Mitsy Snow
Camarillo,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
35
35
years of professional experience
Work History
Grievance and Appeals Analyst
Elevance
Woodland Hills, CA
05.2022 - Current
- Improved the efficiency of the appeals process by reviewing and analyzing claim denials and discrepancies.
- Enhanced customer satisfaction with timely resolution of appeals, addressing concerns thoroughly and professionally.
- Streamlined workflows for faster decision-making, evaluating medical records and other documentation to support appeals decisions.
- Collaborated with interdisciplinary teams to ensure accurate claims adjudication, reducing errors and inconsistencies in the review process.
Assistant Account Manager
Western Growers Insurance Trust
Oxnard, CA
10.2021 - 05.2022
- Enhanced client satisfaction by efficiently managing accounts and addressing concerns promptly.
- Managed client relationships, resulting in increased retention and loyalty.
- Collaborated with sales teams to identify upselling opportunities and grow revenue.
- Streamlined account management processes for improved efficiency and productivity.
New Business Analyst
LISI
Woodland Hills, CA
08.2018 - 10.2019
- Enhanced underwriting efficiency with the implementation of an automated system for managing application data.
- Developed strong relationships with brokers, leading to a higher volume of quality submissions and successful underwritings.
- Achieved faster turnaround times in application processing by optimizing workflows within the underwriting department.
Grievance and Appeals Coordinator
Centene
Woodland Hills, CA
11.2017 - 07.2018
- Enhanced appeal resolution rates by thoroughly reviewing and analyzing case documentation.
- Streamlined appeals process for increased efficiency through consistent tracking and monitoring of cases.
- Collaborated with cross-functional teams, resulting in improved communication and quicker resolutions.
- Maintained comprehensive knowledge of regulatory guidelines to ensure compliance within the appeals department.
Due Diligence Coordinator
Key Health
Westlake, CA
05.2017 - 11.2017
- Conducted comprehensive witness interviews, gathering crucial information to strengthen clients'' claims.
- Increased case resolution speed by effectively managing multiple investigations simultaneously while maintaining accuracy and attention to detail.
Account Manager
LBA Insurance
Chatsworth, CA
08.2016 - 11.2016
- Increased client satisfaction by building strong relationships and addressing their needs promptly.
- Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
- Developed customized account plans for clients to help them achieve their business goals.
- Collaborated with sales team to identify potential upsell opportunities and expand client base.
Health Insurance Underwriter
Anthem
Westlake CA
05.1989 - 07.2016
- Enhanced underwriting efficiency with the implementation of an automated system for managing application data.
- Developed strong relationships with brokers, leading to a higher volume of quality submissions and successful underwritings.
Education
Diploma - General Education L
Oxnard High School
Oxnard, CA06.1983
Skills
- Legal Research
- Verbal Communication
- Policy Interpretation
- Case Evaluation
- Critical Thinking
- Claims Evaluation
- Case Presentation
- Decision-Making
- Relationship Building
- Time Management
- Customer service and support
- Teamwork and Collaboration
- Organizational Skills
- Records Review
- Effective Communication
- Insurance policy coverage knowledge
Timeline
Grievance and Appeals Analyst
Elevance
05.2022 - Current
Assistant Account Manager
Western Growers Insurance Trust
10.2021 - 05.2022
New Business Analyst
LISI
08.2018 - 10.2019
Grievance and Appeals Coordinator
Centene
11.2017 - 07.2018
Due Diligence Coordinator
Key Health
05.2017 - 11.2017
Account Manager
LBA Insurance
08.2016 - 11.2016
Health Insurance Underwriter
Anthem
05.1989 - 07.2016
Diploma - General Education L
Oxnard High School