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.
• 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.
• 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.

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.

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