1. 2015 Accomplishments:
Quality Assurance Strategy:
1. Performed Daily Queue Sweep to ensure the quality of the service provided to
customer on time (Meet SLA)
2. Volunteer for to learn New Quality check tool and quality check on UK bill pay,
file closing and report to manager monthly base.
Money & Time saving strategy:
1.Volunteer for Columbus file room OH file room migration project: Help to plan the
file room migration, provided a cheat sheet to Barb Rust and the Pitney Bowes
Temp worker to pull and box the files by different line of business ( WC, GL&
Property)
2. Created a Job Aid (step by step screen) for Barb and trained her remotely to
complete the IM Box and File level entry in IM website (WC, Property and GL files)
and also provided the daily Filing Status to Manager.
Divide and conquer technique, Sense of Urgency:
1. UK File closing project went above and beyond to helped team to complete the
project before scheduled date
2. Volunteer for to enter Box, File level entry at IM website, and submitted picked
up order to IM.
3. Coventry Stripping Tables Project Summary.
4. Worked on various Bulk Transfer project and completed on or before schedule
time.
Team Player, Knowledge share Strategy& Time Management:
1. Volunteer for numerous Bulk Transfer project: Resolution Files to Transfer-
Susan Stachewicz, Deb Soeldner.
2. Volunteer for Buddy Program and successfully on Boarded new employee, and
provided training on various tasks.
3. Volunteer for Change Champion
2. 4. Created a Job Aid with step by step screen shots: MI state form 701 -#1 and
FROI 100.
5. Created a Job Aid with Step by Step screen shots: Crystal report shared with
manager.
6. Created a Job Aid with step by step screen shots: Expenses report shared with
manager.
7. Created a job Aid with step by step screen shots: Reopen claim in ACT and
convert to CC for to help File Room new hire
8. Created a Job Aid with Step by Step Screen shots: CNA Pre arrive policy
procedure for to help Mail Room new hire
9. To ensure internal, external customer service and Streamed lined process
improvement created a coversheet for Claim Reprice documents.
Exhibited flexible and multitasking strategy:
1. During short staffed situation volunteer to handle the Claim Reprice Right Fax
queue (Coventry Bills)
2. Research bills in Coventry system, and resubmit bills to Coventry for
reconsideration.
Accountability:
1. To ensure team and individual accountability always schedule time off.
2. Go -to person for any and all question, tough job overloading. I do enough
research. And go above and beyond to resolve issues. Example: subpoena
certification question, incorrect form letter, covert document from flash drive,
Queues update ( answer to questions for Lisle in my manager’s absence)
etc.,
3. Even though I am new to MOX claim handling role, I have been a great
liaison for the Insured to provide information during file audit.
4. Shared the idea to create a quiz template to ensure accountability of both
trainer and trainee.
5. Provided spectacular Welcome for EXL (BPO) team.
3. Seeking an opportunity
Mentoring and job shadowing Leadership for career development
.
Volunteer for to learn and performing lot of new tasks 2015:
OH MOX claim handling, OH MOX claim closing
Non WC claims letters and forms: Med Auth form and letter, Delay letter,
Contact letter, Medicare explanation letter & verification form, Med Pay
explanation letter & verification letter, Settlement letter, request Wage
documentation from Employer.
Medical Service Request (Bills and medical records)
OH wage calculation
Police Report
UK CRU form
Weather Report
ISO report
Legal ( not working on it)
OH State forms
Team Connect ( Non WC Legal service activities) (using it for WC Subpoena
request)
Coventry Bill management (review. Approve , denied bills)
Right Fax queue ( Chicago Wexford TPA, SLCES, MC Donald’s, MCU , ES ,
SLC)
New Claim Alert (contact insured verify jurisdiction, assigned to claim to
appropriate SC, and closing)
Check Copy (JP Morgan, Wells Fargo)
Tier 3 indexing
Interviewed new employees and provided interview feed backs.
Expense submission: Travel expense report
MI State form 701-#1
OH claim file audit preparation
Handling of 99999999 no coverage claims
Merlin Crystal Reporting – PLLO
PLLO Ack & Transfer letter
CNA Pharmacy Strategy Refresher Training