Sandra Pennyfeather

Experience

• 

  Blue Cross Blue Shield of Texas

  Feb 1988 - Jul 1995

  • Responsible for organizing, coordinating, directing and monitoring work flow of eleven representatives.• Verified correct premium quoted and received for plan coverage sold. Verify initial payments for deposit and broker appointments to assure commissions are properly paid and reported. • Ensured accurate and timely processing of all business. • Demonstrated leadership proficiency in handling complex inquires/situations, working independently and consistently meeting the internal and external customer needs.• Monitored performance of unit personnel; collect, tally and submit data from daily work reports.• Performed random monthly audits. Evaluate monthly quality/quantity timeliness standard ratings. • Provided training and technical assistance to reps regarding policies, procedures and complex inquires.• Communicated effectively with members, Marketing Administration, Medical Underwriting and other departments within the company where coordination is required in the enrollment and retention of Business Show less

  • Unit Coordinator

    Jul 1994 - Jul 1995

  • Group Accounts Rep III

    Feb 1988 - Jul 1994
• 

  FEMA – Dept. of Human Services

  Oct 1995 - Aug 1998

  Individual and Family Grant Specialist

  FEMA – Dept. of Human Services – Minneapolis, MNState of Minnesota Individual and Family Grant Technical Asst.• Assisted state staff of Minnesota with the processing of Disaster Assistance cases base on the inspectors report, disaster housing status and SBA status.FEMA – Dept. of Human Services – San Juan, PRGov’t of Puerto Rico Individual and Family Grant Technical Support• Performed Quality Assurance on the Disaster Assistance cases processed by the IFG Reviewers.• Ensured accurate processing of all applications and determine the appropriate Grant amount was awarded base on the FEMA and State disaster policy.• Data Entry on each case to update and/or close the file.FEMA – Dept. of Human Services – ST. Thomas, USVIGov’t of the Virgin Islands Individual and Family Grant Reviewer• Processed Disaster Assistance cases base on the inspectors report, disaster housing status and SBA status.• Generated Grant award check or decline the application for assistance.• Data Entry on each case to update and/or close the file.• Letters are generated, collated and mailed.• Heavy telephone customer service assistance.• Process appeals and updates weekly. Show less

• 

  Government of the Virgin Islands - Department of Finance, Payroll Division

  Aug 1997 - Aug 1998

  Payroll Audit Technician III

  •Processing of payroll checks for each government employee on all three Islands.•Verbal and written communication with the Social Security Administration Office to research and rectify any social security number problems of the Government employees.•Processed paper work to pay Social Security and Medicare taxes.•Cancellation of payroll checks.•Prepared W-2 Forms.

• 

  Blue Cross Blue Shield of Texas

  Jan 1999 - Mar 2007

  •Responsible for organizing, coordinating, directing and monitoring work flow of Sales Support Reps.•Ensured accurate and timely processing of all business. •Demonstrated leadership proficiency in handling complex inquires/situations, working independently and consistently meeting the internal and external customer needs.•Monitor performance of Sales Support Reps; collect, tally and submit data from daily work reports.•Evaluated monthly quality/quantity timeliness standard ratings. •Prepared performance review of Sales Support Reps. •Provided training to staff regarding polices, procedures and complex inquiries.•Responsible for communicating and resolving problems for the Broker community.•Guarantee Texas Department of Insurance approved changes are incorporated into materials, and initiate approval process for printing. •Maintained accurate inventory system.•Ensured adequate quantities of materials are always available to the appropriate distribution channels in order to sell individual products. Show less

  • Sr. Sales Support Rep

    Jan 2001 - Mar 2007

  • Group Accounts Rep III

    Jan 1999 - Jan 2001
• 

  Aetna

  Sept 2007 - Sept 2015

  •Resolved Broker/Group issues on Claims, Eligibility and Pharmacy issues.•Accurate and timely scrubbing/submitting of New Sold Cases 51-100 lives (Underwriting case Preparation).•Ensured the receipt of All New Business Paperwork are checked for completeness and accuracy. •Created eList and Code for Submission to Underwriting. Scrub already prepared eList for accuracy.•Created New Sold Case Folders on Share Drive for storing documents/paper work.•Tracked the progress of All New Sold Cases through multiple systems for accuracy.•Communicated with Sales Exec, Underwriting, Enrollment Installation and Brokers on any developing case issues or identified errors.•Created Dear Doctor letters for immediate member eligibility insurance verification.•Requested member extract for internal audits and forward to Plan Sponsors and Brokers.•Pulled Plan Summaries and forwarded to Brokers. Pharmacy overrides for members. Logged HB2015 requests.•Created Monthly Renewal Spreadsheets and set-up Renewal folders for Field Account Managers.•Checked Systems for accuracy on updated Renewal Benefit Plan(s) selections. Show less •Request for Proposal (RFP) processing. Assist with Open Enrollment Presentations and Health Fairs projects.•Elite Response Team member responding to urgent, escalated issues via emails and incoming telephone calls from Brokers, GA’s and Group representatives on Claims, Eligibility and Pharmacy issues.•Supported Account Managers and contributes to profitable sales on a shared book of business.•Processed paperwork on New Sold Groups, Term Groups, Address Changes, Site Adds.•Scrubbed/Coded new business insurance applications on new sold cases and submit to installation. •Established renewal files, spreadsheets & assign Account Managers with new sold cases and renewal cases.•Prepared Benefit Summaries on new sold cases and renewal cases.•Updated Sales Tracking Systems on Cross-Sell Cases, Early Warning & Retain/Lapse Cases.•Processed Expense Reports, Broker Compensation Form on New Sold Grps, Binder Check Submission.•Ordered Packets for New Groups, Renewal Groups, and Inventory Stock.•Created monthly Excel spreadsheets for management on Retain & Lapse cases.•Actively attended ongoing sales training courses and collaborated with sales team to achieve sales objectives. Show less

  • Sales Associate Small Group

    Jan 2014 - Sept 2015

  • Sales Associate Mid - Market

    Sept 2007 - Jan 2014
• 

  Resourcing Edge

  Jul 2016 - Dec 2016

  Benefits Specialist

  • Key Associate responsible for processing Requests for Proposals (RFP’s) submissions to Insurance Carriers.• Directly supported the Writing Agent with 61 successful Renewals, 22 installations of new group insurance sold cases and 41 prospect quotes for 4th quarter.• Established New Sold Files and Renewal Files and updated Tracking Spreadsheets.• Responded to escalated issues from Clients on any Eligibility, Invoice Billing and escalated issues.• Requested HB2015/Premium vs Claims report from Insurance Carriers.• Proofed Contract Documents for accuracy. Show less

• 

  Aetna, a CVS Health Company

  Mar 2017 - Feb 2019

  Provider Data Services Analyst

   Proof Contract Documents for accuracy. Provider data structure set-ups. Review new and existing demographic and contract reimbursement arrangements and determine system entry methodology to facilitate accurate and consistent claim adjudication. Assess all requests for complete and accurate information.