Summary
Overview
Work History
Education
Skills
Volunteer Experience
Timeline
Generic
Melissa Larsen

Melissa Larsen

Osseo,WI

Summary

Manager with expertise in coordinating teams and overseeing complex projects. Proficient in strategic planning and operational enhancements, leading to increased efficiency and productivity. Proven track record of implementing innovative solutions that drive organizational improvements. Quick to adapt and learn, with a strong commitment to continuous professional development.

Overview

22
22
years of professional experience

Work History

Provider Relations Manager/Consultant

UnitedHealthcare
08.2015 - 06.2025
  • Analyzed business performance data and forecasted business results for upper management.
  • Developed and communicated process improvement plans to streamline operational workflows.
  • Performed data analysis on utilization trends to identify opportunities for improvement in network composition.
  • Coordinated the resolution of complex provider disputes by working closely with internal stakeholders.
  • Led project management initiatives assigned by senior leadership, ensuring timely execution.
  • Established trust and credibility across organizational levels to foster collaboration.
  • Conducted root cause analysis on complex issues to inform strategic solutions.

Provider Relations Advocate

UnitedHealthcare
02.2011 - 08.2015
  • Collaborated with cross-functional teams to improve provider engagement strategies.
  • Educated providers on UnitedHealthcare policies and procedures for better compliance.
  • Facilitated communication between providers and internal teams for issue resolution.
  • Managed provider inquiries and concerns effectively and efficiently.
  • Maintained accurate records of provider interactions in internal systems for tracking purposes.
  • Collaborated closely with legal counsel on matters concerning contract provisions or dispute resolution efforts.
  • Served as a liaison between internal departments when resolving complex problems involving multiple stakeholders.

Provider Relations Market Service Agent

UnitedHealthcare
03.2009 - 02.2011
  • Resolved issues related to claims and billing discrepancies.
  • Supported team in implementing process improvements for service delivery.
  • Demonstrated excellent communication skills both verbally and written.
  • Handled difficult situations involving dissatisfied customers calmly and efficiently.
  • Used service skills and technical knowledge to ascertain issues and provide swift, successful resolutions.
  • Prevented key account losses by researching discrepancies and correcting problems.
  • Kept records of customer interactions or transactions, thoroughly recording details of inquiries.

Sr. Claims Analyst (PCRT)

Ovations, Operations, Eau Claire WI
Eau Claire, WI
09.2003 - 03.2009
  • Collaborated with cross-functional teams to resolve claims disputes.
  • Reviewed policy documents to ensure compliance with regulations.
  • Developed training materials for new analysts and team members.
  • Resolved complex claim issues by examining evidence, analyzing legal documents, and conducting investigations.
  • Implemented process improvements based on industry best practices.
  • Advised management on areas such as risk assessment, loss control techniques, and process improvements.
  • Evaluated third party vendors providing services related to claims handling processes.

Education

High School Diploma -

Osseo Fairchild High School
Osseo
05-2002

Certification - Data Analytics

Google Data Analytics
Online

Skills

  • Data analysis and SQL reporting
  • Process improvement and project management
  • Stakeholder engagement and provider compliance
  • Customer relationship management
  • Cross-functional collaboration
  • Strategic thinking and analysis
  • Time management and multitasking
  • Networking skills
  • Root cause analysis
  • Quality assurance
  • Policy compliance
  • Effective communication

Volunteer Experience

Osseo, WI, City of Osseo, WI city planning commission member, Osseo Junior Baseball Softball Association Board President, Chairman Fundraiser Committee, Lions Club member

Timeline

Provider Relations Manager/Consultant

UnitedHealthcare
08.2015 - 06.2025

Provider Relations Advocate

UnitedHealthcare
02.2011 - 08.2015

Provider Relations Market Service Agent

UnitedHealthcare
03.2009 - 02.2011

Sr. Claims Analyst (PCRT)

Ovations, Operations, Eau Claire WI
09.2003 - 03.2009

High School Diploma -

Osseo Fairchild High School

Certification - Data Analytics

Google Data Analytics

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