Shawnette Culver
Bordentown,NJ
Summary
Proven track record at Horizon Blue Cross Blue Shield of NJ, enhancing operational efficiency and team productivity through workflow optimization and effective interpersonal communication. Mastered multitasking and problem-solving, leading to significant improvements in project delivery and claims processing effectiveness. Achieved notable advancements in cross-functional teamwork and analytical thinking, driving positive outcomes and customer satisfaction.
Overview
27
27
years of professional experience
Work History
Claims Operations Analyst
Horizon Blue Cross Blue Shield of NJ
01.2013 - Current
- Managed multiple projects simultaneously, delivering results within tight deadlines while maintaining high-quality standards.
- Optimized operational efficiency by analyzing and streamlining processes.
- Improved team productivity by implementing effective workflow strategies and time management techniques.
- Created custom reports and visualizations to support decision-making processes.
- Collaborated with cross-functional teams to develop comprehensive project plans, ensuring timely delivery of key milestones.
- Assisted in the development of operational policies and procedures that aligned with organizational goals and objectives.
- Created and managed operational databases to store and track data and maintain accurate information.
- Actively participated in strategic planning meetings, contributing valuable input towards setting departmental objectives.
Senior Claims Analyst
Horizon Blue Cross Blue Shield of NJ
12.1997 - 01.2013
- Reduced claim processing time by streamlining workflow and implementing efficient case management strategies.
- Enhanced overall team performance by providing mentorship, guidance, and training to junior claims analysts.
- Increased accuracy in claims assessment through thorough investigation and diligent documentation of claim details.
- Interacted with clients and employees, which helped cultivate positive working relationships.
- Streamlined communication channels between departments for expedited information sharing during the claims process.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Improved customer satisfaction by consistently resolving complex claims in a timely and professional manner.
- Provided exceptional customer service by addressing client concerns promptly and maintaining open lines of communication throughout the claims process.
- Served as a subject matter expert on complex claim cases, offering consultation and guidance to colleagues in need of assistance.
- Continuously sought opportunities for professional development, attending industry conferences and participating in relevant training courses to maintain expertise in the claims field.
Education
Bachelor of Arts - Communications
Upsala College
East Orange, NJ06.1990
Skills
- Workflow Optimization
- Multitasking
- Cross-Functional Teamwork
- Root Cause Analysis
- Problem-Solving
- Interpersonal Communication
- Teamwork and Collaboration
- Time Management
- Problem-solving abilities
- Multitasking Abilities
- Analytical Thinking
- System Testing
Timeline
Claims Operations Analyst
Horizon Blue Cross Blue Shield of NJ
01.2013 - Current
Senior Claims Analyst
Horizon Blue Cross Blue Shield of NJ
12.1997 - 01.2013
Bachelor of Arts - Communications
Upsala College
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