Medical Underwriter Resume - PDF

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Medical Underwriter Resume - PDF Powered By Docstoc
					                        GEORGE MITCHELL, Jr.
6582 Olive Lane North                                       Lakes10000@comcast.net
Maple Grove, Minnesota 55311                                         (612) 388-1195
                           PROFESSIONAL PROFILE
A seasoned medical underwriter with extensive process and technical expertise. Adept
at balancing risk with sales objectives. Possesses exceptionally sound judgment and
analytical reasoning. Known for precision and accuracy while remaining fluid in “out of
the box” situations. A quick thinker with exceptional people and communications skills.

                            PROFESSIONAL EXPERIENCE
UNDERWRITING CONSULTANT, Minnesota                                  2009-Present
Senior Consultant - Individual and Small Group Medical Underwriter
  Reduced department backlog by 25% through seasoned technical underwriting for
  complex individual medical cases.
  Developed process improvement workflow for small group underwriting resulting in a
  reduction in turnaround time by 75%.

HEALTHPARTNERS, Bloomington, Minnesota                                     2004-2008
Individual Medical Underwriter
   Underwrote individual medical applications with complex medical history, balancing
   medical risk with sales objectives; improving loss ratios by 12% over the past 12
   years.
   Conveyed and discussed adverse underwriting decisions with applicants; thus
   improving retention by 10% in the past 4 years.
   Orchestrated feedback to management regarding process improvement in the
   individual medical underwriting department.
   Underwrote individual applications with complex medical history; balancing medical
   risk with sales objectives.
   Analyzed and evaluated 125 applications per week; surpassing corporate objectives
   by 10%.
   Co-facilitated LEAN process improvement project for computer system migration;
   resulting in improvement of turn around time from 18 to 12 days; thus contributing
   5% growth for the individual product in the past year
CIGNA BEHAVIORAL HEALTH, Eden Prairie, Minnesota                            2000-2003
Senior Group Benefit Analyst
   Created the policy and procedures manual for the Flexcare product line by outlining
   the implementation of groups and benefits protocol.
   Analyzed and implemented various benefit plan designs; thus improving customer
   satisfaction by 33% on the 2002 annual customer satisfaction survey sent to
   employer groups.
   Functioned as a technical advisor for various system enhancements for the Data
   General (DG) database; resulting in improved efficiencies for department staff.
   Served as a compliance liaison between departmental staff and Cigna general
   counsel; thus improving the accuracy of benefit plan implementation by 7% in 2001
   and 2002.
   Implemented workflow process for processing internal customer complaints.

              George Mitchell   (612) 388-1195    Lakes10000@comcast.net
PREFERRED ONE, Golden Valley, Minnesota                                          1999
Enrollment Specialist
   Administered and managed the enrollment process for Workmen’s compensation
   clients; resulting in improved turn around time by 15%.
   Resolved complex enrollment issues for PPO groups through system navigation and
   manipulation.
   Analyzed and verified enrollment status by contacting payers and benefit consultants
   with 98% accuracy. This surpassed corporate objectives by 13%.

AETNA U.S. HEALTHCARE, Minneapolis, Minnesota                                1996-1999
Customer Service Supervisor
   Provided technical support for pharmacies in claims adjudication which improved on-
   line claims processing efficiency by 25%.
   Interviewed and hired customer service representatives.
   Investigated and resolved a variety of complex issues in a fast paced environment.
   Surpassed corporate objectives by answering an average of 120 phone calls per day
   with a quality rating of 98.5%.
                                    EDUCATION
                            Drew University, Madison, NJ
                Bachelor of Arts Degree-Political Science (with honors)

                          PROFESSIONAL CERTIFICATIONS
  Health Insurance Association of American (HIAA) Certifications-MHP, LTCP, HCSA
                  Association of Home Office Underwriters-Member
      Pursuing Project Management Certification-expected completion Fall 2009
                   COMMUNITY INVOLVEMENT & LEADERSHIP
                Maple Grove Community Organization-Vice President
                Fieldstone Homeowners’ Association-Vice President




              George Mitchell   (612) 388-1195    Lakes10000@comcast.net

				
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