Lucinda Simms
Kingston,PA
Summary
Experienced Supervisor with fifteen years of problem-solving expertise, known for resourcefulness and adaptability. Seeking a team-player role in a people-oriented organization to maximize superior customer service skills and achieve corporate goals.
Overview
31
31
years of professional experience
Work History
Benefits Manager
BakerTilly Vantagen
Clark Summit, PA
10.2023 - Current
- Managed 13 client accounts, acted as liaison between client, broker, and insurance carriers, updated documentation for new enrollment year, administered and supervised all aspects of Benefits Open Enrollment, reviewed weekly reports for errors, and educated clients and employees on benefits.
- Conducted periodic audits of employee benefit records to ensure accuracy.
- Provided guidance and support to employees regarding their benefits packages.
- Coordinated open enrollment periods by creating timelines, developing materials, scheduling meetings.
- Responded promptly to inquiries from employees regarding their benefit plans or eligibility status.
- Investigated discrepancies between reported information received from vendors and internal records.
Associate
Lowes
Edwardsville, PA
05.2021 - Current
- Handled cash office duties
- Supported management team to facilitate task completion and meet performance goals.
- Communicated clearly with customers in person and via telephone, driving positive experiences.
- Helped customers locate items within the store using the inventory system.
- Encouraged customers to sign up for loyalty programs or store credit cards.
- Assisted customers with selecting items and answering questions about products.
- Provided customer service support for inquiries, complaints, and returns.
- Handled incoming calls from customers regarding orders or other inquiries.
Chart Management Supervisor
Envision Healthcare
Clearwater, FL
03.2015 - 09.2023
- Led team of 22 across 28 hospitals while guaranteeing compliance with client contracts.
- Demonstrated ability to hire and develop team members, encompassing performance assessments and terminations, if required.
- Resolved customer complaints promptly.
- Collaborated with cross-functional teams to enhance operational processes and boost productivity.
- Generated weekly reports to provide updates on departmental operations and progress in achieving goals.
- Reviewed employee timesheets for accuracy prior to submitting payroll information.
- Encouraged team-building activities to maintain a positive work environment.
- Ensured timely scheduling and effective communication between different departments' executives.
Claims Supervisor/Claims Analyst/Customer Service Representative
SallieMae/Navient
Wilkes-Barre, PA
04.1993 - 03.2015
- Managed a team of 20 Claims Representatives to ensure accuracy and timely completion of all claims processing activities.
- Provided guidance, assistance, and training to new staff on the proper procedures for handling customer inquiries and complaints.
- Performed quality assurance reviews on claims submitted by staff to ensure compliance with company standards.
- Researched complex claim issues to resolve disputes between parties involved in a claim.
- Ensured that all regulatory requirements were met when processing claims, including HIPAA privacy rules and state-specific laws related to insurance coverage.
- Trained new team members on policies and procedures for claims handling.
- Reviewed customer claims, identified discrepancies, and determined theappropriate course of action.
Education
BS in Business Administration with a specialization in Health Care Management -
Misericordia University
01.2022
AA in Business Management -
Luzerne Community College
01.2006
High School Diploma -
Hillsborough High School
01.1989
Skills
- Microsoft Office Products
- Management Skills
- Team development
- Claims processing
- Strong client relations
- Independent thinker
- Problem-solving
- Time Management
Phone
cell, 570-550-4422
References
Available on request
Timeline
Benefits Manager
BakerTilly Vantagen
10.2023 - Current
Associate
Lowes
05.2021 - Current
Chart Management Supervisor
Envision Healthcare
03.2015 - 09.2023
Claims Supervisor/Claims Analyst/Customer Service Representative
SallieMae/Navient
04.1993 - 03.2015
BS in Business Administration with a specialization in Health Care Management -
Misericordia University
AA in Business Management -
Luzerne Community College
High School Diploma -
Hillsborough High School
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