Trish A Nadeau
South Gardiner,Me
Summary
To be of great value of any career I pursue. I will be accountable for results in every aspect. Superior customer service skills, excellent communication and organizational skills, pay attention to detail- multi task individual. Team - player.
Overview
31
31
years of professional experience
Work History
Senior Insurance Analyst
State of Maine, Bureau of Insurance
Gardiner, Maine
08.2022 - Current
- Review and evaluate form filings to determine statutory compliance using the checklist for that specific product.
- Review, investigate and evaluate more complex consumer complaints in accordance with the complaint manual and with instructions and direction received from supervisors. Investigates complaints, analyzes issues, identifies licensee process deficiencies or violations of law or Bureau rules, in accordance with the complaint manual and with instructions and direction received from supervisors. Educates complaint staff, complainants, and licensees on issues identified. Communicates and corresponds with complainants and licensees as appropriate to resolve issues. Refers violations to the Director/Deputy Director for possible enforcement. Tracks open files to ensure timely responses from licensees.
- Adhere to the Bureau’s confidentiality statute as it relates to information gathered during investigations.
- Adhere to all state, PFR and Bureau policies and procedures.
- Manage walk-in and phone duty shifts as assigned including covering for absences. Phone calls (and walk-in conversations) handled in accordance with CHCD phone procedures. Keeps voicemail and email out-of-office messages current when away for an extended time.
- Act as the backup to maintain SERFF data base.
- Provide weekly SERFF filing report to Director/Deputy Director.
- Attend CHCD division staff meetings and group staff meeting with complaint/form filing staff.
- Projects or other tasks as assigned by management. Lead on ACA, training and updating manuals.
- Act as back up for the deputy director when absent.
- Participate in mentor/training new employees through orientation in accordance with the new employee’s orientation guidelines.
- Utilizes ethical communication in interactions with coworkers (peers and managers). Communicating ethically includes dealing with problems quickly and directly; listening attentively; stating needs/concerns in clear, respectful language; refraining from language that is demeaning or belittle. Strives to settle disputes collaboratively and equitably, approach conflict as an opportunity to learn and understand; find common ground and cooperation; seek supervisory support for more difficult issues.
- Participate in teleconferences, trainings, webinars as it relates to healthcare position, including NAIC courses.
- Back up for SERFF Liaison and CoverMe.gov.
- Assist with checklist project.
- Review and approving of Credentialing Extension applications from carriers. Date entry using Excel spreadsheet.
Insurance Contract Examiner
State of Maine Bureau of Insurance
Gardiner, ME
10.2019 - 2022
- Review and approve health Insurance contracts, including policies, certificates, riders, and endorsements to confirm or disapprove compliance with Maine law.
- Consults and renders objections with insurance carriers in order to clarify, correct, and update contract provisions when there is conflict with Maine laws, rules, and regulations.
- Research and evaluate health insurance related issues to suggest improved procedures, changes in regulation, or share with management to present to legislation.
- Collaboration with Bureau of Insurance personnel such as staff attorneys and management to provide technical information pertaining to health insurance .
- Responds to telephone, email and complaint inquiries from consumers and Insurance carriers to provide solutions to life and health Insurance issues, including resolving complaints.
- Trained colleagues in all areas of position, phone training, consumer complaints & SERFF filings including ACA.
- Performed Senior duties of SERFF reports, call log reports, and quick text data entry in SERFF.
- Enrolled in the NAIC APIR training program (Associate Professional in Insurance Regulation).
- Certification of completion in NAIC'S Mental Health Parity (See Certificate) .
- Involved with the BOI checklist project reviewing and analyzing group & blanket policies.
- Attended many Maine State Legislature HCIFS (Health Coverage Insurance & Financial Services) sessions to be familiarized with upcoming bills & law changes.
- Certification of completion in NAIC'S Introduction to Insurance Industry. (See Certification)
Management Analyst I
State of Maine/DOL/UI Training & Support Unit
04.2016 - 10.2019
- Curriculum writing on the new system ReEmployMe.
- Training staff on the new system. Preparing data, researching all modules of the system. Application help desk conducting training on the phone, answer questions users have about the application, including real time training.
- Notify staff of system related issues, triage and resolve system support issues, and report system related issues into as well as record and maintain issues in a tracking system.
- Communicating effectively to resolve assigned cases received by staff and communicating with developers to solve system issues.
- Analyzing activities and work problems, summarizing findings, prepare reports, and recommending changes in organizational structures, programs, policies, and procedures.
Claims Adjudicator
State of Maine/DOL/Unemployment Insurance
01.2013 - 03.2016
- Determining eligibility of claimants for Unemployment Insurance.
