Overview
Work History
Education
Skills
Timeline
Generic

Tracy Wise

Cabot

Overview

24
24
years of professional experience

Work History

Adjustment Specialist

UMR
01.2024 - Current


  • Consistently met or exceeded performance expectations, demonstrating commitment to providing top-quality service to clients.
  • Collaborated with other departments to resolve complex claim situations effectively.
  • Demonstrated exceptional attention to detail when analyzing financial statements for accurate adjustments.
  • Upheld strict confidentiality standards while handling sensitive customer information and documents.

Recoveries Supervisor

Healthscope Benefits
01.2017 - 12.2023
  • Trained all new staff, and current staff as needed, in processes, procedures, and policies.
  • Created/implemented process updates as needed to ensure timely and accurate work flow and to best serve our clients.
  • Fostered a culture of accountability within the team by setting clear performance expectations and providing constructive feedback on areas needing improvement.
  • Facilitated cross-training opportunities for team members, enhancing overall skill sets and increasing versatility in handling various types of accounts.
  • Enhanced recovery operations by implementing efficient strategies and streamlining processes.
  • Optimized resource allocation by analyzing workload distribution and adjusting staffing levels accordingly for increased efficiency in recovery efforts.
  • Conducted performance evaluations, identifying strengths and opportunities for growth within the team members.
  • Established effective communication channels for better collaboration among team members, resulting in improved productivity.
  • Managed a diverse portfolio of accounts, ensuring timely resolution of delinquent cases.
  • Coordinated with cross-functional teams to identify potential issues and develop proactive solutions for debt prevention.
  • Maintained up-to-date knowledge of industry trends and regulatory changes, incorporating new techniques into existing processes when beneficial for the company''s goals.
  • Acted as a liaison between the recovery department and other business units, establishing strong working relationships that led to better collaboration and increased efficiency across the organization.
  • Established team priorities, maintained schedules and monitored performance.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.
  • Developed detailed plans based on broad guidance and direction.

Recoveries Team Lead

Healthscope Benefits
01.2015 - 01.2017
  • Trained new team members by relaying information on company procedures and safety requirements.
  • Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
  • Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
  • Coached team members in techniques necessary to complete job tasks.
  • Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
  • Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
  • Worked different stations to provide optimal coverage and meet production goals.
  • Increased customer satisfaction by ensuring timely completion of projects and adherence to high-quality standards.
  • Managed schedules, accepted time off requests and found coverage for short shifts.

Recoveries Senior Specialist

Healthscope Benefits
01.2008 - 01.2015
  • Worked across high volume company-wide all accounts.
  • Received, analyzed, and processed provider solicited and unsolicited refunds.
  • Received, analyzed, and processed member solicited and unsolicited refunds.
  • Worked with providers to obtain any necessary information/documentation needed to process refunds.
  • Worked with various departments across the company to ensure timely and accurate processing and completion of refunds.
  • Supported management in identifying opportunities for process improvement within the department''s operations.
  • Managed a high volume of accounts while maintaining a professional demeanor and attention to detail.
  • Optimized workflow processes for increased efficiency, enabling the team to handle more cases effectively.
  • Received and reviewed incoming documents and materials.
  • Enhanced team collaboration, sharing best practices for efficient processing techniques.
  • Assisted colleagues as needed, fostering a positive work environment based on teamwork and mutual supportiveness.
  • Worked well in a team setting, providing support and guidance.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Claims Processor

Healthscope Benefits
01.2001 - 01.2008
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.

Education

High School Diploma -

North Pulaski High School
Jacksonville, AR
05-1994

Skills

  • Investigation techniques
  • Policy interpretation
  • Claims investigation
  • Claims analysis
  • Teamwork and collaboration
  • Problem-solving
  • Insurance policy knowledge
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking
  • Reliability
  • Critical thinking
  • Computer skills
  • Organizational skills
  • Team collaboration
  • Decision-making skills
  • Workload prioritization
  • Claims adjustment
  • Self motivation
  • Analytical thinking
  • MS office

Timeline

Adjustment Specialist

UMR
01.2024 - Current

Recoveries Supervisor

Healthscope Benefits
01.2017 - 12.2023

Recoveries Team Lead

Healthscope Benefits
01.2015 - 01.2017

Recoveries Senior Specialist

Healthscope Benefits
01.2008 - 01.2015

Claims Processor

Healthscope Benefits
01.2001 - 01.2008

High School Diploma -

North Pulaski High School

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