Lynda White
Detroit,MI
Summary
Highly motivated and accomplished professional, offering several years of experience in system support, customer service, and technical service. Exemplify sound judgment and decision-making skills, along with commendable leadership delivering positive results across multiple organizational functions. Natural self-starter with the ability to work independently and execute appropriate corporate procedures as necessary. Core competencies include: Customer Service, Communications, Technical Support, System Support, Data Communications, Troubleshooting.
Overview
24
24
years of professional experience
Work History
Sr Analyst
Blue Cross Blue Shield Of MI
04.2016 - 06.2023
- Investigated system issues and implemented resolutions to reduce downtime.
- Validated results and performed quality assurance to assess accuracy of data.
- Performed system analysis, documentation, testing, implementation, and user support for platform transitions.
- Researched and adopted new technologies to add value to existing offerings.
- Identified and resolved problems through root cause analysis and research.
- Identified clear connections between policies and business results to eliminate or reduce confusion and help employees achieve goals.
- Monitored compliance and filing requirements in conjunction with staff and management.
- Conducted workplace compliance training to reduce liability risks and operate effectively.
- Optimized core processes to improve business performance and operational agility
- Managed employer group reports with 50 or more employees
Senior Eligibility Specialist
Blue Care Network
01.1999 - 04.2016
- Analyzed data in Medicare Advantage Enrollment oversight area to identify root causes, significant trends and viable solutions
- Created and Updated desk level procedures for the Medicare Enrollment oversight
- Recommended and assisted with implementing standard policies and procedures for providing routine service for Medicare Enrollment Oversight Unit
- Assured that corporate compliance is communicated, implemented and monitored on an ongoing basis
- Implemented new groups coming to Medicare Advantage enrollment oversight area
- Developed and maintained an effective working relationship with customers
- Process all BCN Advantage employer groups and individual membership transactions, including pre-enrollment, enrollment, terminations, group wide changes, and special status reporting
- Act as the liaison between BCNA and General Motors, responsible for prepping and processing enrollments, training contractors on the enrollment process, and developing & sending AEP discrepancy spread sheets to appropriate General Motors partners
- Proficiently type and send BCN Advantage membership confirmation letters of any enrollments, disenrollment's, changes, missing information requests, and rejections of customer's contracts
- Conduct outbound verification to new and existing members to ensure their full understanding of BCN Advantage policies, procedures, benefits, assisting them with retention services, and outreach activities
- Held accountable for reviewing, analyzing, and responding to all electronic requests from internal customers regarding BCNA membership
- Charged with reviewing, analyzing, and responding to all email requests from internal and external customers regarding BCN Advantage membership.
- Managed employer groups reports with 50 or more employees
Education
Bachelor of Computer Information Systems -
Davenport University
Dearborn, MI05.2015
Certificate - Certificate in Computer Skills
Computer Skills Training Center
Royal Oak, MI12.1988
Certificate - Clerical
Computer Skills Training Center
Royal Oak, MI12.1987
Skills
- Microsoft Office Suite 2007
- Microsoft Outlook
- Microsoft Apps
- UNIX
- Web applications
- C
- C#
- Database Design
- Network Security
Timeline
Sr Analyst
Blue Cross Blue Shield Of MI
04.2016 - 06.2023
Senior Eligibility Specialist
Blue Care Network
01.1999 - 04.2016
Bachelor of Computer Information Systems -
Davenport University
Certificate - Certificate in Computer Skills
Computer Skills Training Center
Certificate - Clerical
Computer Skills Training Center
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