Family time, decorating, yard work, repurposing things
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 I support. My goal is always build positive relationships and deliver toward company priorities.
Overview
13
13
years of professional experience
1
1
Language
Work History
Sr. Analyst, Network Relations
Aetna
10.2019 - Current
- Analyzed data to identify root causes and recommend corrective actions.
- Developed and maintained data warehouses and data marts to support business operations.
- Maintained positive provider relations by addressing problems head-on and implementing successful corrective actions.
- Supported medical contracts and rate negotiations.
- Facilitated JOC and claim calls with providers.
- Maintain assigned provider groups/individual providers using industry expertise to resolve concerns and promote loyalty.
- Support settlements, claim issues, rosters, maintenance, NAF/NEF tickets, and reporting.
Account Service Coordinator
Anthem
09.2013 - 09.2019
- Research, recommend options to services and 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.
- Deliver exceptional customer service to every employer group, broker and sales rep by leveraging extensive knowledge of products, services and create a positive experience.
- Investigated and resolved customer inquiries and complaints quickly.
- Facilitate open enrollment meetings and health fairs.
- Participate as a claims liaison
Health Benefits Coordinator
Managed Pay (PEO)
10.2011 - 09.2013
- Advise on benefits, eligibility determinations and plan options for newly hired employees.
- Processed enrollment paperwork and benefits forms via different carrier portals.
- Discuss and develop employee cost-sharing strategies regarding benefits.
- Maintained confidentiality of all employee information, following HIPAA laws.
- Collaborate effectively with sales reps, 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.
- Maintained positive working relationships with providers, brokers and carriers.
Education
Interior Design
University of Nebraska - Lincoln
Lincoln, NEHigh School Diploma -
Ralston High School
05.1989
Skills
- Research and Delivery
- Organized and able to Prioritize
- Data and Analytics
- Build and maintain Client Relationships
- Market and Contracting Support
- Serve Provider and Client Needs
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeLocation Preference
RemoteHybridOn-SiteImportant To Me
Work-life balancePaid time offPaid sick leaveCompany CultureWork from home optionInterests
Software
PRMS, Salesforce
Quote
Be brave enough to suck at something new.
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
Interior Design
University of Nebraska - Lincoln
High School Diploma -
Ralston High School