.</li><li>Redesigned leadership accountabilities and implemented new KPI and SLA frameworks, enabling stronger performance management and outcome tracking.</li><li>Built internal capacity in key operational areas, reducing reliance on external consultants and establishing a culture of ownership, capability, and continuous improvement.</li><li>Established an Operations function to support Claims, Underwriting, and Sales, delivering enterprise-wide value through data insights, process improvements, project delivery, and enhanced customer service.</li><li>Collaborated closely with the Senior Leadership Team and Board of Directors to co-develop and launch the organization’s first corporate strategy post-amalgamation.</li><li>Held P&L responsibility for $45M in Gross Written Premium, with a strong focus on operational efficiency and strategic growth.</li><li>Delivered key strategic outcomes, including: First-ever member rebate in company history, First employee engagement survey, achieving a 75% engagement score, 3% reduction in expense ratio through operational efficiencies and cost control.</li></ul> at Salus Mutual Insurance Company

CREATE PROFILE
AUSTIN LOMICA