Tracie Saunders
Charleston
Summary
Motivated specializing in personal, property and casualty loss and damage. Negotiates claims with an emphasis on fairness and thoroughness. Trustworthy and dependable. Service-oriented
Overview
25
25
years of professional experience
1
1
Certification
Work History
Professional
Aetna /CVS
05.2021 - Current
- Professional who assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual's health and human service needs.
- They act as patient advocates, guiding and coordinating care for individuals, families and caregivers as they navigate their healthcare journey.
Executive Secretary
Workforce WV
04.2016 - 01.2019
- Performs a variety of administrative tasks for the supervisor including organizing an appointment calendar, screening visitors and telephone calls, making travel arrangements, answering routine correspondence, accumulating information for reply to requests by correspondence and/or telephone.
- Takes dictation of a confidential and technical nature from the supervisor or transcribes dictation from a transcribing machine.
- Types correspondence, reports, forms, contracts, bulletins, manuals, narratives and other documents and related office material which may require familiarity with specialized terminology such as medical and/or legal terms.
Senior Employer Policy Representative
Brickstreet Mutual Insurance Company
03.2001 - 01.2016
- Maintained suspicious claims database and prepared reports on a quarterly basis for supervisors.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Compared data from surveillance footage to data on medical reports.
- Successfully eliminated claimant, premium and provider fraud.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Directed and coordinated various investigations conducted by field investigation team.
- Drafted investigative reports covering all phases of the investigation in each case.
- Trained new staff members in the detection of external and internal fraud.
Grievance Analyst
Aetna
- Responsible for investigating and resolving oral and written grievances received for all products.
- Grievance may contain multiple issues and may require coordination of responses from multiple business units.
- Must ensure a timely, customer focused response to complaints, both oral and written.
- Identify trends and emerging issues and report and recommend solutions.
Education
Business Administration -
Marshall University
Skills
- Advanced oral and written communication skills
- Risk management
- Insurance policy coverage knowledge
- Administrative background
- Policy investigations
- Underwriting knowledge
- Data analysis
- Skilled multi-tasker
- Highly motivated
- MS Office
- Advanced computer skills
- Experience in the use of Excel and Microsoft Word
- Ability to create detailed spreadsheets
- Formulas
- Pivot tables
Affiliations
- Board of Directors New Covenant Missionary Development Board
- Member of Charleston Woman Alliance
Certification
- Completed Advanced Customer Service training
- Notary for the State of WV
References
Available upon request
Timeline
Professional
Aetna /CVS
05.2021 - Current
Executive Secretary
Workforce WV
04.2016 - 01.2019
Senior Employer Policy Representative
Brickstreet Mutual Insurance Company
03.2001 - 01.2016
Grievance Analyst
Aetna
Business Administration -
Marshall University