Jennifer Komba
Houston
Summary
Results-driven Supervisor at UnitedHealthcare with expertise in performance management and operational efficiency. Proven ability to enhance productivity through effective team training and streamlined workflows, resulting in a significant reduction of disputes. Recognized for fostering a motivated workforce while implementing strategic improvements that contribute to overall departmental success.
Overview
19
19
years of professional experience
Work History
Supervisor
UnitedHealthcare
Houston
10.2022 - Current
- Supervised and coordinated activities of staff to ensure compliance with established policies, procedures, and standards
- Delegated tasks to team members according to individual strengths
- Worked closely with upper management to develop strategies for improving operational efficiency within the department
- Motivated employees to reach highest professional potential
- Assessed staff performance on a regular basis, providing feedback and coaching as necessary to improve results
- Encouraged collaboration among team members through positive reinforcement techniques such as praise or rewards programs
- Monitored workflow processes to ensure accuracy and timeliness of deliverables
- Set performance goals for staff members and helped teams meet important deadlines
- Organized workflow tasks to prevent downtime and production gaps
Medicare Compliance/Resolution Analyst. Senior Customer service Professional
UnitedHealthcare
Houston
05.2006 - 10.2022
- Attends daily Medicare audit calls with upper management to ensure compliance with CMS guidelines
- Performs content review of the existing Medicare documents that improves usability
- Performed research required to update/develop documentation
- Trained New Hire and seasoned representatives on Medicare
- Educate providers, members on policies and procedures related to benefits, eligibility, claims processing and contracting guidelines
- Handle repeat callers, escalated issues, and highly complex customer inquiries and simple adjustments from an immediate customer request
- Worked closely with senior management team members in order to create strategies for reducing future disputes or improving current ones
- Maintained detailed records of customer interactions and case progress throughout the resolution process
- Coordinated with external vendors as needed in order to resolve complicated disputes
- Developed detailed reports highlighting issue trends and areas for improvement, leading to targeted process enhancements
- Demonstrated expert knowledge of industry regulations, compliance requirements, and internal policies when addressing client concerns or disputes
Education
BS - Health Promotion Emphasis
University of Houston
Houston, TX05.2013
Associate Degree - Arts
Houston Community College
Houston, TX05.2009
Skills
- Performance management
- Regulatory compliance
- Operational efficiency
- Employee training
- Project management
- Workflow optimization
Timeline
Supervisor
UnitedHealthcare
10.2022 - Current
Medicare Compliance/Resolution Analyst. Senior Customer service Professional
UnitedHealthcare
05.2006 - 10.2022
BS - Health Promotion Emphasis
University of Houston
Associate Degree - Arts
Houston Community College
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