Haley Steele
Bessemer City,United States
Summary
Results-driven quality professional skilled in ensuring compliance and enhancing operational efficiencies. Background includes driving process improvements and fostering culture of continuous quality enhancement. Strong emphasis on team collaboration and adaptability to meet evolving organizational needs.
Overview
9
9
years of professional experience
Work History
Sr. Quality Consultant
Aetna, a CVS Health
08.2023 - Current
- Created and maintained documentation standards to streamline processes.
- Developed and executed training programs aimed at enhancing understanding of quality metrics across departments.
- Participated in regular meetings with cross-functional teams to discuss progress updates, communicate concerns or challenges, and ensure alignment of project goals.
- Mentored and coached team members on topics and strategies.
- Streamlined QC processes for increased efficiency and reduced time spent on redundant tasks.
- Conducted comprehensive test scenarios to decrease downtime and elevate user satisfaction.
- Optimized workflow efficiency by introducing automation tools into the QC process where appropriate.
Sr. Claims Benefit Specialist
Aetna, a CVS Health
04.2019 - 08.2023
- Processed complex claims with a focus on accuracy and compliance with company policies.
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Collaborated with cross-functional teams to streamline claims processing workflows.
- Conducted detailed data analysis to identify trends and improve operational efficiency.
- Trained new team members on claims management protocols and software utilization.
- Assessed and prioritized claims for expedited processing based on urgency.
Claims Benefit Specialist
Aetna
02.2017 - 04.2019
- Processed claims with attention to detail, ensuring compliance with regulatory guidelines.
- Evaluated claims for eligibility based on policy coverage and client circumstances.
- Maintained accurate data entry and record-keeping to support efficient claims processing.
- Supported management in developing training materials aimed at improving team performance.
- Participated in cross-departmental meetings to facilitate better communication regarding claims issues.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Education
High School Diploma -
Bessemer City High School
Bessemer City, NC06-2007
Skills
- Problem-solving skills
- Team collaboration
- Team leadership
- Verbal and written communication
- Detail-oriented
- Internal audits
- Quality improvements
Timeline
Sr. Quality Consultant
Aetna, a CVS Health
08.2023 - Current
Sr. Claims Benefit Specialist
Aetna, a CVS Health
04.2019 - 08.2023
Claims Benefit Specialist
Aetna
02.2017 - 04.2019
High School Diploma -
Bessemer City High School