Results-driven professional with extensive experience in provider relations, team management, and compliance oversight. Proven ability to enhance team performance and ensure regulatory adherence while fostering strong provider relationships.
Overview
1
1
Certification
15
15
years of professional experience
Work History
Complaints and Appeals Lead
Sun Life Financial
Milwaukee, Wisconsin
2011.01 - 2026.05
Resolved team provider complaint escalations, enhancing provider satisfaction and compliance.
Assisted in managing team of 16 employees, ensuring effective workflow and support.
Participated in weekly meetings with upper management to address team concerns and develop training tools for departmental growth.
Provide on-going training to new hires and senior teammates within the department.
Run daily report to ensure team case assignments are being addressed so cases will not go out of compliance.
Monitored provider portal daily to ensure accurate information was available.
Contacted providers with all compliance dental updates.
Assist Provider Relation Representative with updates and communications to forward to providers.
Attend meetings with Client Engagement Representative with new/existing providers to discuss plan implementations.