Michelle Plavchak
Burlington,NJ
Summary
Dynamic Claims Business Process Analyst at UnitedHealthcare with a proven track record in process change management and effective communication. Achieved significant efficiency improvements and cost savings through strategic collaboration and critical thinking. Recognized for enhancing client confidence and reducing case backlog, showcasing strong organizational skills and a commitment to quality reporting.
Overview
8
8
years of professional experience
Work History
Claims Business Process Analyst
UnitedHealthcare
04.2023 - 03.2025
- Streamlined business processes by analyzing and identifying areas for improvement, reducing inefficiencies and boosting productivity.
- Established strong relationships with internal clients to better understand their needs and expectations related to process improvements.
- Identified opportunities for cost savings through streamlined processes while maintaining quality standards.
- Collaborated with upper management to drive strategy and implement new processes.
- Performed root-cause analysis on recurring issues within existing processes, identifying solutions that addressed underlying causes effectively.
- Managed project timelines and deliverables associated with business process improvements, ensuring successful completion within established timeframes.
Senior Grievance Coordinator
UnitedHealthcare
11.2016 - 04.2023
- Spearheaded initiatives for continuous improvement in the grievance management process, resulting in increased efficiency across the department.
- Maintained accurate records of all grievance cases, facilitating easier reporting and analysis of trends.
- Enhanced client confidence in the grievance process through clear communication and empathetic handling of sensitive issues.
- Improved interdepartmental communication, ensuring timely updates on case progress and resolutions.
- Reduced case backlog by prioritizing urgent grievances and effectively delegating tasks to team members.
- Developed tailored strategies for unique grievance situations that led to customer satisfaction while maintaining compliance with company policies.
Education
Colorado State University
Fort Collins, COSkills
- Effective communication
- Process change management
- Team collaboration
- Proficient in software
- Quality reporting
- Organizational skills
- Critical thinking
- Multitasking Abilities
Timeline
Claims Business Process Analyst
UnitedHealthcare
04.2023 - 03.2025
Senior Grievance Coordinator
UnitedHealthcare
11.2016 - 04.2023
Colorado State University
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