Self-motivated Director which brings proven leadership, organizational and customer relations skills. Independently solves problems and keeps teams on task to handle diverse business requirements. History retaining clients and talented staff.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
40
40
years of professional experience
Work History
Director of Administration and Operations
Health Alliance Medical Plans
05.2005 - 04.2024
Standardized processes to promote collaboration and increased performance.
Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance.
Oversight of Client Support Team with focus on supporting Employers and Brokers/FMOs.
Oversight of Implementation Team to ensure information was correct/complete of all new/renewing groups. Creation of Description of Coverage and SBCs, Benefit Highlights for all commercial and self funded product lines.
Oversight of implementation and renewal of self funded clients to ensure that expectations from the employer are met and clearly communicated with internal operations.
Oversight of RFP team for all product lines/markets. Ensure that information is complete, accurate and delivers the appropriate message to both current and potential clients.
Oversight of Distribution Channel Analyst team. Ensure that all producers both internal and external are appropriately licensed, agencies/brokers/FMOs properly contracted and commission paid for all product lines and markets. Implemented and monitored various sales programs to promote growth and retention of business.
Organized and provide oversight of various events including annual sales conference, broker summit, broker advisory council and various education webinars for both brokers and employers.
Maintained open and clear communication lines with Sales and Operations.
Lead Self Funded Operations Meeting to bring all areas with the company together to discuss operational issues and develop recommendations to ease administrative burdens without significant impact to the client.
Participated in numerous weekly planning meetings for all product lines along with several operational meetings and Plan Director meetings.
Responsible for content and functionality of both Broker and Employer Portals
Work with Sales & Retention team members on implementation of business whether a meeting with the client or the broker to discuss capabilities, understanding client needs or to address any concerns they may have.
Reviewed Summary Plan Documents, Administrative Agreements and other related documents to ensure that they accurately reflected what was sold and language supported the intended benefits.
Sr. Consultant
SBSi Semonis Insurance Group
02.1999 - 05.2005
Delivered high-quality solutions for clients through comprehensive research and analysis of industry trends.
Developed innovative strategies to address complex business challenges, resulting in increased profitability for clients.
Presented findings and recommendations to executive-level stakeholders, effectively communicating key insights and recommendations.
Worked with large self funded employers to develop market competitive medical programs to meet their needs both financially and to promote healthier employees which resulted in increase productivity.
Managed RFPs for clients, analyzed results and provided recommendations to clients.
Worked with employers to resolve any issues and provided education to their employees to ensure understanding of benefits.
Developed relationships with numbers carriers, TPAs and reinsurance carriers.
Responsible for ensuring all agreements and plan documents were accurate and completed in a timely manner.
Client Consultant
EBC/HCH Administration
02.1984 - 02.1999
Developed strong relationships with clients/brokers/consultants, leading to increased repeat business and referrals.
Focus on Self funded market
Responsible for responding to RFPs
Coordinated and presented formal presentations to clients
Provide training to brokers on self funded product line.
Coordinate with various stoploss carriers to present competitive quotes.
Compliance Programs Coordinator at Health Alliance Medical Plans-Champaign, ILCompliance Programs Coordinator at Health Alliance Medical Plans-Champaign, IL