Senior Operations Analyst at RxAnte (2020-05 – Present)
- Support the client service team directors with operational reporting, Jira task management, overall program changes, and the implementation of client program improvements
- Collaborate with multiple teams and departments within the company on projects of varying scopes
- Develop program strategy plans to improve outcomes and performance by analyzing important KPI’s.
- Provide reporting to the finance team regarding enrollment numbers, monthly results, and client launch/program change dates
Account Manager – Client Services at Patient Advocates, LLC (2017-11 – 2020-05)
- Lead implementation of new clients during the transitional period from prior health carrier
- Discuss and apply health plan benefit recommendations during open enrollment periods
- Execute subrogation recovery on behalf of our clients by communicating with third parties’ carriers, and attorneys
- Conduct employee meetings during open enrollment
- Proactively communicate with contracted health networks to broaden provider network coverage and negotiate procedure pricing. When out of network, negotiate single case and company-wide agreements
- Prepare and present stop-loss and administrative plan year renewal information to clients
Workers Compensation Representative II at Sedgwick CMS (2015-07 – 2017-11)
- Effectively manage all aspects of workers’ compensation lost time insurance claims for employers
- Duties consist of handling a caseload of 100+ lost-time indemnity files for large, nationally recognized clients
- Responsible for managing workers’ compensation cases by conducting investigations, analyzing files, and interpreting various laws and statutes in order to determine the extent of benefits
Claims Service Representative I at AAA Insurance (Auto Club of Southern California) (2013-02 – 2017-07)
- Adjust automobile claims to conclusion by factoring in liability, coverage, and policy of insureds.
- Handle file from inception to close including taking recorded statements, ordering police reports and verify facts of loss to determine liability
- Handle and resolve both 1st and 3rd party property damage, review vehicle estimates, make payments including other carrier property damage subrogation demands and resolve any vehicle salvage
