Innovative Technical Training Senior Analyst with a strong history of creating compelling training content and boosting team effectiveness. Skilled in quality assurance and effective communication, I excel in managing training projects and fostering collaboration to drive results. Committed to continuous improvement and problem-solving in fast-paced environments.
Overview
13
13
years of professional experience
Work History
Technical Training Senior Analyst
Cigna
11.2017 - Current
Conducted needs analysis to apply learning theories, proposing targeted learning solutions that addressed skill gaps.
Created and updated training materials aligned with specific learning objectives to enhance learner engagement and retention.
Managed training projects independently, ensuring timely delivery and alignment with organizational training goals.
Customer Service Representative, Senior Associate
Cigna
02.2015 - 11.2017
Received coverage determination/DMR requests; responded to inquiries from providers and others for information and assistance regarding coverage determinations.
Executed outbound notification calls to members and their appointed representatives.
Research and process direct member reimbursement requests
Performed quality assurance review of processed claims/orders, ensuring accuracy prior to member notification.
Performs research to respond to inquiries and interprets policy provisions to determine most effective response
Documents / maintains an error log for the DMR team / Reports the log to leadership on a monthly basis
Provides coaching for documented errors
Process redetermination - DMR requests by effectuating manual claims for customer refunds
Provided expert guidance and support for various inquiries from internal customers as the SME.
Customer Service Representative
Aerotek Staffing - Cigna Healthpring
10.2014 - 02.2015
Receives coverage determination requests by mail, fax, or telephone. Responds to inquiries from policy holders, providers and/or others for information and assistance related to coverage determinations.
Resolved inquiries, grievances, complaints, and appeals of varying complexity to ensure customer satisfaction
Makes outbound notification calls to members and/or their appointed representatives regarding status of requests
Conducted research and interpreted policy provisions to provide accurate and effective responses to inquiries
Coordinated special outbound call project to improve communication with members in 2015
Patient Services Representative
University of Maryland Faculty Physicians
01.2013 - 01.2014
Provided excellent customer service by researching and resolving patient billing inquiries, ensuring timely and accurate information
Developed strategies to enhance customer service through teamwork and daily communication with insurance companies, facilitating resolution of medical claims for patients
Executed credit card transactions efficiently to ensure timely processing
Reviewed and resolved billing inquiries from written correspondence via postal mail and email, processed billing insurance claims, and verified insurance coverage daily
Maintained communication with patients to ensure understanding of EOBs, confirmed benefit compliance with insurance eligibility
Education
Bachelors - Healthcare Administration
University of Arizona Global Campus
Tucson, AZ
10-2023
Skills
Training development
Quality assurance
Effective communication
Problem solving
Time management
Report preparation
Team collaboration
Critical thinking
Accomplishments
Multiple Cigna Standout Recognitions for facilitation performance.
Technical Training Senior Analyst at The Cigna Group / Evernorth Health ServicesTechnical Training Senior Analyst at The Cigna Group / Evernorth Health Services
Talent Acquisition Training & Development Senior Analyst at Lean Solutions GroupTalent Acquisition Training & Development Senior Analyst at Lean Solutions Group