Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Jenna Matton

Chippewa Falls

Summary

Resolution professional with solid foundation in conflict management and solution implementation. Proven ability to manage and resolve complex disputes, ensuring smooth operations and client satisfaction. Known for collaborative approach and adaptability in dynamic environments, leveraging keen problem-solving and communication skills.

Overview

8
8
years of professional experience

Work History

Compliance Resolution Specialist

United Healthcare
06.2022 - Current
  • Analyzed root causes of member complaints to resolve them permanently, reducing the number of future complaints.
  • Coordinated with internal departments as needed to gather information on each individual case, facilitating a more accurate and timely response.
  • Utilized advanced problem-solving abilities to identify creative solutions for atypical client concerns.

Dedicated Care Coordinator

United Healthcare
02.2020 - 06.2022
  • Managed member caseloads effectively, ensuring timely follow-up and appropriate assistance in navigating healthcare and insurance.
  • Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
  • Assessed member's needs and connected them with appropriate resources to ensure optimal health outcomes.
  • Tested new systems and process' to improve timeliness of resolutions and improve member experience.

Claims Processor

UnitedHealthcare
06.2017 - 02.2020
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.

Education

Associate Degree in Nursing - Nursing

Chippewa Valley Technical College
Eau Claire, WI

High School Diploma -

Memorial High School
Eau Claire, WI
06-2016

Skills

  • De-escalation techniques

  • Assertiveness

  • Conflict resolution skills

  • Document preparation

  • Problem-solving

  • Attention to detail

  • Critical thinking

  • Active listening

  • Team collaboration

  • Task prioritization

  • Adaptability

  • Cultural sensitivity

Accomplishments

  • Achieved quarterly bonus' by exceeding expectations on quality and efficiency.
  • Proposed an area of struggle within the department, which resulted in additional support emails regarding perpetual process changes.

Timeline

Compliance Resolution Specialist

United Healthcare
06.2022 - Current

Dedicated Care Coordinator

United Healthcare
02.2020 - 06.2022

Claims Processor

UnitedHealthcare
06.2017 - 02.2020

Associate Degree in Nursing - Nursing

Chippewa Valley Technical College

High School Diploma -

Memorial High School

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