Michelle Walter
Las Vegas,NV
Summary
Dedicated professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
12
12
years of professional experience
Work History
Sr. Analyst, Network Relations
Aetna
10.2019 - Current
- Analyzed data to identify root causes of problems and recommend corrective actions.
- Developed and maintained data warehouses and data marts to support business operations.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
- Supported medical contracts and rate negotiations.
- Facilitated JOC and claim calls with providers
- Maintained assigned provider groups/individual providers.
Account Service Coordinator
Anthem
09.2013 - 09.2019
- Researched options and recommended services to address clients' needs.
- Identified new opportunities and cultivated leads to consistently meet sales goals and increase business growth.
- Advocated for client needs within Anthem to improve experience and increase customer retention.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Investigated and resolved customer inquiries and complaints quickly.
- Held off site open enrollment meetings.
- Claims liaison
Health Benefits Coordinator
Managed Pay (PEO)
10.2011 - 09.2013
- Answered questions about eligibility determinations and plan options.
- Processed enrollment paperwork and benefits forms.
- Met with clients to develop employee cost-sharing strategies.
- Maintained confidentiality of all employee information.
- Collaborated effectively with sales, HR and payroll representatives.
- Performed evaluations of competitor actions, legislative changes and collective bargaining results in order to make sound decisions about future company benefits and compensation.
- Expedited benefit delivery by establishing working relationships with benefit providers.
- Held on site open enrollment meetings.
Education
No Degree - Interior Design
University of Nebraska - Lincoln
Lincoln, NEHigh School Diploma -
Ralston High School
05.1989
Skills
- Presentation Development and Delivery
- Work Organizing and Prioritizing
- Correspondence Writing
- Data and Analytics
- Regulatory Reporting Requirements
- Competitive Market Analysis
Timeline
Sr. Analyst, Network Relations
Aetna
10.2019 - Current
Account Service Coordinator
Anthem
09.2013 - 09.2019
Health Benefits Coordinator
Managed Pay (PEO)
10.2011 - 09.2013
No Degree - Interior Design
University of Nebraska - Lincoln
High School Diploma -
Ralston High School