David Berlon Email & Phone Number

Appleton, Wisconsin, United States

Appleton, Wisconsin, United States

• Responsible for quoting Public Bid opportunities; reviewing project design and determining discrepancies; and obtaining pricing.
• Contacted manufacturer representatives to obtain pricing on specified fixtures and alternate fixtures which ensured accurate and timely quotes to customers.
• Coordinated final plan design on electrical contractor’s orders by revising quotes and negotiating with manufacturer reps which contributed to achievement of organizational profit and gross margin goals… Show more.
• Coordinated final plan design on electrical contractor’s orders by revising quotes and negotiating with manufacturer reps which contributed to achievement of organizational profit and gross margin goals prior to.
• Followed up on sales quotes and opportunities which determined viability of bid projects. Show less

• Dedicated Account Advisor, Employer Group February 2013 - present
• Dedicated to the largest ASO client in Louisiana with customized lines of business for Medical, Pharmacy, Dental, Vision, EAP and Group HMO for retirees; provide multiple monthly reports to client.
• Served as single point of contact for all service issues received and provide quick accurate responses through perfect service.
• Worked with Provider Relations to add providers to client’s custom network when there is… Show more Dedicated Account Advisor, Employer Group February 2013 - present
• Worked with Provider Relations to add providers to client’s custom network when there is a network inadequacy in certain service areas.
• Maintained manual processes due to system limitations and audit special processes.

Green Bay, Wisconsin Area

• Received STAR service award for addressing individual service issues with Louisiana Market Office’s largest ASO client’s members in person, at various client locations over 6-week period.
• Reviewed CCP2, MetaVance (MTV), LSP/HBMS for Kanawha Insurance Company and researched, audited, reported and presented results in a clear, concise and professional manner.
• Developed and maintained special process to work related claims issues for Louisiana police group.

Green Bay, Wisconsin Area

• Provided benefit/coverage information available under a broad range of health plans.
• Responded to customer inquiries regarding claims processing by performing extensive research and review of claims payment history; determined medical necessity.
• Reviewed and adjusted claims if necessary based on research; provided a complete and fair review of customer appeals.
• Trained on all aspects of claims processing on the Badger and MTV systems.
• Selected as Badger claims… Show more
• Selected as Badger claims tester for IT for Product 2000 and VATCOB; acted as Project Lead for Depo-Provera project.

Appleton, WI

Appleton, WI