- Analyzing relevant information, interviewing claimants, employers and witness by telephone. Investigate findings, reviews if eligible, and send decision in writing to all interested parties.
- Communicating effectively, providing guidance and assistance to claimants and employers pertaining to Unemployment Compensation. Including Federal Programs such as EUC, DWB, and TRA.
- Interpret and applying Maine Employment Security Law.
- Writes clear concise and timely decisions of Work Search Audits.
- Subject Matter Expert for the Consortium, providing guidance and assistance to computer developers, other States UI personnel, to compare laws, rules, regulations, and policies.
- Created test cases for new system.
- Testing for data migration of legacy system to MS access. (ReEmployME)
- Assisted with training of hired SME'S with the new MS Access system and IBM Rational Jazz.
- Attended training on Microsoft Excel 2010 Introduction, Intermediate, and advanced.
- Review and comment on current SUC (System Use Case) documents to determine if current process will accommodate Maine's laws and needs, give recommendations and specific law if changes needed.
- Attended Appeal hearings and Unemployment Insurance Commission hearings to explain process and laws of UI for the other agencies to determine if investigative findings were accurate according to UI Law.
Claims Specialist
State of Maine/ DOL/Unemployment Insurance
11.2008 - 01.2013
- Quality customer service, telephone, mail, and fax inquiries pertaining to claimant's unemployment benefits.
- Explaining Unemployment laws and responsibilities to claimants and employers.
- Detect fraudulent Claims and detect errors and over-payments of Claims.
- Processing applications of Unemployment Claims, reviews eligibility.
Teller
Gardiner Federal Credit Union
06.2006 - 12.2008
- Customer Service, assisting members in person and telephone inquires (fast pace and multi task) with daily transactions.
- Cash handling.
- Selling products and services.
- Notary Services.
- Trained new tellers.
- Preparing and mailing of bills of overdraft fees.
- Collections of overdrawn checking and savings accounts.
Secretarial Position
Tri State Staffing Incorporation
02.2006 - 05.2006
- Data Entry inputting Grave site locater.
- Customer Service answering phone inquiries, assisting families to plot locations.
- Scheduling burials.
Customer Service Representative
Newark Paperboard
01.2006 - 03.2006
- Entering purchase orders and invoicing for Paperboard products.
- Entering shipping schedule in Excel.
- Inputting payroll.
- Microsoft outlook.
- Purchasing supplies.
- Oracle.
Client Relations Representative
Key Bank
03.1997 - 11.2005
- Customer Service, Assisting customers in person and telephone inquires (fast pace and multi task) with daily transactions.
- Vault teller duties include shipping and ordering currency, supplying and acting as supervisor to fellow tellers.
- Cash reconciliation daily.
- Strong computer skills and fast typing numerically.
- Collections of overdrawn accounts calling c
- Opening checking and savings accounts.
- Purchasing supplies.
- Some use of Excel/spread sheets.
- Scheduling and approving payroll.
- Training and evaluations of the teller line.
- Reconciling of General Ledger, for bank Operations. Collecting on NSF checks deposited to apply to account to close out any outstanding balances.
- Collections of overdrawn accounts.
- Analyzing accounts, records, and financial statements to determine customer needs .
- Establishing and maintaining effective working relationships to keep all financial accounts with one financial institution.
Customer Service Representative
Employee Health & Benefits
06.1995 - 04.1997
- Customer Service, answering questions pertaining to employee's health insurance coverage.
- Completing and processing applications for employees, adding and deleting dependents.
- Inputting Payroll deductions for the cost of Health Insurance.
Education
Diploma -
Gardiner Area High School
1996
Associate of Applied Science - Business Administration OIT
ReEmployMEKennebec Valley Technical College
References
References are available upon request.
Timeline
Senior Insurance Analyst
State of Maine, Bureau of Insurance
08.2022 - Current
Insurance Contract Examiner
State of Maine Bureau of Insurance
10.2019 - 2022
Management Analyst I
State of Maine/DOL/UI Training & Support Unit
04.2016 - 10.2019
Claims Adjudicator
State of Maine/DOL/Unemployment Insurance
01.2013 - 03.2016
Claims Specialist
State of Maine/ DOL/Unemployment Insurance
11.2008 - 01.2013
Teller
Gardiner Federal Credit Union
06.2006 - 12.2008
Secretarial Position
Tri State Staffing Incorporation
02.2006 - 05.2006
Customer Service Representative
Newark Paperboard
01.2006 - 03.2006
Client Relations Representative
Key Bank
03.1997 - 11.2005
Customer Service Representative
Employee Health & Benefits
06.1995 - 04.1997
Associate of Applied Science - Business Administration OIT
ReEmployMEKennebec Valley Technical College
Diploma -
Gardiner Area High School