Dorothy Crouch Email & Phone Number

Working within the Products and Compliance team we focus on market segments and cultivate opportunities with outside vendors to assist with product updates/new product initiatives.✔Present any product-specific Future Change requests in kick-off meetings. ✔Document any approved product-specific Future Change requests or Annual Standard Language. ✔Updates in.

Managed multiple accounts within IMG's iTravelInsured® subsidiary. Aided clients in understanding their benefits. Acted as a liaison between clients and all internal departments to service the accounts. Facilitated services needed for claims and questions regarding benefits. Managed service, billing, claims and enrollment issues.✔ Reviewed insurance.

Supported multiple IMG business units with claims and policy management through a team of nearly 60 professionals (7 direct reports) and managing/reviewing a $2.5 M budget. Managed production of each operational unit by analyzing the claims dashboard daily and reported KPIs to executives. Key stakeholder in managing multiple simultaneous projects.

Greater Indianapolis

A full-service travel medical company assisting with domestic or international travel. HCC Medical Insurance was acquired by Tokio Marine and now operates as WorldTrips Travel Insurance. Investigated claims according to the policy provisions and adjudicated claims. Participated in special project by beta testing system enhancements.✔ Often exceeded.

Managed, tested, and developed claims system, eligibility system, underwriting system implementation. Developed policy wording, schedule of benefits, and claims processing procedures. Verified patient account, eligibility, benefits, and authorization information. Analyzed the information to determine payment amount or denial of payment. Reviewed “daily.

Supervised a department of 7 employees. Recruited, selected, and trained qualified candidates to fill organizational requirements. Created yearly business plans, budgets, and schedules for the department, and prepared presentations for quarterly managers meetings. ✔ Traveled and consulted with clients to improve service/product process.✔ Increased.

Communicated with medical facilities to place a guarantee of claims payment. Developed cost estimates, negotiated discounts, and obtained medical information to make determination on processing claims. Created billing reports, processed claims, and generated billing reports.✔ Provided international travel assistance and repatriation guidance for medical.