Scott Stomberg Email & Phone Number

Spring, Texas, United States

The Woodlands, Texas

• Supervise the Client Services Associates (CSAs). • Train existing and new CSAs on processes and policies.• Perform CSA competency assessments and audits.• Suggest process improvements and test new and enhanced software programs.• Work with the clinical lab, physicians, and medical professionals to help ensure complete client satisfaction.

The Woodlands, Tx

• Solve complex employee issues related to any benefit offered by the employer client such as medical, dental, vision, short term disability, and life.• Analyze customer medical claims and provided detailed claim processing breakdowns to customers and client employers. • Resolve complex medical claim processing errors and denials by working directly with insurance carriers and medical providers.• Provide employee benefit education and guidance during qualified life events and enrollment.

Houston, Texas Area

• Exceeded USHEALTH Advisors 13-week sales goal of $65,000 by writing over $120,000 in issued business.• Achieved “Super Producer” status by selling more than $35,000 in a single week.• Market USHEALTH Group’s products by advertising, cold calling, generating referrals, and reaching out to warm leads.• Use a direct sales approach by conducting in-person and virtual product demonstrations and closing the sale.• Manage a portfolio of active business ensuring client satisfaction.

Conroe, Texas

Compliance liaison between the legal and operational areas of the company. This role required strong relationships with customers in both segments of the organization. I collaborated with legal department staff and communicated this information to the internal stakeholders under my compliance supervision. I educated the customer on the requirements needed to bring the company into compliance. This role demanded that I ask strategic questions, practice active listening, present solutions to overcome objections, set goals for completion, and obtain a commitment from the internal customer that the changes would be made by the completion deadline. Responsibilities included:• Management of moderate to high risk regulatory compliance and operational projects for multiple lines of business requiring collaboration with stakeholders from numerous business units. • Facilitation of weekly meetings with stakeholders and subject matter experts, from diverse operational areas of the company under my compliance supervision, to communicate new regulatory requirements, delegate tasks, and ensure that the company was brought into or remained in compliance.• Analyze state and federal regulatory compliance requirements to determine impact to the company and its processes.• Coordinating and conducting quality reviews and audits and implemented quality controls for completed regulatory compliance projects.• Creating methods of document tracking and retention for compliance projects and market conduct examinations.• Updating or developing online guidelines, procedures, and training documents resulting from new regulatory compliance requirements or process. improvements• Reviewing current company procedures and compliance methods to streamline processes and implement improvements.• Gathering, organizing, and submitting information requested by Department of Insurance state examiners during market conduct examinations.

Plymouth, Mnnesota

• Served as department lead and backup supervisor.• Managed moderate to high risk regulatory compliance and operational projects for the Small Group Medical line of business.• Analyzed state and federal regulatory compliance requirements to determine impact to the company and its processes.• Served as the point of contact and subject matter expert for the Premium Services staff, other departments, and external customers to resolve complex problems, escalated situations, grievances, or appeals. • Successfully designed the layout of a new operations departmental website, and wrote the training, guidelines, procedural, and compliance documentation housed on the site.• Exceeded expectations by identifying a widespread error costing the company thousands of dollars, and coordinated the project to research and correct the issue. • Major player in the design and testing of “MyAccount”, a self-service web utility tool allowing customers to update or request changes to their insurance policy. • Designed and wrote new guidelines and procedural processing manuals for operational areas of the company, and updated these manuals based on new regulatory compliance requirements.• Gathered, organized, and submitted information requested by Department of Insurance state examiners during market conduct examinations.

Plymouth, Minnesota

• Managed moderate to high risk regulatory compliance and operational projects for the Small Group Medical line of business.• Responded to and resolved Department of Insurance complaints or inquiries and customer grievances.• Designed and wrote new guidelines and procedural processing manuals for operational areas of the company, and updated these manuals based on new regulatory compliance requirements.• Gathered, organized, and submitted information requested by Department of Insurance state examiners during market conduct examinations. • Processed billing, termination, and changes requests for the Small Group Medical line of business.

Plymouth, Minnesota

• Responded to and resolved Department of Insurance complaints or inquiries and customer grievances.• Processed billing, termination, and changes requests for the Small Group Medical line of business.

Saint Paul, Minnesota

• Communicated strategically via telephone, letter, or email to constituent customers who contacted the Senator’s office with complaints, concerns, or suggestions.• Analyzed proposed legislation and provided a written overview or summary to the Senator to aid in the legislative decision-making process.• Constructed and maintained constituent databases.• Performed office and clerical tasks such as scheduling appointments, filing, and directing constituents and lobbyists entering the office.• Served as intern for the Commerce and Utilities Committee dealing with regulatory issues related to the insurance industry.

Bachelor'S Degree, Socioogy And Psychology

Associate'S Degree, Biology