Pamela M. STEVENSON
Darlington,SC
Summary
Program director with experience at Darlington County Community Action Agency, excelling in regulatory compliance and operational efficiency. Proven track record in budget management and team leadership, driving program improvements and enhancing service delivery. Adept at data analysis and effective communication, ensuring adherence to program guidelines and achieving organizational goals.
Overview
28
28
years of professional experience
Work History
CSBG/LIHEAP Program Director (DCCAA)
Darlington County Community Action Agency
Hartsville, SC
07.2017 - Current
- Supervised program operations verifying compliance with policies, procedures, applicable standards, and relevant contractual requirements.
Claims Analyst I (PGBA)
BCBS of SC
Florence, SC
09.2007 - 04.2018
- Processed claims for Tricare South.
- Completes accurate claims processing in a timely manner.
- Process claim adjustments daily.
- Works special projects as assigned by Manager or Supervisor.
- Meets department production standards consistently.
- Accurately counts and tracks all daily activities for production standards.
Sales Associate II/Senior Claims Processor
Wellpoint BCBS of GA
Atlanta, GA
02.1997 - 08.2005
- Keyed Insurance applications.
- Updated missing information, retrieved from Brokers and insurance agent.
- Customer service calls regarding applications daily.
- Processed HMO Medicare Replacement Product claims.
Education
Associate in Applied Science - Human Services
Florence-Darlington Tech
08.2017
Skills
- Program management
- Regulatory compliance
- Data analysis
- Budget management
- Claims processing
- Customer service
- Team leadership
- Problem solving
- Effective communication
- Operational efficiency
- Needs assessment
- Crisis management
- Data verification
- Program improvements
- Task delegation
- Performance evaluation
- Effective leader
- Program guidelines adherence
Accomplishments
- Customer loyalty and satisfaction.
- Working effectively and cooperatively with others, establishing and maintaining good working relationships within Claims department.
- Customer Service with providers and members as a Senior Claims Processor.
- Experience with health insurance policies and applications.
- Accustomed to Medicare regulations and procedures.
Timeline
CSBG/LIHEAP Program Director (DCCAA)
Darlington County Community Action Agency
07.2017 - Current
Claims Analyst I (PGBA)
BCBS of SC
09.2007 - 04.2018
Sales Associate II/Senior Claims Processor
Wellpoint BCBS of GA
02.1997 - 08.2005
Associate in Applied Science - Human Services
Florence-Darlington Tech
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