Bart Fletcher
Woods Cross,UT
Summary
Detail-oriented professional with 10+ years of experience in health benefits and appeals review. Strong in analyzing complex information, resolving coverage issues, and maintaining audit-ready records. Known for improving workflows, strengthening documentation, and supporting consistent operational outcomes.
Overview
11
11
years of professional experience
Work History
Appeals And Grievance Analyst
Select Health Insurance
03.2023 - Current
- Reviewed prior authorization requests and applied policy guidelines to ensure compliant determinations.
- Interpreted member and provider inquiries to resolve coverage issues and maintain service accuracy.
- Analyzed claims, eligibility, and benefit data to support accurate health plan decisions.
- Validated case documentation across internal systems to improve processing consistency and audit readiness.
- Collaborated with cross-functional teams to clarify requirements and streamline operational workflows.
- Tracked appeal and grievance records, ensuring timely updates and complete documentation.
- Identified data discrepancies and corrected records to strengthen reporting reliability.
- Prepared routine summaries and findings to support management decisions and process improvements.
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
Health Benefit Specialist / Senior
Select Health Insurance
05.2015 - 03.2023
- Administered employee benefits enrollment, eligibility changes, and life-event updates with strict accuracy.
- Resolved member and employee benefits inquiries regarding medical, dental, vision, and retirement plans.
- Interpreted plan documents, policy provisions, and coverage rules to support consistent benefit decisions.
- Coordinated open enrollment communications, system updates, and participant support across multiple benefit programs.
- Trained staff on benefits procedures, system workflows, and service standards to improve departmental consistency.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Assisted in resolving complex benefits issues, leading to increased employee satisfaction and retention rates.
- Processed employee life event changes, ensuring timely updates to benefits and coverage for qualifying events such as marriage or the birth of a child.
Education
High School Diploma -
Viewmont Highschool
Bountiful, UTSkills
- Microsoft Office
- Excel proficiency
- MS Excel
- Data processing
- Team leadership
- Information gathering
- Regulatory compliance
- Critical thinking
- Excel skills
- Process improvements
- Continuous improvement
- Data validation
- Team collaboration and leadership
- Process enhancement
- Claims analysis
- Ongoing improvement
Timeline
Appeals And Grievance Analyst
Select Health Insurance
03.2023 - Current
Health Benefit Specialist / Senior
Select Health Insurance
05.2015 - 03.2023
High School Diploma -
Viewmont Highschool