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Quality Assurance Health Care

Location:
Waltham, MA
Salary:
65,000
Posted:
December 25, 2023

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Resume:

Healthcare Underwriter Financial Underwriter Banking Operations & Management Collaborative Relationship Skills

Professional Experience

United HealthCare- Minnetonka, MN

Medicare Senior Underwriter 2017–2023

Underwriter in both private & public sector for middle market size groups, 50 to 15k members. Managed book of 125 plus renewal groups during renewal season each year. Utilize established underwriting criteria and policies to provide appropriate rating methodologies. Develop comparative benefit packages, review claim experience, and apply underwriting guidelines to prepare renewal and/or prospect rates. Provide subject matter expertise to the sales staff and district offices on development of new health care proposals. Analyze health benefit plan characteristics and assess risks pertaining to loss of clients.

Career Highlights

Administered incoming new business opportunities tracker application for entire Underwriting (UW) Team.

Oversaw weekly workload reporting for entire UW Team, distributing to larger audience per week.

Facilitated daily conference calls and follow up for new/renewed opportunities to reinforce expected business flow processes.

Key member of underwriting team that evaluated rating model applications.

Member of philanthropic team supporting various community agencies.

OneMain Financial – Tempe, Arizona

Underwriter II 2014–2016

Perform underwriting duties to support sales of Auto and Personal secured/unsecured loans and products, providing loan center supervision and supporting branch/field locations. Accomplish new hire onboarding training activities, assisting in creation of new hire development standards. Quality assurance monitoring of new hires through probationary periods, providing periodic reviews to department leadership.

Career Highlights:

Temporary Lending Manager and Level III Underwriter approval authority.

Personal approval authority up to $50,000 per loan.

“Queue Captain” duties, monitoring all work queues to ensure Service Level Agreement standards and production guidelines were met by underwriting team.

Facilitated national exceptions and escalation request with District Managers and District Officers

Successfully on-boarded over 60 new Underwriter employees and mentored through their probationary period

Guaranty Bank – Apple Valley, Minnesota

Assistant Branch Manager 2013-2014

Performed full scope of managerial duties, overseeing a staff of 6 sales associates and personal bankers.

Branch opening and closing duties, ensuring appropriate security controls were followed. Performed onboarding and training of new associates. Provided managerial support and oversight to branches throughout Minnesota Regions. Responsible for end of day cash settlement and vault balancing. Facilitated branch participation in various employment/recruitment fairs. Partnered in creation of new manager developmental program for 9 branches.

Wells Fargo Bank, N.A. – Hastings, Minnesota

Personal Banker II 2011-2013

Initiated career as a bank teller; promoted to Personal Banker within 5 months of employment. Provide solutions-based consultation and building long term customer relationships. Focus on understanding and analyzing customer’s financial needs and demonstrating value from financial products and services, to assist in achieving financial success. Develop and maintain relationships with Wells Fargo internal partners.

Career Highlights:

91% career long KDM (perfect 5 customer service surveys)

Top 3 in district in daily sales and profit proxy for 12 consecutive weeks

Internal referral resulted in 2.4 million dollars from a single customer

County of Riverside Department of Public Social Services – Riverside, California

Contracts Administration Assistant 2007-2011

Principal job duties consist of providing administrative support to the Contract Administration Unit in DPSS, and preparation and delivery of documents to County Units including Various Programs, Executive Office, County Counsel, and Purchasing. Cumulative annual amounts of contracts range from $70 - $82 million dollars. In charge with oversight of two compliance sections (Insurance & Reporting) for an average of 300 contracted vendors. Served as Unit District Safety Representative. Collaborated with Staff Analyst in planning and preparation for quarterly monitoring for the largest contracted vendor in DPSS ($18 million dollars).

Education

Associate degree - Graphic Design & Marketing

Brown College, Mendota Heights, MN



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