Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shanna Cunningham

1841 N Firebrick Dr Kuna,ID

Summary

Seasoned insurance specialist with exceptional planning and problem-solving skills. Demonstrates several years of experience and a proactive approach towards tackling challenges. A results-oriented professional known for efficiently handling high caseloads in fast-paced settings.

Overview

3
3
years of professional experience

Work History

Grievance and Appeals Specialist I

Blue Cross of Idaho
Meridian, ID
01.2023 - Current
  • Contributed to setting department targets.
  • Created correspondence detailing the status of appeals in response to customer queries.
  • Maintained comprehensive knowledge of organizational policies and procedures.
  • Maintained adherence to state, federal, and accreditation guidelines.
  • Ensured detailed and precise examination of every grievance and appeal case for best outcomes.
  • Advanced customer satisfaction through efficient problem-solving of intricate issues.
  • Synchronized efforts of vital departments to handle disputed items efficiently.
  • Facilitated understanding of appeal protocols for members and providers.
  • Worked cross-functionally to address appeals efficiently.
  • Communicated insights on appeal trends to management.
  • Investigated intricate cases to deliver precise rulings on appeals.
  • Engaged in training focused on new rules relevant to the appeals procedure.
  • Partnered with colleagues in handling a high volume of cases.
  • Streamlined data management using word processing tools.

Customer Service Advocate

Blue Cross of Idaho
Meridian, ID
08.2021 - 01.2022
  • Ensured delivery of complete and accurate details quickly.
  • Ensured completion of follow-up tasks after each service call.
  • Ensured compliance with corporate policies during customer engagements.
  • Addressed and managed delayed customer responses efficiently.
  • Managed incoming calls from customers in a professional manner.
  • Contributed to formulating new plans aimed at improving customer experiences.
  • Guided employees through methods of managing challenging customer behaviors.
  • Participated in ongoing education and training to enhance professional skills.
  • Coached newly hired members to ensure adherence to established standards.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Delivered exceptional customer service support consistently.

Education

AAPC Medical Coding - AAPC Medical Coding

Blue Cross of Idaho
Meridian

Skills

  • Collaborative relationships
  • Effective Team Collaboration
  • Responsive Change Management
  • Consistent Commitment to Excellence
  • Ongoing Enhancements
  • Goal Fulfillment
  • Operational Systems Integration
  • Adapts Quickly in Demanding Environments
  • Customer Service Expert
  • Strong Project Leadership
  • Process Workflow Management
  • Knowledgeable in Legacy and Gemstone Technologies
  • Knowledgeable in navigating Workday, E-Source, MGA20, and other grievance and appeals systems used on a daily basis

Timeline

Grievance and Appeals Specialist I

Blue Cross of Idaho
01.2023 - Current

Customer Service Advocate

Blue Cross of Idaho
08.2021 - 01.2022

AAPC Medical Coding - AAPC Medical Coding

Blue Cross of Idaho
Shanna Cunningham