Kaitlin Horne
Summary
Resourceful Enrollment Coordinator known for productivity and efficiently completing tasks. Specialized in database management, interpersonal communication, and process optimization. Excel at problem-solving, adaptability, and teamwork to ensure successful enrollment processes.
Overview
18
18
years of professional experience
Work History
Senior Products Enrollment Coordinator
Point32Health
2023.08 - 2026.08
- Executed enrollment and disenrollment processes ensuring compliance with regulatory standards.
- Coordinated member enrollment updates across Point32Health health plan systems and records.
- Reviewed applications for completeness and accuracy across enrollment workflows.
- Handled daily enrollment files from CMS and EOHHS ensuring data integrity.
- Coordinated benefit changes during open enrollment periods.
- Supported service teams with accurate enrollment and eligibility information.
- Adhered to all applicable policies, procedures, regulations, and laws.
- Trained new enrollment team members in policies and procedures.
- Utilized systems such as EOHHS and MARx to verify member eligibility.
- Resolved enrollment issues with members, brokers, and internal teams.
Member Services Representative - Sr Products
Point32Health
2022.08 - 2023.08
- Delivered exceptional customer service to every member by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Resolved inquiries about benefits, claims, and eligibility coverage, providing clear information and support to members.
- Followed up with members and providers on escalated issues to ensure resolution and satisfaction.
- Delivered prompt service to prioritize customer needs.
- Cross-trained in multiple roles across departments, including member billing, Care Partners of Connecticut, and THPP Together Plans.
- Researched claims including outreach to providers and members
- Navigated multiple computer systems and applications
- Participated in outbound call projects for public plans and assisted in mock calling for new hires
Business Development & Education Coordinator
LaserStar Technologies
2017.01 - 2020.04
- Coordinated customer trainings and demonstrations across RI, FL, and CA facilities to enhance product understanding
- Engaged new and potential customers to identify needs and exceed expectations
- Managed staff training schedules and travel arrangements to facilitate seamless training execution
- Collaborated with team members with the sales department by answering inbound calls and making outbound calls to expand the reach of the business
- Entered data for new orders, vendors, trade shows, technical services and customer relations
- Continually maintained and improved company's reputation and positive image in markets served.
CSR & Life Inforce Analyst
Metlife
2013.05 - 2016.10
- Investigated policyholder discrepancies and addressed referrals from customer service representatives to resolve issues effectively.
- Responded to customer inquiries and suggestions with professionalism, enhancing customer satisfaction.
- Actively listened to customers, handled concerns quickly and escalated major issues.
- Coordinated outbound correspondence by mail or fax, ensuring timely responses to members.
- Operated various software systems to manage data efficiently
Front Desk Manager
Holiday Inn Express And Suites
2009.01 - 2013.05
- Trained new staff on procedures, compliance, and performance strategies to ensure high service standards.
- Managed cash and credit card transactions at front desk, minimizing transaction errors through careful oversight.
- Responded to telephone, email and in-person inquiries regarding reservations, hotel information and guest concerns.
- Greeted guests at front desk, fostering a welcoming environment while efficiently managing check-in process.
- Trained new staff on correct procedures, compliance requirements, and performance strategies.
- Prepared weekly employee work schedules to meet operational needs.
Education
High School Diploma -
Classical High School
Providence, RISkills
- Eligibility Verification
- Compliance Documentation
- Data Integrity Assurance
- Project management
- Task management
- Planning coordination
- Time Management
- Customer management
- Prioritization
- Problem-Solving
- Data Systems Management
- Flexible and Adaptable
- Communication
Timeline
Senior Products Enrollment Coordinator
Point32Health
2023.08 - 2026.08
Member Services Representative - Sr Products
Point32Health
2022.08 - 2023.08
Business Development & Education Coordinator
LaserStar Technologies
2017.01 - 2020.04
CSR & Life Inforce Analyst
Metlife
2013.05 - 2016.10
Front Desk Manager
Holiday Inn Express And Suites
2009.01 - 2013.05
High School Diploma -
Classical High School