Billing, AR./AP, Insurance Specialist, Financial Analyst

Michele Weiss

Landline: 610-***-**** Cell: 484-***-****

**********@*****.*** www.linkedin.com/in/micheleweiss7962

Objective:

To gain employment in a position where my efforts make an everlasting difference, adding value and prestige to the operations of the organization while building a trusting reputable relationship, security, and financial independence in the lives of people around me.

Professional Profile:

Over 20 years Insurance and Financial experience, coupled with formal education.

Versatile managerial and administrative experience.

Superior customer relations. Strong focus on Service Excellence. Deliver energetic, friendly, and professional service with utmost enthusiasm.

Able to think outside the box. Strategically develop solutions and systems to increase efficiency and productivity.

Dedicated, motivated and hard-working.

Excellent communication and interpersonal skills with the commitment to work successfully in a service-oriented team environment.

Ambitiously seeks self-directed, innovative and creative development opportunities continuously enhancing my learning agilities.

Thorough understanding of Group Insurance products, associated plan designs and supporting systems.

Highly organized, detailed-oriented and results driven.

Adaptability to procedural changes with a willingness to learn in a fast paced high volume environment.

Committed to producing results above and beyond expectations.

Successfully work independently and as part of a team with high respect for diversity.

Strong understanding of accounting principles, control procedures and standards, practices, and techniques.

Education:

Moravian College

Partial degree in Business Administration 1992

Northampton County Area Community College 1990

American Institute of Banking (AIB) degree

Accounting and Business courses

Work history and Experience:

Cigna/New York Life Insurance (Collabera contracted employee) – Bethlehem, PA Jul 2020 – Jun 2022

Enrollment/Billing Senior Representative

Daily reconciliation of Revenue Management’s Cash Intake received from all market segments of various self-administered client’s premium payments. Accurately and efficiently, apply and allocate Revenue Managements self-administered premium remittance payments.

Demonstrated the ability to effectively recognize client’s current location status and transfer premium remittance to the proper associated in-house business partners for further billing administrative processing. (GBA, EVP, NYD, Medical, etc.)

Educated clients on the necessity of providing accurate detailed backup support to ensure efficient payment calculations and proper allocation of premiums to their associated policies.

Reviewed, researched, and supported the timely and accurate allocation and reconciliation of premium payments to policies while adhering to all rules and regulations and policies and procedures.

Recognized and acted on premium remittance inconsistencies to ensure that clients were in compliance to the billing administration process.

During peak seasons, willingly worked overtime in support of the Team.

Actively recognized abnormalities in systems and processes and raised them to Management for resolution.

Consciously and strategically pursued training to remain vastly versatile in various functional areas of Revenue Management. Continuously retooling my power and technical skills via self-directed, motivated, personalized, Peer-to-Peer & Team, informal content/micro Learning.

Cigna Insurance (Collabera contracted employee) – Bethlehem, PA Dec 2019 – May 2020

Enrollment/Billing Associate Analyst

Completed assigned portions of New Business, Premium Variance, Rate Renewal, Audit, Premium Remittance Reconciliation, Cancellations, ongoing servicing of existing client’s billing tools and assisted with completion of special projects related to various business segments’ operational areas.

Documented audit tests performed, audit observations and conclusions in accordance with documentation standards.

Partnered with internal and external business associates on premium calculations to ensure accuracy and consistency of payment calculations and the use of eBill, Easybill, InsPro based tools and client specific reporting for efficient quality assurance.

Effectively provided daily accurate detailed inventory reports on each of Revenue Managements various business segments functional areas’ real time workflow processing statuses.

Initiated enrollment to self-study development “forward thinking” programs to keep people skills in sync with fast-changing markets and remain competitively successful by focusing particularly on building skills for the future.

Cigna Insurance (Collabera contracted employee) – Bethlehem, PA Jan 2019 – Aug 2019

Enrollment/Billing Associate Analyst

Performed detailed analysis of new business client installation and in-force client maintenance. Reported inconsistencies in data via utilization of associated auditing tools.

Accurately and efficiently documented corroborating information within applicable administrative systems for all business.

Strategically tracked new business workflow processes by utilizing the Vista application by data collection from implementation thru to retention and maintenance of self-administered clients.

Complied with departmental policies regarding ethical and proper use of company equipment, including internet access, email, and phone usage, in compliance with Cigna Information Protection Policy. (CIP)

When needed, assisted the Cancellations and Renewal operational areas with completion of any projects.

