Mary Lear Email & Phone Number

United States

Worthington, Ohio

Responsible for managing staff and responsibilities across fourteen states (ME, CT, NH, Virginia, Georgia, NY and all On-Exchange L&D business) for a combination of operational functions including claims, customer service, membership, mail, document management, appeals, etc. Establish policies, practices and efficient/effective procedures. Develop and implement specific work plans to accomplish operational results. Hire, train, coach, counsel, and evaluate performance of direct reports.

Worthington, Ohio

Responsible for managing staff and responsibilities across five states (ME, CT, NH, Virginia, and Georgia) for a combination of operational functions including claims, customer service, membership, mail, document management, appeals, etc. Established policies, practices and efficient/effective procedures. Developed and implemented specific work plans to accomplish operational results. Hired, trained, coached, counseled, and evaluated performance of direct reports.

Worthington, Ohio

Primary resource for workflow and technical related processes. Ensured completion of all critical deliverables from multiple disciplines within Anthem Life to assure timely and accurate implementation of our customers benefit plans. Reviewed, evaluated, and verified the quality of Broker and Sales Representative submissions. Analyzed benefit and/or policy change requests on all existing in force business. Monitored inventory to ensure workflow remained uninterrupted and scorecard standards were met; handled complex case research and resolution; reviewed, interpreted and maintained records of service level, quality, accuracy, and productivity; worked with various departments to ensure L&D procedures and policies were accurate and complete. Assisted in developing, recommending, and implementing functionality changes and training to enhance department production, efficiency, and quality of service.

Worthington, Ohio

Responsible for determining acceptability of L&D insurance risks and appropriate premium rates for large, complex renewal and prospect employer groups. Calculated renewal rates for complex group cases based on thorough analysis of the group's experience, industry, location, size, and demographic nature. Coordinated with other departments to ensure the accuracy and consistency of account reporting. Proposed rates and terms for group prospects, utilizing a combination of other carrier experience, demographic data and manual rates. Prepared or supervised the preparation of annual settlements, ERISA reports, rate projections, and benefit change increments or decrement. Communicated with sales, administration and claims to assess the rating and administrative impact or benefit and plan changes.

Worthington, Ohio

Responsible for providing auditing, training and support to team members in multiple states. Acted as a facilitator/team leader/consultant for all examiners and support staff. Reviewed new group enrollment materials for accuracy including performing outreach for clarification. Managed basic and complex new case implementation activities and served as the liaison between Sales, Brokers and Groups. Monitored inventory to ensure workflow remained uninterrupted and scorecard standards were met. Created and maintained documentation for L&D certificates/policies.

Managed and coordinated customer service activities as the primary account contact for L&D business. Interpreted plan designs, researched and resolved phone and written inquiries, resolved claims, benefit and enrollment issues and updated employer and employee status information as necessary. Identified retention strategies and opportunities for a defined book of business. Reconciled and maintained approximately 1,300 corporate accounts representing $2 million to $3 million in revenue.

Dublin, Ohio

- Issue Coordinator - Responsible for issuing and processing Individual Policy enrollment applications. - Quality Controller – Responsible for team accuracy audits on all processed Individual Policy enrollment applications. - Agency Collection Coordinator - Managed advances on broker’s monthly revenue accounts and assisted in preparing data for legal action.

Business Administration And Management, General

Education record