Glenda Broadnax-McCoy

Claims Manager @Cayman First Insurance Company Ltd

KY

A committed and highly accomplished professional with extensive experience with medical commercial plans, dental commercial plans, vision commercial plans, Life and Disability plans, HMO/DHMO, individual products, Medicare Advantage and Medicaid products. Experienced in team leadership and cross-functional team coordination, developing and implementing policies and procedures to enhance productivity and increase efficiencies. Solid leadership skills; able to build and guide top performing teams in a cooperative and supportive environment. Adept at communicating with management and internal departments to coordinate overall best practice efforts.Team Leadership & Training Cross-functional Team Coordination Operations ManagementTime & Behavior Management Budget Management Quality ManagementCustomer Relationship Management Employee Development Organizational Skills Claims Processing Inventory ControlManager of Health Claims. Directing 5 team members including an Assistant Manager. Ensuring Medical, Dental, Vision, Life and Long Term Disability claims are processed timely and accurately. Maintain operational responsibility for the management, staffing, budget, and projects for the Claims department. Responsibilities include supporting the Vice President, Operations, in enterprise-wide initiatives, supporting the Customer Care (Telephone Service Center), System Configuration, Provider Relations and the Electronic Data Interchange (EDI) enrollment teams along with handling appeals, beneficiary and provider correspondence requirements, new business strategies, while providing leadership in claims activities at the department level, and establishing relationships with members and providers. • Design and implement Project Improvements and production standards• Develop Managers and Professional Leadership• Manage departmental budget and have proven success reducing costs each year through administrative efficiencies

Chaffey College

Business Administration