Hollie Kline
Quality Or Research work Remote
Talent
Pennsylvania, MobileMember since October 7, 2025
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About
27 years in the insurance industry, I'm passionate about high quality and customer focus
Experience
Capital Blue Cross – Harrisburg, PA
10/2020 – PresentQuality Assurance Specialist (08/2024 – Present)
- Conduct advanced-level audits across multiple departments, systems, and data sets.
- Analyze policies, procedures, and documentation to assess member impact and identify improvements.
- Prepare and present audit results to staff, supervisors, and management.
- Research and compile supporting documentation for audits and process evaluations.
- Communicate findings clearly and adapt messaging for different audiences.
- Identify training gaps, assist in specialized training, and function as back-up lead.
- Serve as subject matter expert and provide cross-departmental support.
OPL Specialist II (04/2023 – 08/2024)
- Managed inquiries from customers, providers, attorneys, and external entities.
- Researched and resolved moderately complex issues involving claims, recoveries, and subrogation.
- Ensured compliance with MTM quality and timeliness standards.
- Coordinated subrogation cases with external vendors and reviewed carrier benefit statements.
- Reported trends to management, identifying potential systemic improvements.
Client Services Pharmacy Support Analyst (10/2020 – 04/2023)
- Delivered exceptional member service with empathetic communication.
- Conducted detailed research of pharmacy benefits and prior authorizations.
- Collaborated with Prime Therapeutics, Express Scripts, and other partners.
- Mentored and trained new staff to ensure service consistency.
Geneia – Harrisburg, PA
08/2015 – 10/2020Population Health Engagement Specialist (08/2018 – 10/2020)
- Conducted outreach calls to engage members in Case Management programs.
- Processed referrals, requests, and letters on behalf of case managers.
- Supported workflow improvements and participated in pilot projects.
Senior Clinical Support Specialist (04/2015 – 08/2018)
- Served as first point of contact for Case Management department.
- Processed correspondence, letter requests, and incoming mail.
- Designed workflows and developed a successful work-from-home plan.
Capital Blue Cross – Harrisburg, PA
03/2007 – 04/2015Collection Specialist (04/2012 – 04/2015)
Medicare Group Account Specialist (06/2009 – 04/2012)
Claims Examiner (03/2007 – 06/2009)
BISYS Insurance Services – Harrisburg, PA
10/2003 – 03/2007Case Manager, New Business Department
Bortek Industries, Inc. – Mechanicsburg, PA
12/2002 – 02/2003Service Billing & Parts Department
Coventry Health Care – Harrisburg, PA
05/1999 – 11/2002Customer Service Specialist
Inservco (Subsidiary of Penn National Insurance) – Harrisburg, PA
06/1997 – 05/1999Clerk
Education
Harrisburg Area Community College – Certificate in Business
