Valerie Bhagauti-Ganga Email & Phone Number

Alpharetta, Ga

Accountable for creating high profile Enterprise and Regional Service Level Agreement with accuracy in a timely manner. Mentor peers in providing quality and timely consultative support to business constituents on various projects and conduct detailed analysis in a manner that communicates the outcomes of analysis effectively. Review service agreements for RFP solicitation for inclusion in proposal or bids.~Conduct thorough qualitative and quantitative analysis of contracts.~Provide quality contract support to other functional units.~Research state laws and statues to ensure company compliance.~Serve as a Subject Matter Expert to DDP ENT supervisor and her staff to answer and resolve technical questions, as well as coached them on how to create amendments to DDIC contracts and review their work prior to release. ~Provide training as needed for projects, as well as prepare presentation for contracts overview (facts and snacks).~Demonstrate cross functional and collaborative effort to analyze process and efficiencies, and ensure the back log was reduced, resulting in a smooth business operation reducing the redundant, remedial requests, lowering support costs~Assigned work to Contract staff including distributing and reviewing their workload and quality.~Provide coaching and mentoring to team members to improve job efficiency~Assist in the development efforts with team members and shared both functional and technical system-specific knowledge throughout the work cycle. ~Encourage peers to embrace cultural and organizational changes, and by working together deliver quality results. ~Effectively communicates with all level of internal or external customers both written and verbally in a clear and concise manner to avoid ambiguity which provides a clear intent to recipient. Researches and offers solution when there are conflicts to maintain Core values.

President's Distinguished Area Governor for Georgia Toastmasters (District 14). Provided support and assistance to clubs so they can achieve the club's mission and fulfill its responsibilities to club members. Work with the members of the District Executive Committee to meet goals and provide motivation and inspiration to members seeking professional growth in the area of public speaking and leadership. This is a volunteer position that allowed me to hone my leadership, communications, teambuilding and presentation skills. I have been involved with Toastmasters since 2005 and have held several roles ranging from Club President, Vice President Education, Secretary, District Dues Collection Chair, District Awards and Recognition Chair and District Education Chair.

Underwriting Department (2003 - 2010):Collaborate with Underwriters, Sales and PSS to provide information to assist in sale or issue resolution. Review submission documents in preparation for new business quotes, ensuring Underwriting guidelines are met. Effectively utilize underwriting systems and tools to aid with rating and underwriting of new business cases.

Provider Pricing & Compensation:Provide support to contract managers with analysis on expected savings on contracts. Obtained and analyzed data, utilizing the data warehouse, as well as other internal sources, to support medical cost reductions. Prepared analyses outlining findings and recommendations. Utilized Microsoft Access and Excel to improve efficiencies by automating clerical work processes for fee schedule and contract analysis.

Sales & Marketing Department:Provide support throughout the sales process to field sales, underwriting team and within sales support, for products in an assigned market segment and/or geographic area to achieve revenue, customer, membership and/or profit/earnings objectives.* Review data submitted from field and determine specifications for productions of site match with sales representatives to produce site match and census summary.* Analyzes input/outputs for reasonability.* Participate in Delivery, Meetings/Site Visits on Post Sale activities.* Represents area in interdepartmental meetings/projects.* Recognized by Marketing Region Head as highly experienced in job function.* Provide mentoring and or training of other employees.

Broker Commissions Department:Appropriately applied commission schedules to new and existing business, verified agent/broker agreements, licensing and assignments. Independently supported General Agents’ book of business in excess of 5,000 members. Responsibilities include research, negotiation and customer service support, as well as, development of database and macro applications to effectively manage business.

Stop Loss Department:Researched and analyzed key account information to determine claim risk. * Utilized EXCEL database to keep track of individuals who were lasered at special stop loss level. This resulted in the need for the Claim Reporting System to establish special accounts for listed individuals with excessive claim dollars.* Utilized Billing System, researched plan and lives for discrepancy and verified premiums are allocated to the appropriate accounts.* Supported the design, development and maintenance of programs to extract data on policyholders, on demand by sales consultants for proposal bidding process. * Analyzed and ensured that underwriting rules and guidelines were met. Input information into system database to calculate the price of new Stop Loss products with accuracy.* Assisted consultants in negotiating request due dates by providing cases request research

Claim Administration Department:Analyzed and complied claim savings results from monitoring reports and provided manager with accurate results. Supported eight consultants by conducting preliminary investigation and provided ad hoc support to team.* Created Excel databases to track and record Claim referral and investigation, special claim payment, claim information and assistance request.* Prepared and analyzed monthly savings report for each Regional Claim Offices for senior management. Developed and utilized programs to create management reports and extract claim information. Turn Around Time report was forwarded to managers for basis of future course of action and strategic action plans.* Utilized internal Claims, Billing and Administrative systems, as well as, National Credit Bureaus extensively for research.

Medical Underwriting Department:Maintained Evidence system database to streamline production and meet tight underwriting schedules.

Education record

Education record

Ceneral Certificate Of Education