2016 resume
TRANSCRIPT
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EMK Erin K. McNamara_______________________________________________________________________________________
402 Saratoga St ▪ Green Bay, WI 54303 ▪ (920) 764-0772 ▪ [email protected]
OBJECTIVE
To bring my skills to a company where I can play an integral role within my position and the company.
EXPERIENCE
Licensing and Commissions RepresentativeUnitedHealthOneOctober 2014 - Current
▪ Provide sales support and administrative services to sales producers, Agents, field marketing organizations, and independent contract agents.
▪ Manage administrative aspects of commission payments such as routine tracking, reporting, and troubleshooting issues relative to missing or disputed payments.
▪ Data entry, tracking, and updating of producer credentials ensuring processing adheres to company laws and state guidelines
Quality Assurance Auditor April 2008 – September 2011Covance Laboratories Incorporated
▪ Audit Pharmacokinetic and Toxicokinetic (PKTK) inspection reports to internal SOP’s, Regulations, and Clients Protocols.
▪ Coordinate with scientific staff, management, and PKTK team for any follow up queries from the client, changes, or issues.
Account ManagementMay 2004 – April 2008Covance Laboratories Incorporated
▪ Acct Management of 90 + clients and three premier clients. ▪ Prepare and send daily reports: Invoicing and raw data to clients.
▪ Communicates necessary information for special projects, Critical, or Chain of Custody samples.
Credentialing Specialist University of Wisconsin Medical Foundation January 2003-April 2004
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▪ Conduct reimbursement credentialing to ensure all providers, physicians and mid-level providers, are credentialed on a timely basis.
Client Service Manager BISYS, Insurance Services July 2000-June 2002
▪ Managed client services personnel of up to 25 employees ▪ Accountable for professional relationship with two national accounts and
over 8,000 individual and general agency accounts. ▪ Coordinated all aspects of life Insurance applications including contracts,
licensing, customer service, health and financial requirements as well as underwriting and problem cases.
▪ Evaluated and implemented policy and procedure changes for process improvements.
▪ Established standards of operations and developed metrics to support monthly benchmarking as well as identify performance issues.
Large Group Sales and Service Representative Physicians Plus Insurance Corporation November 1998 – July 2000
▪ Account management and sales of large groups (51+) incorporating Physicians Plus and Wausau Insurance companies products and services. Result: Retention of over 95% of managed large group accounts.
▪ Briefed and resolved employer issues, interpreted and negotiated employer/union contracts, and negotiated proposals and renewals including the State and Federal account.
▪ Coordinated state and federal benefits meetings and attended quarterly seminars to interpret new regulations or requirements and educate internal staff and accounts.
▪ Evaluated employer utilization for risk and justified renewal increase for retention purposes and profit.
Sales and Marketing RepresentativeEPIC Life Insurance Company June 1998-November 1998
▪ Evaluated, recommended and coordinated necessary changes to the marketing material portfolio.
▪ Educated internal and external staff on new products and services. ▪ Managed new business flow while communicating issues and underwriting
decisions to producing agents. ▪ Researched and developed a self funded marketing portfolio for increased
sales and to educate internal and external employees.
Workman’s Compensation Representative
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Sentry Insurance August 1997-May 1998
▪ Investigate medical and indemnity claims for compensability and settle claims in an equitable manner serving the interests of the company, policyholder and claimant.
▪ Diagnose pertinent information through communication and review of daily mail, medical records, physician statements, medical bills, state forms and attorney letters.
Coordinator, Self-Funded and Fully Insured Plan Changer, Account Specialist, Administrative Analyst American Medical SecurityAugust 1994 - August 1997
▪ Created and underwrote self-funded and fully insured benefit plans to meet the specific needs of the employer that also complied with company guidelines and state and federal (ERISA) regulations. ▪ Counseled and administered various federal regulations - COBRA, FMLA,
HIPPA ▪ Analyzed monthly and annual reports to secure efficient utilization and
administration of employer benefits. ▪ Administered over 7,000 accounts including account balancing of premiums. ▪ Proposed and initiated guideline enhancements to improve daily process
activities which resulted in a more efficiently aligned system for the company and 25% in qualified processing time.▪ Managed a case load of large group accounts which entailed the monthly billing and administrative changes for medical, dental, life and disability.
EDUCATION and TRAINING
▪ B.A. Merchandising/Business, UW Stevens Point (1990) ▪ Certified Nursing Assistant (NWTC, Green Bay, WI (2014) ▪ Extensive Medical Terminology ▪ Life and Health Insurance License (WI, 1998 - 2002) ▪ Continuing Education Seminars ▪ CPR Certified (Jan 2014) American Heart Association▪ Six Sigma
VOLUNTEER/COMMUNITY ▪ American Red Cross and Goodwill donor▪ Holiday Gift program for Families▪ Coats for Kids▪ Annual gift of money to Juvenile Diabetes Foundation, Kidney Foundation, and Parkinson’s Foundation