- Analyzes large volume of data- Create and update dashboards for each client- Track and trend daily metrics for each client- Monitor auditing for each staff member in operations.- Identify system bugs, determine root cause and recommend resolution - Subject Matter Expert (SME) to Operations- Testing on new processes

- Third Party Administrator Manager- Hands in manager for Claims and Call Center staff- Direct contact to the client - Key role in implementation and on boarding of new clients- Subject Matter Expert (SME) from Implementation-Stabilization.- Coach, mentor and discipline staff- Prioritize day to day activities based on client needs- Problem solving to resolution- Onboard, train and audit all team members- Multi- task several projects - Team player

• Provide thorough claims supervision for day-to-day operations of facility in accordance with set policies and guidelines• Regularly evaluate employee performance, provide feedback, assist, coach and provide disciplinary action to staff as needed. • Organize and lead weekly team meetings with 12 -20 members• Revise policies and procedures in accordance with changes in local, state and federal laws and regulations including Health Care Reform.• Relationships with third party… Show more • Provide thorough claims supervision for day-to-day operations of facility in accordance with set policies and guidelines• Regularly evaluate employee performance, provide feedback, assist, coach and provide disciplinary action to staff as needed. • Organize and lead weekly team meetings with 12 -20 members• Revise policies and procedures in accordance with changes in local, state and federal laws and regulations including Health Care Reform.• Relationships with third party vendors and self-funded groups• Perform quality checks and reviews on an ongoing basis Show less

My primary role at EBC was to Supervise and manage daily inventory which included processing third party claims. FSA and HRA were the 2 major claims my area processed. I would also provide support, training, coach and develop along with discipline staff as needed.

• Provided thorough claims supervision for day-to-day operations of facility in accordance with set policies and guidelines• Regularly evaluated employee performance, provided feedback, assisted, coached and provided disciplinary action to staff as needed. • Organized and led weekly personal meetings with 12 -20 team members• Revise policies and procedures in accordance with changes in local, state and federal laws and regulations including Health Care Reform.• Relationships… Show more • Provided thorough claims supervision for day-to-day operations of facility in accordance with set policies and guidelines• Regularly evaluated employee performance, provided feedback, assisted, coached and provided disciplinary action to staff as needed. • Organized and led weekly personal meetings with 12 -20 team members• Revise policies and procedures in accordance with changes in local, state and federal laws and regulations including Health Care Reform.• Relationships with third party vendors and self-funded groups• Perform quality checks and reviews on an ongoing basis Show less

• Worked 12 years as a telecommuter from my home• Self-disciplined and able to work with very little supervision • Team Player; assisted with over time or other activities to meet the business needs• Processed claims for multiple product lines: HMO, PPO and POS plans• Coordination of Benefits Experience

• Worked 12 years as a telecommuter from my home• Self-disciplined and able to work with very little supervision • Team Player; assisted with over time or other activities to meet the business needs• Processed claims for multiple product lines: HMO, PPO and POS plans• Coordination of Benefits Experience