Summary
Overview
Work History
Education
Skills
Certification
Websites
Timeline
Generic

Karima Laurenceau

Tifton,GA

Summary

Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Senior Operations Team Leader

Evernorth
05.2023 - Current
  • Develop strategies to motivate employees in achieving goals.
  • Developed strategies to increase productivity and efficiency of the team.
  • Organized team meetings to discuss progress and challenges. Motivate team members to consistently achieve or exceed performance expectations.
  • Manage remote team of 15 effectively, providing guidance and support to ensure successful completion of tasks using virtual communication tools to maintain engagement and productivity.
  • Analyze team performance data to identify areas for improvement and implement corrective actions. Set clear team goals and monitored progress, adjusting strategies as needed to meet targets.
  • Coached team for success by using corrective action processes. Review daily completed work to verify consistency, quality, and conformance.

HRA Trainer

Cigna
Tifton, GA
02.2023 - 05.2023
  • Used role playing, lectures and simulations to present information in variety of instructional techniques and formats.
  • Explained goals and expectations required of trainees.
  • Trained newly hired top talent to fill key positions and maximize productivity.
  • Facilitated orientation and training classes to communicate policies and procedures to new hires.
  • Provided constructive feedback and positive reinforcement to keep trainees motivated.
  • Supervised classroom during training delivery to determine if staff followed classroom guidelines and fulfilled necessary requirements of course objectives.

Health Risk Assessment Scheduler

Cigna
Tifton, GA
08.2022 - 02.2023
  • Placed 100+ inbound/outbound calls to patients daily
  • Accessed various insurance portals to verify members before outreach.
  • Updated electronic medical records, specifically NextGen software.
  • Respond to emails throughout the day from providers, other schedulers, and upper management in a timely manner
  • Updated scheduling software and effectively scheduled appointments for appointed providers, updated patient demographics, and notated calls made to members
  • Exceeded daily/ weekly/ monthly standards set for the department. Acted with customers in mind, established and maintains effective relationships with customers and gained their trust and respect

Customer Relations Manager

Roho Kitchen
Davie, FL
12.2015 - 12.2020
  • Cultivated impactful relationships with customers and drove business development by delivering product knowledge.
  • Coached and motivated new employees, driving performance development within team.
  • Determined charges for services requested, collected deposits or payments and arranged for billing.
  • Trained and mentored new team members to promote productivity, accuracy and friendly customer service.
  • Developed long-term relationships with clients to accurately quote pricing and terms and achieve customer objectives.

Senior Claims Analyst

Aetna
Plantation, FL
02.2007 - 09.2013
  • Reviewed, researched and evaluated customer claims to determine coverage under policy provisions or applicable laws.
  • Coordinated with internal departments such as accounting and finance for timely payment processing.
  • Interpreted insurance policies, endorsements and riders to identify coverage limits and exclusions.
  • Maintained accurate records of all claims activities for audit purposes.
  • Prepared reports summarizing the findings of investigations into potential fraudulent activities.
  • Assessed processing reports each day to effectively submit claims.

Education

Bachelor of Science - Health Administration

Barry University
Miami, FL
12.2008

Skills

  • Account management expertise
  • Supervision & leadership
  • Medical terminology
  • Team development
  • Team management
  • Training & development
  • Issue response and resolution
  • ERISA Regulations

Certification

  • Certified Notary Public - 2022

Websites

Timeline

Senior Operations Team Leader

Evernorth
05.2023 - Current

HRA Trainer

Cigna
02.2023 - 05.2023

Health Risk Assessment Scheduler

Cigna
08.2022 - 02.2023

Customer Relations Manager

Roho Kitchen
12.2015 - 12.2020

Senior Claims Analyst

Aetna
02.2007 - 09.2013

Bachelor of Science - Health Administration

Barry University
Karima Laurenceau