Summary
Overview
Work History
Education
Skills
Work Availability
Work Preference
Interests
Software
Quote
Timeline
Generic
Michelle  Walter

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, NE

High 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
swipe to browse

Work Preference

Work Type

Full Time

Location Preference

RemoteHybridOn-Site

Important To Me

Work-life balancePaid time offPaid sick leaveCompany CultureWork from home option

Interests

Family time, decorating, yard work, repurposing things

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
Michelle Walter