Shaun Bowen
Rome,NY
Summary
To obtain an Adjunct Business Instructor position with the opportunity to help students succeed. Want to make a positive impact to each student and help them reach their goals. Live the "Heart of the Hawk" each and every day.
Overview
14
14
years of professional experience
Work History
Workforce Business Analyst II
Excellus BC/BS
03.2019 - Current
- Responsible for the scheduling of 85-90 claim processors within the claims department to ensure claims are processed and adjusted in a timely manner
- Working with Training Department to ensure the needs of the training class are met
- Hold daily and weekly meetings with all levels of management including Vice President to review inventory plans and current objectives in place
- Set up a new hire transition program which allows trainees to transfer into their claims position after training smoothly
- Built a rapport with all levels of management within the claims organization becoming a trusted subject matter expert.
- Actively participated in team meetings to share knowledge, exchange ideas, address challenges, and collaborate on potential solutions.
- Developed high-quality documentation to support training efforts, helping employees fully understand new systems and procedures.
- Performed gap analysis between existing systems or processes and desired state, identifying areas for improvement or enhancement.
Claims Examiner III
Excellus BC/BS
03.2015 - 03.2019
- Processed and adjusted claims based on DLPs to ensure high quality results
- Handled all lines of business including Article 47
- Held NYS health and Accident license.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Customer Care Associate III
Excellus BC/BS
10.2010 - 03.2015
- Handled 80-90 phone call daily with inquiries from both Members and Providers regarding claim status and benefits
- Part of the initial dedicated unit
- Served as a mentor to new hires.
Education
MBA Technology Management - Business Administration And Management
SUNY Poly
Utica, NY05.2024
Bachelor of Arts - Healthcare Managment
SUNY Canton
Canton, NY12.2021
Associate of Applied Science - Business Management
MVCC
Utica, NY05.2019
BBA - Business Administration
SUNY Poly
Utica, NY12.2001
Associate of Applied Science - Accounting
MVCC
Utica, NY05.1999
Skills
- Fluent in all Microsoft Operating Systems, Forecasting Tools, Process Improvement, Project Management, Capacity Planning, Customer Service, Claims Examination, Presentation Skills
- Data Analysis
- Critical Thinking
- Lesson Planning
- Student Engagement
- Public Speaking
- Collaborative learning
Accomplishments
Created a new hire onboarding process for after their initial training was completed to allow employees to familiarize themselves with the content they have learned and to build a relationship with myself along with their direct supervisors.
Worked with training on content and what the business needs are regarding training initiatives.
Volunteer Experience
- 09/01/10, Current, Westmoreland PTO
- 09/01/06, 11/01/11, Pop Warner Football and Little League Baseball Coach
Recipient of the Al Mario Business Strategy Award - SUNY Poly
I was nominated By Dr Robert Edgell for my excellent performance in business simulations as part of my MBA program at SUNY Poly.
Timeline
Workforce Business Analyst II
Excellus BC/BS
03.2019 - Current
Claims Examiner III
Excellus BC/BS
03.2015 - 03.2019
Customer Care Associate III
Excellus BC/BS
10.2010 - 03.2015
MBA Technology Management - Business Administration And Management
SUNY Poly
Bachelor of Arts - Healthcare Managment
SUNY Canton
Associate of Applied Science - Business Management
MVCC
BBA - Business Administration
SUNY Poly
Associate of Applied Science - Accounting
MVCC
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