Raechelle Holmes, Mba Email & Phone Number

Support management teams in the daily operations of the Blue Card Host unit; supervise, motivate, coach and evaluate employees, facilitate effective training programs, and plan and coordinate daily workflows. Effectively manage provider correspondence; evaluate all documentation, identify necessary actions, and determine and develop action plans for accounts. Implement and strictly enforce policies and procedures and ensure compliance with regulations; develop and execute risk management and mitigation processes.

Responded to a high-volume of inquiries and requests from large account members, including GM, Ford, Chrysler, Delphi, and Visteon; supported members with benefits, claims, and eligibility issues. Reviewed medical records, submitted claims for medical reviews, and processed the correspondences for the unit. Assisted in the management of special projects and processes for the department; collaborated with cross-functional teams to facilitate the project operations, ensure timeliness, and maintain accuracy and quality.• Instrumental in the implementation of the work at home program for internal employees who exceeded Standards by over 120% for more than six months with zero quality and quantity errors

Answered a high-volume of incoming phone calls in a fast-paced call center environment; responded to inquiries, questions, or requests from members regarding benefits, claims, and eligibility. Adjusted and processed claims, evaluated front-end medical records, and delivered education and support to members.

Master Of Business Administration (M.B.A.), Business Administration And Management, General

Relevant Coursework: Master of Business Administration Foundations, Business Environment, Human Resources Management, Marketing.

Bachelor Of Science (B.S.), Accounting And Business Administration