Shanna Cunningham
Kuna,ID
Summary
Experienced insurance specialist dedicated to leadership and team growth. Exceptional problem-solving skills with a history of effective communication and motivation. Achieves results through relationship-building at all organizational levels. Fosters trust to ensure relationships are both meaningful and impactful.
Overview
5
5
years of professional experience
Work History
Grievance and Appeals Specialist I
Blue Cross of Idaho
01.2023 - Current
- Contribute to setting department targets.
- Create correspondence detailing the status of appeals in response to customer queries.
- Maintain comprehensive knowledge of pertinent laws, regulations, policies, and procedures on appeals processing.
- Synchronized efforts of vital departments to handle disputed items efficiently.
- Support member and providers in navigating the appeals process.
- Work cross-functionally to address appeals efficiently.
- Communicate insights on appeal trends to management.
- Engage in training focused on new rules relevant to the appeals procedure.
- Partner with colleagues in handling a high volume of cases.
- Streamline data management using word processing tools.
Customer Service Advocate
Blue Cross of Idaho
08.2021 - 01.2023
- Ensured completion of follow-up tasks after each service call.
- Ensured compliance with corporate policies during customer engagements.
- Addressed and managed customer responses efficiently.
- Managed incoming calls from customers in a professional manner.
- Contributed to formulating new plans aimed at improving customer experiences.
- Mentored employees through methods of managing challenging customer behaviors.
- Participated in ongoing education and training to enhance professional skills.
- Coached new hires to ensure adherence to established standards.
Education
AAPC Medical Coding - undefined
Blue Cross of Idaho
Skills
- Relationship management
- Collaboration and teamwork
- Commitment to excellence
- Project leadership
- Workflow optimization
- Customer service excellence
Timeline
Grievance and Appeals Specialist I
Blue Cross of Idaho
01.2023 - Current
Customer Service Advocate
Blue Cross of Idaho
08.2021 - 01.2023
AAPC Medical Coding - undefined
Blue Cross of Idaho