Nancy Basden Email & Phone Number

Palm Harbor, Florida

• Process and maintain benefit enrollments for 200+ clients for various Insurance carriers to include Open Enrollments, new hire enrollments, terminations, qualifying events and demographic updates for all agency clients• Process COBRA for dedicated accounts• Communicate daily with carrier representatives, clients and members on all aspects of employee benefits • Promoted customer advocacy, ensure that all clients were satisfied with the organization • Investigated billing discrepancies for resolution• Proven results of client savings • Administrative Duties: Handling calls, forwarding, etc.

Clearwater, Florida

• Process employee terminations & new hires in HRIS (ADP) System • Process background screenings for potential new hires • Provide employee verifications • Create Caliper graphs for 360’s along with survey reports • Create and maintain employee personnel files • Enter new hire benefit enrollments and/or changes • Answer all incoming calls and forward to appropriate party • Perform general office duties

Tampa, Florida

• Respond to members and providers inquiries regarding claims, eligibility and premiums • Investigated and resolved customer complaints/appeals • Researched pended or denied claims for resolution • Handled dedicated accounts for NY, CT, FL Medicaid, and FL Kidcare • Aided with department training

Tampa, Florida

• Audited provider and facility claims based on fee schedules • Recommended claim adjustments and recovery of overpayments • Audited data of internal records and payment systems • Communicated healthcare benefit interpretations to members and providers • Received, screened and handled a large volume of calls within the call center with efficiency • Exceeded companywide standards for quality and productivity• Awarded company reach and platinum awards for superior and quality performance

Tampa, Florida

• Obtained callers demographics to initiate online precertification • Determined client eligibility• Entered ICD-9, CPT with a high degree of accuracy and speed• Assisted with department training

Tampa, Florida

• Handled large call volume within the call center • Issued stop payments for claims in litigation • Processed client eligibility • Assisted with department training