DIRECTOR * MANAGER * CLIENT SERVICES * OPERATIONS * CLAIMS/CALL CENTER

Senior Level Management Professional with strong fundamental skills that produce
s solid results
Multi-talented and goal focused management, claims & operations expert, with ext
ensive experience in the recruitment, selection, evaluation, training, and devel
opment of staff. Proven background in developing and delivering training soluti
ons, addressing inefficiencies by restructuring processes for maximum productivi
ty. Implementation and documentation of processes, policies and standards. Effe
ctive leadership skills, enhanced ability to lead projects and drive outcomes. E
xcellent relationship building with internal business partners and external cust
omers. Capable decision maker and performance management expert. Consistent focu
s and appreciation of company vision and client satisfaction for organizational
success. _______________________________________________________________________
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KEY STRENGTHS:
Staff Management Claims Administration
Strategic Planning Policy Development
Presentation Skills Relationship Building
Employee Relations Solution Management
Performance Management Productivity Improvement
Communication/Negotiation Cross Functional partnership
Departmental budget management Expense Management
Restructuring & Culture Changes Strategy Formulation & Rollout
Performance Evaluation & Compensation Procedural documentation
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Career Highlights:
* Over fifteen years of management experience of large groups including remote e
mployees. Managed entry level through first level supervisors and managers with
both sales and service responsibilities.
* Claims experience from intake of claim through decision, including handling cl
aim appeals, overpayment negotiations and liaison activity between claimant, emp
loyer and claims examiners.
* Extensive field experience working with sales offices and clients to ensure pr
oper claims processing. Actively involved in renewal discussions and strategizi
ng to add revenue.
* Experience handling call center operations, facilities, department budget, ven
dor relations
* Enrollment experience with all products including medical, dental, Medicare, M
edicaid
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Professional Experience:
2010 Present CuraScript Specialty Pharmacy
2006 2009 The Hartford (Regional Enrollment Manager)
2005 2006 Integrated Insurance Services (Client Care Services Manager)
2000 2005 UnumProvident (Account Mgr., Claims Intake Mgr., Sales Support Mgr.)

B.S. Business & Management*** M.A. Leadership & Organizational Studies