Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nathan Hepp

Green Bay,WI

Summary

Dynamic Configuration Coordinator with a proven track record in claims processing and interdepartmental communication. Expert in SQL and process improvement, I consistently delivered high-quality results, including a 99.7% accuracy rate in benefit plan integration. Passionate about enhancing workflows and fostering collaborative team environments.

Overview

7
7
years of professional experience

Work History

Configuration Coordinator

Dean Health Plan/Medica
Madison, WI
07.2024 - 04.2025
  • Promoted from Benefits Administration Associate with merger of Medica from
    Dean
     Maintained the job responsibilities of benefit administration associate while
    taking on a new role
     Processed Benefit Configuration Request tickets and implemented corresponding
    updates in the claims system.
     Developed visual documentation outlining proposed changes and presented them
    weekly to a 20-member team for final approval.
     Reviewed updated medical policies to ensure configuration settings remained
    current and compliant.

Benefits Administration Associate

Dean Health Plan/Medica
Madison, WI
04.2023 - 07.2024
  • Promoted from Senior Customer Service representative
  • Manually configured and integrated benefit plans into the claims processing
    system with a 99.7% accuracy rate.
     Assisted other departments by reviewing claims they had questions about and
    confirming the benefits were processed correctly
  • Reviewed and maintained weekly therapy data limits to verify up-to-date
    configuration in the claims processing system

Senior Customer Service Representative Lead

Dean Health Plan/Medica
Madison, WI
06.2021 - 04.2023
  • Promoted to senior role within six months for exceptional customer service and
    effective resolution of customer concerns
     Maintained 96.2% Quality score entire tenure
     Responded to incoming email inquiries in a timely and professional manner.
     Handled customer questions and complaints with patience and efficiency,
    ensuring a positive experience.
     Communicated clearly and professionally, both in writing and over the phone, to
    resolve customer concerns.
     Built strong relationships with customers by actively listening and providing
    helpful, thoughtful responses.
     Knowledgeable in Commercial and ASO policies, helping guide customers
    through complex benefit questions.

Sales Representative

Hepp’s Home Inspection
Waupun, WI
04.2018 - 06.2021
  • Identified and qualified leads while building relationships with potential clients
     Conducted cold calls, face-to-face meetings, and telephone outreach to generate
    interest
     Managed both incoming and outbound calls to support business development
    efforts
     Promoted and upheld a positive company image through professional
    interactions
     Scheduled and confirmed appointments with prospective and existing clients
     Quoted prices for services accurately and clearly to support client decisionmaking.

Education

Associate of Arts - Business Information

Harold Washington College
Chicago, IL

Skills

Claims/SQL

Workflow creation
Data Analysis

Process improvement
Prioritization

Interdepartmental communication
Adept in grasping new concepts

Commercial and ASO products
Project management Ticket request efficiency

Timeline

Configuration Coordinator

Dean Health Plan/Medica
07.2024 - 04.2025

Benefits Administration Associate

Dean Health Plan/Medica
04.2023 - 07.2024

Senior Customer Service Representative Lead

Dean Health Plan/Medica
06.2021 - 04.2023

Sales Representative

Hepp’s Home Inspection
04.2018 - 06.2021

Associate of Arts - Business Information

Harold Washington College

Similar Profiles

CREATE PROFILE
Nathan Hepp