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Group Product Implementation Specialist

Location:
Liverpool, NY
Posted:
October 13, 2023

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Resume:

Amy Klimaszewski

*** ***** ***** **. ********* BAYl, NY 13028; 315-315-***-****; ad0cnb@r.postjobfree.com

OBJECTIVE

I am looking for a position which will allow me to show my strengths, professionalism and leadership skills, where my experience can be utilized to improve associate and customer satisfaction. I am looking for a job that not only challenges me but allows me to grow within the company.

SKILLS PROFILE

oAbility to operate computers with extensive knowledge

oExtensive knowledge of Microsoft Office programs

oTyping (70+ wpm)

oManagement and Leadership background

oAbility to handle difficult situations both respectfully and professionally in time frames allotted

oActive listening skills and being attentive to customer and associate needs

oDeveloped ability to work in a fast-paced environment

oCustomer-relations background

EMPLOYMENT HISTORY

Access Scheduler Representative

ST JOSEPH HOSPITAL - Syracuse, NY DEC 2018 to Present

Schedule diagnostic and operative procedures for the hospital, diagnostic testing units and the surgery centers

Obtain and/or update patient’s demographic information

Obtain and verify insurance coverage, along with authorization requirements for requested procedures

Document patient’s financial responsibility based on information obtained from the Real Time Eligibility Software

Excellus Blue Cross Blue Shield

Product Implementation Specialist, Syracuse, NY January 1998-April 2018

oHelped to identify root cause for common issues with internal products or related to specific groups

oWorked closely with New York State while adhering to state mandated regulations pertaining to the NYS marketplace for small business health care needs

oMeeting government and state mandated timeframes and deadlines pertaining to New York State of Health

oActed as product manager to ensure required documentation is received from all parties throughout the Health Plan to ensure requirements are met for both the federal and state government while satisfying internal requirements

oTimely and accurate implementation of new group product selections, product/benefit changes, and cancellations for groups product changes

oMaintained current information of all group transactions utilizing multiple systems

oDid responsible for end to end group processes including product assignment and ensured that all internal and external business areas are engaged when decisions or changes are needed

oPerformed escalated triage activities, i.e. conducts research, data collection, analysis, and problem resolution as required

oProactively identified system risks/issues as they occur and provides recommendations for remediation

oProactively identified and addresses risks on products before they become customer facing issues

oPerforms analysis and assessments of processes ensuring fit into policies and strategies that align with Health Plan goals and provide the best customer experience

oMaintained high regard for member privacy in accordance with the corporate privacy policies, procedures and NYS mandated regulations

oCreated more automation with reporting to help identify impacted members more timely and efficiently

oMet with groups and brokers on an as needed basis to discuss current system issues, group specific issues or question on their specific product or options

oResearched and followed up with management on identified root cause trends

oIdentified concerns and uses available resources from multiple systems to address them

oCreated and maintain desk level procedures for cross training and newly hired associates or seasonal contractors

EDUCATION

Diploma

Liverpool High School diploma received

Columbia College, degree received in Business

* Personal references upon request

Professional references:

Ryan Brewer- Former Supervisor Account Operations- 315-***-****

Terri Thompson- Supervisor Marketing Operations- 315-***-****

Sherry Lyon- Sales Systems Optimization Admin- 315-***-****



Contact this candidate