Asia P Suggs

Experience

• 

  Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

  Apr 2009 - now

  Oversight and management of programs, company initiatives, growth strategies, implementations and operational effectiveness. Supervise and organize deliverables to align with the company’s objectives. Lead projects of cross-functional teams to include, operations, external vendors, IT and Finance. Create executive business cases for funding of projects and enhancements needed to optimize vendor technology. Review and negotiate contracts upon renewal. Utilize knowledge of regulations, compliance, funding mechanisms related to Group, Government and Retail lines of business. Translate technical knowledge with SaaS vendors to drive business process excellence.• Supervise and manage multi-million dollar budget for annual projects• Interface with executive leadership to ensure the project goals align with the company’s objectives Show less Oversaw workflow processes, including service level compliance, identification and resolution of potential issues, and delivery of hands-on client training to develop an understanding of the system for proficiency. Escalated client issues related to membership, file, and proof of concept for technology to ensure on-time resolution. Provided exceptional client service and maintain work quality while addressing concerns or inquiries in a highly professional manner to ensure satisfaction. Monitored eligibility file process to ensure successful electronic file transmissions by liaising and interacting with external AEP vendors. Reviewed and audit eligibility files to ensure accuracy prior to ID card release. Performed comprehensive testing of the technology to improve the accuracy and efficiency of system functionality and configuration. Supported the planning, modification, and implementation of operating process flow to maintain quality. • Successfully led presentations and implementation of technology for mid-market, Large groups.• Formulated and presented engaging training materials and job aids for internal processing areas to increase technology platform processing knowledge. Show less In this role, I configured the system in line with changes to new and existing accounts to drive efficacies and ensure consistency. I monitored and controlled the entire workflow of cases by using an advanced large group tracking tool. I also developed account structures and procedures to assist AE’s with the setup of internal membership system. I responded to sensitive and urgent inquiries promptly by utilizing the team mailbox. I also processed and implemented account changes using the ABS and BPA documents for national and large group accounts. I also requested ID card mockups for a quality review prior to mass distribution to avoid manufacturing faults.➥ Streamlined operational activities by managing resources and collaborating with a team of internal business partners.➥ Managed multiple accounts effectively through proper time management and organization. Show less •Responded to new business and claim inquiries in a courteous manner and documented all client conversations.•Researched, analyzed, and resolved complex member issues as well as provided time-efficient solutions.•Provided expert insight regarding Medicare, application processing, premiums, billing, benefits, and claims research.•Addressed policy concerns in conjunction with internal and external partners.•Ensured compliance with all privacy protocols and HIPAA policies as required Show less

  • Program Manager

    Mar 2021 - now

  • Implementation Lead

    May 2016 - Mar 2021

  • Account Specialist

    May 2013 - May 2016

  • Customer Advocate

    Feb 2010 - May 2016

  • Claims Processor

    Apr 2009 - Feb 2010