Sabrina Harrell
Tampa,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Commercial Product Analyst
Centene
Tampa, FL
03.2021 - Current
- Identify and analyze user requirements, procedures, and problems to improve existing processes.
- Attended weekly development team meetings and assisted in identification and resolution of issues to maintain timeline.
- Devised data visualization dashboards to make complex data more accessible to stakeholders.
- Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementations.
- Use Excel and Visio to complete daily tasks.
- Lead problem solving and coordination efforts between various business units.
- Identified ways to enhance performance management and operational reports related to new business implementation processes.
- Develop and incorporate organizational best practices into business applications.
- Assist with formulating and updating departmental policies and procedures
Business Analyst II
WellCare Health Plans Inc.
Tampa, FL
01.2019 - 03.2021
- Implemented business intelligence solutions to increase operational efficiency.
- Provided technical support for troubleshooting analytics and reporting issues.
- Generated ad-hoc reports to evaluate specific business requirements.
- Implemented best-practice methodologies that improved overall project delivery timelines while maintaining quality standards.
- Identify and analyze user requirements, procedures, and problems to improve existing processes.
- Lead problem solving and coordination efforts between various business units.
- Creating a detailed business analysis, outlining problems, opportunities and solution for a business
Operations Lead
WellCare Health Plans Inc.
Tampa, FL
04.2016 - 03.2021
- Maintained database systems to track and analyze operational data.
- Oversaw supply chain management, maintaining optimal inventory levels while minimizing procurement costs.
- Conducted regular performance assessments, providing constructive feedback and identifying areas for growth and development among team members.
- Frequently inspected production area to verify proper equipment operation.
- Partners with departmental management staff to maintain daily inventory standards while still surpassing applicable production goals.
- Conducted analysis of progress and held monthly meetings regarding goals and tasks.
- Monitored progress within each department toward goal attainment utilizing measurable data in spreadsheet applications.
- Assists with escalated issues in which require additional research in order to identify root cause.
CLAIMS SPECIALIST III
WellCare Health Plans Inc.
Tampa, FL
05.2015 - 04.2016
- Modified, updated and processed existing policies.
- Delivered comprehensive training sessions for new hires on claims handling procedures, policy interpretation basics, negotiation techniques, and other core competencies related to the role of a Claims Specialist.
- Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
- Maintain production, quality standards, and resolves institution and professional claims by approving and denying documentation; calculation of payments due based on state and benefit guidelines.
- Provides as a subject matter expertise to department projects by analyzing and performing root cause analysis on all types of claim issues and adjustments.
CLAIMS SPECIALIST II
WellCare Health Plans Inc.
Tampa, FL
03.2014 - 05.2015
- Acts as a mentor to associates by providing applicable up-trainings, reviewing associate quality feedback, and assisting with mitigation planning to ensure higher quality standards are met.
- Partners with departmental management staff to maintain daily inventory standards while still surpassing applicable production goals (126% average ).
- Demonstrates expertise with all assigned Line of Business. " Assists with escalated issues in which require additional research in order to identify root cause.
CLAIMS CONTENT SPECIALIST
Humana
Tampa, FL
01.2009 - 03.2014
- Research and make benefit determination for the processing of Medicare & Medicaid member claims according to processing guidelines.
- Maintain production, quality standards, and resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.
- Establishes proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable claims.
CUSTOMER CARE SPECIALIST
Humana
Tampa, FL
02.2008 - 01.2009
- Responded proactively and positively to rapid change.
- Verified accuracy of customer account information and updated when necessary.
- Assisted call-in customers with questions and orders.
- Maintained up-to-date knowledge of product and service changes.
- Build lasting relationships with Humana’s customers and contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
Education
High School Diploma -
Tampa Bay Technical High School
Tampa, FL06.1996
Skills
- Claims Adjusting
- Claims Auditing
- Microsoft Office
- Computer Proficiency
- Analytical Thinking
- Competitive Analysis
- Tableau Expertise
- Team Collaboration
- Team Leadership
- Customer Service
- Decision-Making
- Data Analytics
Timeline
Commercial Product Analyst
Centene
03.2021 - Current
Business Analyst II
WellCare Health Plans Inc.
01.2019 - 03.2021
Operations Lead
WellCare Health Plans Inc.
04.2016 - 03.2021
CLAIMS SPECIALIST III
WellCare Health Plans Inc.
05.2015 - 04.2016
CLAIMS SPECIALIST II
WellCare Health Plans Inc.
03.2014 - 05.2015
CLAIMS CONTENT SPECIALIST
Humana
01.2009 - 03.2014
CUSTOMER CARE SPECIALIST
Humana
02.2008 - 01.2009
High School Diploma -
Tampa Bay Technical High School