PPL Electric Utilities (US Tech Solutions contracted employee) – Allentown, PA Mar 2018 – May 2018

Administrative Assistant

Performed administrative duties in the Claims department.

Answered phones, communicated with internal/external customers, and insurance companies, use of Law Manager, Serengeti, I Manage, ran reports, typed routine letters, scanned, faxed, prepared FedEx’s, and provided secretarial duties to the Litigation Attorneys

Data entry, opened and closed accounts, posted payments, and electronically filed damaged property claims.

Cigna Insurance (Quality Staffing contracted employee) – Bethlehem, PA Nov 2015 – Mar 2016

Audit Senior Associate

Audited and reviewed the accuracy of Revenue Management activities for self-administered clients involving rate renewal validations and paid premiums to ensure accuracy of consistency with administrative procedures and guidelines and compliance with associated controls respectfully.

Used all appropriate system and audit tools in order to effectively accomplish quality results while following all SOX policies and procedures 100% of the time.

Guardian Life Insurance – Bethlehem, PA Apr 2000 – Aug 2013

Account Specialist 2 in the Maintenance and Billing Department

Produced accurate billing statements for Guardian Group customers by proficiently processing plan holder changes and reports ensuring timely claim payments to their employees.

Collected funds from delinquent accounts. Cancelled and reinstated group policies according to National Policies and Procedures.

Posted payments, reviewed and monitored daily, weekly, and monthly reports to validate short payments, followed up on cancellation letters with customers for payment arrangements, reviewed, and reconciled department’s financial reports.

Embraced and supported the concepts and objectives of superior customer service.Independently handled unique and complex situations as they arose.

Responsible for overseeing the proper processing of renewal rates for all regions.

Supervised, trained, and mentored new employees.

Worked closely with teams to identify and address error trends, processing inconsistencies, create job aids, quality assurance in order to create or assist with completion of Process Improvement projects as well as provide recommendations to improve workflow processes and training programs.

Lead, contributed, and participated in all Maintenance and Billing Department projects and other corporate operations projects.

Professional Development:

Consistently attended numerous Insurance and Bank seminars, in-house seminars, workshops, training courses, lectures, etc. to keep up-to-date on various policies and procedures and associated rules and regulations to stay continuously trained.

Received certificates of achievement for all my accomplishments.

General Accomplishments:

Received several acknowledgments for perfect yearly attendance.

Recognized for continuous volunteerism for community-based organizations, such as, but not limited to, Election Voting Polls, Dreams Come True, Channel 39 Auction, March of Dimes Walk-A-Thons, Autism, SPCA, Big Brothers/Big Sisters, Musikfest, etc.

Consistently met and often exceeded quality and customer expectations on all annual performance appraisals/reviews, frequently scoring a 100% on Quality Assurance.

Very resourceful, I possess an extensive knowledge of Insurance products, its Billing system and its interactions with other Group systems.

Implemented and prepared new PC based systems for insurance and bank conversions, acquisitions and related areas.

Was a contributing factor in the initial implementation, maintenance, and operations of the Automated Teller Machines and was on 24-hour call for any necessary servicing should the ATM’s go down.

Built a great reputable working relationship with all my internal and external customers in both the insurance and financial industries. I am a true team player. Received numerous Customer Experience Awards.

Submitted numerous ideas to Maintenance and Billing Process Improvements. My best attribute is optimal analytical processes coupled with detailed problem sleuth abilities.

In addition to my daily responsibilities, I have often been called upon to participate in various projects, research all sorts of pertinent complex issues, and provide guidance and mentoring to my team mates while maintaining a strong balance of my digits and achieving perfect quality scores.

Some of the projects that I’ve participated in are as follows, but not limited to, locate possible survivors of the World Trade Center Disaster in an effort to pay out claims and survivorship benefits, Piloted the Outsourcing program, was a contributing factor in the production of Automated Confirmation of Benefit statements for Voluntary products, Disaster Recovery Testing, New Hire Nesting program, Numerous brainstorming and shadowing sessions, Guru Rate Feed and Vision Rate Discount project, Migration of Imaging systems, Guardian Anytime On-line maintenance and billing. Areas of assignment were testing “eligibility”. Performed various sorts of testing, logged defects, submitted training material, as well as comprised associated Zeus Policies and Procedures.

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