Niya Vollin-Warner

Ensure Enrollment and Disenrollment compliance with regulatory entities such as but not limited to Medicare Center of Medicare Services (CMS)
Ensure accurate and timely processing of enrollment file processing (whether automated or manual) and CMS transaction reply to reports for IEHP’s Medicare program(s). As part of the CMS file processing, ensure regulatory response transactions are sent to CMS timely along with required member correspondence sent to members.
Interact professionally with internal customers by answering questions and inquiries, professionally representing the department to others, referring inquires, and generating telephone or written responses to inquiries while following the company mission and commitment for improvement.
Execute application-testing new/revised development and application upgrades/code push activities within the Medicare software.
Track the status of assigned tasks and / or related problem issues for completion.
Monitor incoming requests for potential impact and coordinate awareness of changes.
Conduct Premium Billing research and perform quality assurance to ensure accuracy of invoices going out.
Complete Electronic Data Validation within the CMS timeframes.
Work daily audits and reports within the department SLA.
Monitor and track assigned queues.

Demonstrate commitment to Team Member Engagement by participating in projects/tasks/activities that promote Team Member excitement and enthusiasm for their role, increased work effort, and commitment to the organization.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Provide razor-sharp domestic service functions and top-notch customer relation services of a mission-driven banking operation,
along with collaborating with internal and external stakeholders in the area of international, commercial and wholesale banking
businesses. Chosen to contribute significantly to the elevation of business growth by serving as the key point person for
communicating and resolving complex service issues in accordance with bank standards and procedures.
! Paved the way for the success of quality assurance and longevity of business operations with new clients by identifying account discrepancies, resulting in maintaining high percentage of Bank of America’s (BOA) internal and external customer relationships.
Rapid and accurate researching, analyzing, documenting, editing, updating and processing time sensitive documentation, statement rending, MICR/image, float, lock box, remittance, and ATM deposits, while maintaining a positive and
professional demeanor with internal and external stakeholders.
Optimized the monitoring and reconciliation of complex expense data information and site financial budgetary reports by thoroughly identifying business needs and priorities.
Cultivated meaningful relationships with the National Account Managers by contributing important information to assist with initiating collection calls and processing invoice to identify 30-180 day delinquent accounts.

• Addressed and resolved intricate billing and payment issues, delivering high-quality customer service and maintaining operational superiority
• Reinforced internal protocols and control mechanisms to mitigate risk, diminish fraud exposure, and guarantee regulatory adherence in investment accounts management
• Improved program and product quality by leveraging CRM tools to detect information irregularities and meticulously documenting client concerns for continuous enhancement.

● Oversaw and managed our clients default appraisal and valuation portfolio. ● Handled all escalated valuation concerns by communicating with the appraiser and the lender. ● Communicated with clients, brokers, appraisers and lenders to ensure we are delivering quality valuation product within the lenders SLA ● Implemented new processes to improve our pipeline management and increase productivity.. ● Reviewed appraisal panel to ensure we had adequate coverage. ● Developed positive and constructive relationships with our clients to improve communication and strengthen the business relationships. ● Reviewed BPO’s, Appraisals and market analysis to ensure quality guidelines were met. ● Worked closely with property preservation to gain access and secure default properties . ● Provided daily reporting on all outstanding products to lenders and executive teams.

• Informed customers of additional services offered by company to develop opportunities for sales revenue.
• Collected and logged client feedback about service experience to identify areas for improvement.
• Achieved main targets and KPI's set by Client 's leadership.

• Served as a primary insurance policy liaison, developing recommendations that enabled agents to expand and enhance their portfolios
• Analyzed and conveyed complex state and federal insurance regulations to deliver actionable problem-solving strategies to customers
• Partnered with agent offices and internal teams to strategize on client needs, ensuring clear communication regarding billing notices and contributing to higher issue resolution rates.

• Managed scheduling and payroll processes for a team of 30, ensuring efficient operations and adherence to budgetary guidelines
• Coordinated logistics for special events and government contracts, resulting in seamless execution and comprehensive reports to key stakeholders
• Provided advisory services on facility planning and practices, enhancing internal request procedures and stakeholder engagement.