Health Plan And Insurance Services And Operations Leader, Various Roles
Responsible for overseeing customer-facing and customer-supporting roles for group health plan and insurance administration. Teams include: Call Center, Operations, Claims Advocacy, SME Training, User Interface Quality Assurance Testing, and Member Advocacy.CUSTOMER EXPERIENCEOverhauled customer interaction quality program including calibration, scoring, feedback and coaching. Team achieved 96% accuracy in first year and increased agent feedback by over 500%. Established client onboarding team for group health plans, combining and reducing new client responsibilities from 3 separate teams to two dedicated employees. Reduced implementation time by 11% in year 1. Resolved Claims servicing gap by initiating functional cross-training. Resulted in improved experience, reduced turnaround times, and a new path for employee promotion. Launched transactional survey to solicit feedback from customers shortly after an interaction. In the first 6 months, achieved a 13.53% response rate with 97% of customers being somewhat or very satisfied.TEAM MANAGEMENTLed teams of up to 45 employees, delivering high quality interactions and transaction requests to over 140,000 customers, achieving consistent NPS of 80+.Directed team in areas of staffing, selection, training, resulting in over 90% positive turnover over the past 5 years. Invested in industry training or education for over 80% of team members. Initiated PowerBI reporting to measure the effectiveness of business processes, monitor KPIs and analyze customer feedback. Optimized operational processes while maintaining best-in-class service. Technical efficiencies gained in 2021-2023 allowed for reallocation of 5 headcount to relationship building, analyst and advocacy roles.