Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
MARGARET SMITH

MARGARET SMITH

Ocean Isle Beach,NC

Summary

Dynamic Operations Lead with over 20 years of experience in driving systems optimization and enhancing workforce effectiveness. Expertise in strategic planning and operational maintenance, combined with a proactive approach to recommending improvements and facilitating seamless employee coordination and communication. In-depth knowledge of complex government regulations and corporate mandates ensures a safe and efficient work environment. Proficient in orchestrating all facets of operations planning, launch assessments, and management to achieve optimal cost balance and effective customer relationship management (CRM).

Overview

2011
2011
years of professional experience
1
1
Certification

Work History

Operations Lead

Blue Cross NC
2017 - 2025

Responsible for leading a group of departmental personnel; including coaching, development, trend analysis, and team goal creation.

  • Manage day-to-day business area activities; provide leadership and direction to team and set team goals and expectations.
  • Act as a technical resource for team; provide assistance on system issues, work processes and procedures.
  • Train team members to ensure less experienced employees are able to respond professionally, courteously, quickly and accurately to all inquiries from internal and external customers.
  • Provide coaching and development feedback to team.
  • Work with other departmental teams to review and set performance goals and track performance against these goals.
  • Identify trends, determine root causes, and initiate appropriate action to resolve issues.
  • Conduct random audits of team's work. Review audit results with employees and create performance improvement plans as necessary.
  • Develop short and long-term service objectives and methods, implement these methods when approved.
  • Respond quickly and accurately to escalated issues from clients and customers.
  • Review customer needs and delivery commitments and review with team members.
  • Represent the department on corporate projects.

Account Executive

L.E. Goodgame & Associates
01.2011 - 2017

Responsible for growing and managing individual block of business and implementing new group clients.

  • Sell individual medical, ancillary and Medicare products using a consultative approach
  • Assist current individual clients with renewals, claims issues and billing issues
  • Create medical benefit analysis for new and current group clients
  • Work with partnering agents and clients to gather required paperwork to enroll groups new and existing
  • Work with insurance companies to ensure all documents and requirements of enrollment have been satisfied
  • Manage individual and group client filing system by creating and implementing paperless filing process
  • Research and facilitate office training of carrier changes and ACA rules and regulations
  • Review and complete audits of data management system
  • Manage office compliance and implement office processes and procedures

Sales Support Coordinator

Blue Cross Blue Shield of NC
01.2008 - 01.2011

Responsible for pre-sale, pre-renewal and post-sale, post-renewal activities of large group accounts (51-999 lives).

  • Obtain, analyze, enter and process requests for new business and renewal quotes
  • Track and maintain sales activity in data management system
  • Coordinate implementation and transition meetings of large group accounts
  • Communicate key implementation information to all respective plan departments and staff
  • Identify and evaluate trends as a result of audit functions in an effort to determine a resolution
  • Ensure successful transition of new groups to account management team
  • Verify non-standard accounts are loaded correctly, validate eligibility is accurate within multiple systems
  • Conduct enrollment and benefit meetings for new and existing accounts as needed

Account Coordinator

Principal Financial Group
01.2005 - 01.2008

Responsible for coordinating new account submissions through analysis of information provided.

  • Respond promptly and accurately to broker inquiries
  • Provide expertise on products, concepts and proposals
  • Screen for risks using underwriting guidelines, interpret results and analyze data
  • Monitor pipeline of assigned brokers to assist with effectively moving business through the sales process
  • Aid sales reps in meeting goals and the close of $5 million (premium for 2007) of ancillary business
  • Maintain high level of accuracy (approximate average score of new case submissions was 99.9%)
  • Responsible for increased level of “clean case submissions” to effectively move the Charlotte sales office to top ranked office in region

Office Administration and Service

Hall Financial Group
01.2005 - 01.2005

Responsible for managing office and providing service to prospective and current individual and group clients.

  • Create benefit comparison spreadsheets
  • Resolve claim issues with carriers for existing clients
  • Prepare presentations for group prospects
  • Maintain client and carrier files
  • Draft verbiage for company website

Receptionist

Providence Executive Services
01.2003 - 01.2005

Responsible for answering calls and booking appointments for multi-business office suite.

Pharmacy Technician

Eckerd Drug
01.2001 - 01.2002

Responsible for filling prescriptions, filing prescriptions, and conducting periodic inventory audits.

Education

Office Systems Technology

Central Piedmont Community College
Charlotte, NC
01.2005

Communications

Western Carolina University
Cullowhee, NC
01.2003

Skills

  • Motivational attitude
  • Scheduling coordination
  • Procedure implementation
  • Environmental management

Certification

  • NC Medicare Supplement and Long Term Care — 2013
  • NC Life and Health — 2007

Timeline

Account Executive

L.E. Goodgame & Associates
01.2011 - 2017

Sales Support Coordinator

Blue Cross Blue Shield of NC
01.2008 - 01.2011

Account Coordinator

Principal Financial Group
01.2005 - 01.2008

Office Administration and Service

Hall Financial Group
01.2005 - 01.2005

Receptionist

Providence Executive Services
01.2003 - 01.2005

Pharmacy Technician

Eckerd Drug
01.2001 - 01.2002

Communications

Western Carolina University

Operations Lead

Blue Cross NC
2017 - 2025

Office Systems Technology

Central Piedmont Community College