Appleton, Wisconsin, United States
I’m a dedicated professional who thrives on growth, challenge, and continuous learning. I enjoy exploring new technologies and finding ways to improve processes using my past experience. Building strong relationships—both within my team and with clients—is important to me, and I take pride in delivering work that goes above and beyond expectations. I’m always looking for opportunities to learn, contribute, and make a meaningful impact.
• Use operational analytical skills to design, develop, program, maintain, and publish reports and reporting applications • Work in a fast paced and flexible environment where priorities shift week to week • Collaborate with IT and translate technical information into non-technical business explanations • Meet with business partners and gather reporting requirements, offer recommendations and different options to meet their reporting needs • Lead multiple projects of varying size and complexity and mentor teammates • Maintain a high degree of accuracy along with attention to detail, excellent oral and written communication skills, solid interpersonal skills, and the ability to always meet deadlines • Responsible for external customer reporting • Development, automation, and technical/analytic support of clinical and care management reporting • Participate in regular team meetings with IT and business stakeholders to discuss report requirements. • Manage complex data flow, querying reporting tables and views, and researching multiple data points in order to produce high quality, fully customizable reports
- Performing analysis of claims based on requests submitted through work queues from other teams - Creating and running queries to retrieve appropriate data sets - Knowledge of the full claims lifecycle from submission, error resolution, through final payment - Presentation of findings through ad hoc and standardized reports as requested by internal teams and clients - Responsible for designing/developing, programming, maintaining and publishing operational reports - Provides operational analysis utilized for decision making. May make recommendations based on the analysis, and provide explanations for reporting results as needed. May be done for internal operational purposes as well as for customers - Proactively identifies solutions to non-standard requests - Responsible for overall employer contract loading using various databases and/or source documents - Conducting research on cause of mis-payments of claims - Accessing SharePoint and claims databases to retrieve claims information to determine the cause for billing errors
• Assist with programs designed to ensure proper application of contracted rates and reimbursement policies for company affiliates • Analyze claims, pre and post payment, to ensure proper pricing of contracts, reimbursement policies and procedures • Review claim disputes to verify correct pricing and analyze claim inquiry data to determine root cause of errors • Recommend system changes, training, and process improvements to prevent future errors • Act as a technical resource to others and proactively identify solutions to non-standard requests
- The Sales Associate is responsible for providing a great in-store shopping experience for our retail customers w hile assi stin g with addit iona l tasks such as stocking, cleaning, folding merchandise, etc -Maintain a clean and organized sales floor, checkout, fitting room, and stock room to ensure the store is safe and inviting to customers - Follow company policies and procedures to ensure the safety of all our associates and customers - Assist with product launch changes according to company SOP Provide a Great Customer Experience - Deliver on all aspects of the customer experience model Process transactions quickly and accurately reducing the customers wait time - Positively resolve customer service-related issues as they arise and determine resolution or escalate further - communicate allissues and resolutions to Store Management - Drive credit and loyalty member programs by explaining benefits and encouraging customers to participate
- Make every interaction a positive one through kind communication - Assist passengers with a smile through arrival and check-in processes, including support for passengers with special needs such as unaccompanied minors, and passengers needing wheelchair assistance - A customer service agent is expected to be friendly, prompt, and courteous - You will provide assistance for people who are checking-in, making reservations, rebooking flights, and checking in baggage - Resolve disservice situations like determining alternative flight options or rebooking a reservation when delays, cancellations or misconnections occur - Make informed decisions in sometimes stressful situations
• Efficient and accurate handling of service requests by phone and email; including requesting rates, negotiating pricing and plan design, compliance questions, terms and enrollments, etc. • Implement tactical plans that support client goals for the upcoming year • Facilitate and manage the entire renewal process • Strategize and communicate with Risk Advisor and Client Risk Analyst on renewal deliverables, expectations of team, and timelines • Work with Risk Advisor to identify which groups will shop at renewal and any renewal thresholds • Coordinate employer and employee training as needed throughout the year • Facilitate and manage new customer onboarding • Collaborate with internal teams at McClone to meet customer needs and expectations
• Interact with customers to provide information in response to inquiries about products and services • Process new insurance policies • Process applications for, changes to, reinstatement of, and cancellation of insurance policies • Duties include reviewing insurance applications to ensure that all questions have been answered • Promote the insurance agency to customers who needs insurance • Educate customers on each type of insurance coverage and make recommendations based on their needs • Maintain all insurance documents in a confidential way