Shannon Marie Sheakley
Louisville
Summary
Passionate and professional Representative leads outreach efforts, strategic direction and day-to-day function management. Proven talent at building relationships and influencing others to gain support and commitment. Excellent presentation and communication skills and comfort working in fast-paced environment.
Go-getter Representative works closely with business development professionals to meet objectives and achieve revenue goals. Engages consumers and business leads to educate in products and services offered. Generates new business opportunities using proven processes to prospect business leads and close new accounts.
Overview
16
16
years of professional experience
Work History
Representative 3, PDP Grievance
Humana Inc.
Louisville
09.2014 - Current
- Received Shining STAR Award for going over and above during peak for PDP Grievance to ensure cases did not go out of compliance in 2025
- Received Shining STAR Award for excellence in managing the entire PDP Grievance Department while all of management was away
- Received Shining STAR Award for excellence in training team on Medhok systems, helping the team complete all cases in GCP system and answering questions
- Completed training for several associates experiencing difficulty with processes, trained the bailout associates to prepare for PDP Grievance work
- Identified common trends on certain issues members were experiencing, met with the department affected, and implemented a specific pattern of resolution
- Provide PDP Grievance team with verbiage and research on common grievance issues
- Assist leadership with identifying and creating processes to address common issues
- Assisted Management with Disney project by researching, compiling a theory, and testing that theory to cross-train MA & PDP Grievance associates with the opposite case types in order to save money on hiring
- Collect research and assist in team huddles, lead huddles by screen-sharing and walking the team
Variable Staffing Pool Group Set Up
Humana
02.2015 - 05.2015
- Audited and validated group builds before sending to Q&A, responsible for verifying files for information provided, loaded correctly into Contact Interface and SPC, verified information loaded onto So East Excel file for those build groups and tiers - Humana1X Group Set Up/Internal Validation
- Corrected pend keys for Humana1X; promoted to temporary SME for the other VSP associates
Limited Term Associate, Creditable Coverage
Humana
09.2014 - 02.2015
- Assisted Creditable Coverage associates with entering attestations
Tax Preparer/Assistant Manager
12.2014 - 04.2014
- Promoted to Assistant Manager after the 1st tax season due to no errors found and numerous customers expressed satisfaction and professionalism
Transcriptionist/Temporary Supervisor
09.2010 - 10.2012
- Due to accuracy and numerous accommodations from several nursing homes and Skilled nursing facilities was promoted to Temporary Supervisor while transitioning to a new system and processes
Education
Certificate of Completion - Medical Billing and Coding
Allen School of Health Sciences
Certificate of Completion - Pharmacy Technician
Brown Mackie College
Certificate of Completion - Banking
School of Financial Education
Skills
- Microsoft Word
- Excel
- PowerPoint
- OneNote
- Adobe Acrobat
- Prescription Drug Labeling system
- ADRX Prescription system
- Inventory Maintenance system
- MEDISOFT
- ICD 9 forms
- AS/400 medical records system
- CMS-1500 billing forms
- Medhok systems
- PDP grievance management
- Data validation
- Process improvement
- Training development
- Customer relationship management
- Team collaboration
- Trend analysis
- Conflict resolution
- Effective communication
- Problem solving
- Attention to detail
- Adaptability to change
- Project management
- Time management
- Technical aptitude
- Industry awareness
- Data entry proficiency
- Order problem solving
- Account servicing
- Records management
- Cross-functional team development
- Market intelligence
- Client relationship building
- Business growth and retention
Timeline
Variable Staffing Pool Group Set Up
Humana
02.2015 - 05.2015
Tax Preparer/Assistant Manager
12.2014 - 04.2014
Representative 3, PDP Grievance
Humana Inc.
09.2014 - Current
Limited Term Associate, Creditable Coverage
Humana
09.2014 - 02.2015
Transcriptionist/Temporary Supervisor
09.2010 - 10.2012
Certificate of Completion - Medical Billing and Coding
Allen School of Health Sciences
Certificate of Completion - Pharmacy Technician
Brown Mackie College
Certificate of Completion - Banking
School of Financial Education