Widelyne Loiseau

Throughout the health management/administration program I have gained knowledge and experience in the administrative, financial, and managerial sectors of the healthcare system.

• Worked on designing an online course for Managed Care and Digital Health professionals to learn about the U.S.
• Reimbursement systems, key themes for partnering with digital health startups, and everything else they need to know to deploy a digital health startup at a health plan.
• Outlined work plans, determined resources, wrote timelines, and generated initial budgets as part of project scope determination.

• Primary liaison to internal and external members including dental provider’s offices providing dental insurance verification and detailed interpretation of dental policies, procedure codes, claim and processing guidelines.
• Investigates researches, analyzes, adjudicates and makes appropriate claims determinations on claims/adjustments for escalated and/or difficult claims and inquiries.
• Researches, analyzes, and resolves telephone and written inquiries
• Pre-screens claims and/or inquiries for professional review department and makes claim and inquiry determinations based on existing guidelines.
• Analyzes, identifies, troubleshoots, tracks, reports, and verifies resolution of system problems

• Established relationships with key decision-makers within customer's organization to promote growth and retention.
• Devised SWOT analysis to create and execute business plan supporting achievement of established quotas.
• Collaborated with company departments to develop new strategies to capitalize on emerging customer and market trends.
• Compiled product, market, and customer data to forecast accurate sales and profit projections.
• Uncovered and qualified prospects and sales opportunities in targeted markets using external resources.
• Collected data and performed customer needs analysis.
• Worked with marketing teams to create, deploy, and optimize effective campaigns for current or prospective clients.
• Participate in project meetings involving Marketing
• Assist with seminars, make room arrangements, assemble
• Coordinate lobby displays and ensure materials are well supplied and current at all branch locations if applicable packets, and confirm seminar attendance in collaboration with
• The Marketing department and Business Development team Member Services business development needs
• Manage calendar for events.
• Maintain advertising, correspondence, compliance, and due diligence folders

 Managing all phone calls and transfers and working with multiple applications to assist different clients
 Operate office machines, such as photocopiers and scanners, voice mail systems and personal computers
 Worked with upper management to ensure appropriate changes were made to improve customer satisfaction
 Assisted with the development of the call center's operations, quality and training processes,10 to 15 candidates
 Properly directed inbound calls in phone queues to improve call flow.

 Complete both service issues and problem resolution need for all consumers and small business clients
 Balances daily teller work, settle the ATM machine as a custodian, prepared cash shipment
 Productively anticipates, identifies, and manage risks in every business product and service transaction
 Assist up to 100 customers a day, run up to 300 consumers and business clients a day
 Sells and processes money orders, official checks, and foreign currency sales
 Provide training to new hires