Summary
Overview
Work History
Education
Skills
Certification
Timeline
Additional Information
Presidential Award for Innovation, 2024
Generic

Melissa Zuscin

Oxford,CT

Summary

Operations Support Supervisor at a nationwide insurance brokerage with experience in account and data compilation, analysis and comprehensive clear communication.

Diligent analyst with solid foundation strategic planning. Proven track record of supporting financial decision-making and driving process improvements for stakeholder portfolios. Demonstrated ability to utilize data-driven insights and financial modeling to enhance business performance.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Supervisor, Operations Support

HealthPlanOne
10.2018 - Current
  • Analyze and manage information requests from stakeholders, including categorizing issues, fulfilling missing requirements, and compiling data for upper management review.
  • Responsible for team reconciliation and calibration across all lines of business.
  • Rectifying commissions and renewal payment discrepancies.
  • Oversee calibrating and analyzing reconciliation reports for Compliance and Sales teams.
  • Analyze large volume of sales data and compile audits for external research.
  • Identifies, presents, and implements new CMS and Compliance guidance, mitigating non-compliant behavior.
  • Manage team communication with outside carrier contacts, solidifying business relationships and continued business flow.
  • Promote interdepartmental education in CMS regulations, coding changes, and file date submissions.
  • Obtained CT H&L License to gain experience Medicare agent workflow.
  • Experian, CHC, and MARx credentialed.

Senior Coordinator

United Healthcare Group
02.2017 - 10.2018
  • Responsible for validating information and finding solutions to billing discrepancies.
  • Documented process for appealing wrongly declined submissions.
  • Exceeded daily goals in case management.

Managing Partner

Antonio's Restaurant Group
02.2003 - 02.2016
  • Created loyal discriminating customer base delivering word-of-mouth advertising.
  • Creatively generated revenue during stagnant retail periods.
  • Established brand recognition.
  • Opened three additional locations in 6 years.

Territory Manager

Biosystems Of New England
09.2011 - 02.2014
  • Monitored customer buying trends, market conditions, and competitor actions to adjust strategies and exceeded sales goals.
  • Communicated regularly with territory, regional, and strategic managers for strategic account planning.
  • Established successful account relationships by building rapport and maintaining consistent communication.
  • Researched competitor activity and used findings to develop sales growth strategies.
  • Increased market penetration by 60% for new and existing accounts by meeting and exceeding established sales goals. Maintained existing markets, introduced new studies, and maintained contact with clinics and providers.
  • Participated in hosting workshops for clinics, delivering fresh information to doctors, technicians, and staff members. Attended key Regional and State conferences and meetings.

Sales Associate

PulteGroup
06.2003 - 10.2005
  • Assisted in closing sales on 47 homes in the startup of the Del Webb development in Oxford, CT by providing administrative and design components of home-building and buying.
  • Coordinated with senior sales associates and clients leading to efficient and quick closings.
  • Lead marketing of resident events resulting in Del Webb in a higher category of homes, creating a desire to buy at Oxford Greens.
  • Planned, executed, marketed, and produced events from neighborhood parties to trips for a community of 110 residents. Created and published monthly newsletter.
  • Trusted contact person for referring services.

Education

Bachelor of Arts and Science - English

University of Connecticut
Storrs, CT
05-2003

Skills

  • Attention to Detail
  • Policies and procedures
  • Operations management
  • Analytical thinking
  • Finance assessment
  • Corporate finance expertise
  • Finance and accounting operations
  • Excel, query, and reporting Expert
  • Excellent interpersonal skill
  • Effective multi-tasking capability
  • Organizational Analysis and Communication

Certification

Studied, obtained, and utilized L&H license and to experience agent workflow.

Timeline

Supervisor, Operations Support

HealthPlanOne
10.2018 - Current

Senior Coordinator

United Healthcare Group
02.2017 - 10.2018

Territory Manager

Biosystems Of New England
09.2011 - 02.2014

Sales Associate

PulteGroup
06.2003 - 10.2005

Managing Partner

Antonio's Restaurant Group
02.2003 - 02.2016

Bachelor of Arts and Science - English

University of Connecticut

Additional Information

  • Licensed Life and Health Agent
  • CMS, CHC, and Experian credentialed.
  • Competitive Equestrian Athlete
  • Organized largest team for Seymour Pink Pounding the Pavement Race (2018-2022)
  • Oxford High School Football Quarterback Club Board Member 2019-2023

Presidential Award for Innovation, 2024

This was is given to the individual who identified a business need, crafted a solution and excucted a plan to expand bottom-line growth.  I was the first recipient in the initial presentation of this award for creating a workflow to reduce commissions escrow deduction while saving on overtime and team burnout.

Melissa Zuscin