Manager, Bluecard Claims Processing
Led/managed a team of ten claims examiners initially which later grew to a total of seventeen examiners and adjusters. Team processed health insurance claims for multiple market segments for services provided to Wellmark members by other Blue Cross and Blue Shield Association company providers. Coached, mentored, developed, and evaluated staff; recruited and on-boarded new members; resolved escalated customer service situations; initiated and implemented process improvements/process efficiencies.Accomplishments:* Transitioned examiner team from processing specialists (each examiner did specialized claims) to processing generalists (each examiner could process all aspects of a claim in the end to end adjudication process).* Assumed leadership of second team responsible for doing adjustments within nine months of joining leadership.