Karen Bergly Email and Phone Number
Karen Bergly work email
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Karen Bergly personal email
Highly-motivated Individual Medical and Supplemental Underwriter with 12+ years of experience. Well known for excellent analytical and critical thinking skills, leadership, quality, communication and training skills. Extremely knowledgeable in assessing underwriting risk, customer service, supervision, leadership, training and mentoring. Exceeded in quality and production.
Meritain Health
View- Website:
- meritain.com
- Employees:
- 1111
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Analyst, Account ManagerMeritain Health Apr 2024 - PresentPlymouth, Minnesota, United States
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Senior Business AnalystMeritain Health Oct 2022 - Apr 2024RemoteAnalyze prior carrier information
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Associate Business AnalystMeritain Health Sep 2021 - Oct 2022Plymouth, Minnesota, United States
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Plan Coordination Consultant/Renewal Plan BuilderMeritain Health Nov 2016 - Nov 2021Plymouth, MnProcess renewals and renewal changes for self funded small group policies. Review plan document/schedule of benefits and translate benefits into codes. Load plan benefit codes and stop loss information into the processing system and map diagnosis codes and CPT’s to obtain the highest level of auto adjudication.
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Individual And Supplemental Medical UnderwriterAssurant Health Oct 2006 - Oct 2016Greater Minneapolis-St. Paul AreaConduct Personal Health History Interviews with applicants. Make follow-up out bound calls to obtain additional medical information needed from applicants for medical, critical illness/term life and cancer heart stroke applications. Order and review Medical Records and/or Paramed Exams as needed. Assess the risk on the application using company guidelines, Milliman Intelliscript and MIB, Inc. along with the applicants medical, occupational and recreational history to make the best offer for the applicant and our company. Determine eligibility, register applications. Assisted in the creation of Underwriting’s Customer Experience expectations and creating and updating workflows. -
Quality Improvement SpecialistAssurant Health Aug 2015 - Sep 2016Plymouth, MnDue to company closing was asked to assist in Conducting quality reviews on pending appeal claim correspondence to insure compliance with state mandates and timeframe guidelines.
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Customer Service RepresentativeAssurant Health Feb 2004 - Oct 2006Plymouth, MnProvide quality customer service to customers and providers regarding medical benefits and claims.Review and research specific claim status via ACES and Cosmic systems. Prepare and send any necessary referrals to obtain the maximum benefit for the provider and the insured. Created and implemented employee incentive program.
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Kidstop InstructorOsseo Area Schools Aug 2002 - Feb 2004Plan, supervise and lead recreational activities for K-6 students, provide a safe environment for the students to grow, encourage and foster their need to explore the world around them. Produce monthly newsletter and calendar. Maintain open communication with parents and staff -
Customer ServiceExpress Scripts Nov 1997 - Sep 2002Assist customers with prescription drug orders, assist pharmacies with online adjudication issues, train and mentor representatives on multiple systems, process claims, troubleshoot complex issues. -
Apartment ManagerHighland Management Group Jul 1988 - Dec 1992Manage 165-unit market rate apartments: Supervise and train nine employees, process rent transactions, lease apartments, order maintenance and cleaning supplies, schedule vendors, plan social events, write and edit monthly newsletter -
Activity AideNorthridge Care Center Oct 1984 - Jun 1988
Karen Bergly Skills
Karen Bergly Education Details
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Recreational Leadership
Frequently Asked Questions about Karen Bergly
What company does Karen Bergly work for?
Karen Bergly works for Meritain Health
What is Karen Bergly's role at the current company?
Karen Bergly's current role is Analyst, Account Manager.
What is Karen Bergly's email address?
Karen Bergly's email address is ka****@****lth.com
What schools did Karen Bergly attend?
Karen Bergly attended North Hennepin Community College.
What are some of Karen Bergly's interests?
Karen Bergly has interest in Trust Building, Quality Improvement, Risk Assessment, Underwriting Supervisor, Agate Hunting, Mentoring, Medical, Reading, Scrapbooking, Customer Service.
What skills is Karen Bergly known for?
Karen Bergly has skills like Health Insurance, Insurance, Customer Service, Underwriting, Life Insurance, Process Improvement, Risk Management, Leadership, Claim, Reinsurance, Disability Insurance, Critical Illness.
Who are Karen Bergly's colleagues?
Karen Bergly's colleagues are Stephanie S., Candi Collins, Beth Phillips, Bill Hoye, Karen Dew-Poe, Jarod S., Tiffany Holmes.
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