Madeline Lespier

Handle National accounts for all benefits to feed into Aetna system. Work with large companies to make all open enrollment and new sales run smoothly. Analyzing all information to make sure installation of all benefits are supported and trouble shoot all issues that arise. Travel out to companies in the sales process to explain how systems work and what type of support would be offer for systems to run smoothly. Of course within the sales process offer all expertise needed to identify any issues in house within departments on all products sold.

• Improved client satisfaction with prompt and precise communication regarding eligibility status and benefits information.
• Enhanced efficiency in processing applications by meticulously reviewing and verifying documentation for eligibility determinations.
• Conducted audits of eligibility cases to ensure adherence to company policies and regulations.
• Reviewed applications for different aid programs and determined which qualification criteria for individuals.
• Facilitated smoother operations by maintaining up-to-date knowledge of changes in regulations and policies affecting eligibility.
• Mentored junior specialists, fostering a collaborative team environment and promoting best practices.
• Reduced case backlog by implementing efficient prioritization strategies for case processing.
• Established trust with clients by consistently demonstrating empathy, professionalism, and a commitment to their wellbeing.
• Assisted clients with accurate eligibility form, application and document completion.
• Resolved complex eligibility issues, providing expert guidance to clients and internal stakeholders.
• Resolved discrepancies with client applications to verify eligibility.
• Increased efficiency in the review process by proactively identifying potential issues and developing actionable solutions.