BETHANY BISNETT

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Paul K.
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Bethany Bisnett

2014

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BETHANY BISNETT
Street Address City, State, Zip Phone Number Email Address

SUMMARY OF SKILLS Led the rebuildin o! departments, reor ani"ed #or$, implemented a per!ormance based culture E!!ecti%ely mana ed a multi&million dollar bud et, implemented ne# systems, and completed system con%ersions' (er ed ac)uired business, de%eloped a ne#, easy to do business model* implemented a culture o! accountability and success!ully mana ed to conclusion literally hundreds o! pro+ects' Success!ully maintained operational per!ormance' Per!ormance impro%ed each year, operational costs decreased, and customer satis!action increased' E,ceptional ability to plan !or success and the e,perience to e,ecute' -i hly or ani"ed and possess the communication s$ills re)uired to create an ima e o! success and then obtain employee buy in' Ability to multi&tas$, e!!ecti%ely dele ate, e%aluate outcomes and hold employees accountable' Approaches to coachin and mentorin employees ha%e been critical success !actors' Analytical and understands process de%elopment* %ery persistent* possesses a stron #or$ ethic' .e%eloped comprehensi%e business plans, includin bud ets, !or a multi&business !unction di%ision' Led multi&business di%ision durin both rapid e,pansion and durin business decline'

EDUCATION Colle e Name, City, State, .ecember, /001 Masters of Business Ad inistration Colle e Name, City, State, Au ust, /021 Ba!"e#or of S!ien!e in Business Ad inistration, (a+or3 Accountin Colle e Name, City, State, Au ust, /02/' Ba!"e#or of Business Ad inistration, (a+or3 (ar$etin $ORK E%&ERIENCE C4(PAN5 NA(E, City, State 6777&6770 'i!e &resident( C"ief Ad inistrati)e Offi!er, 6778&6770 9esponsible !or all administrati%e !unctions !or multiple business units : Claims, ;nder#ritin , Customer Ser%ice, A ency Support, (edical (ana ement, PP4 Net#or$ (ana ement, E Business Support, Product <mplementation, Ne# Business <ssue, <ma in , .istribution Center, (ailroom, Policyholder Communications and =ul!illment>' Administrati%e Ser%ices currently has about ?77 employees o! the /,/77 enterprise total #ith an operatin bud et o! @ ?8 million per year' Committed to continuous impro%ement, teams !ocused on constantly impro%in )uality, shortenin cycle times and lo#erin costs' An ob+ecti%e, metrics dri%en en%ironment based on o#nership and accountability' Policyholder satis!action sur%eys ha%e increased !rom a combined satis!iedA%ery satis!ied ratin o! ?8B to 06B o%er the past se%en years' Consistently reduced our costs o%er the past three years by submittin operatin bud ets less than the pre%ious yearCs actual costs and then comin in under bud et year o%er year' E,perienced total premium has ro#n !rom @177 million to o%er @277 million in past se%en years* achie%ed a positi%e net income each year and our !inancial reser%es ha%e )uadrupled' Success!ully completed a mer er #ith Company Name* ac)uired and mer ed Company Name and Company Name into our business model, implement t#o system con%ersions, and met all bud et and ser%ice oals' 'i!e &resident Custo er Ser)i!e Center, 677/&6778

BETHANY BISNETT
Street Address City, State, Zip Phone Number Email Address

9esponsible !or o%erseein Customer Ser%ice, A ent Licensin and Support, Commissions, Policyholder Communication, =ul!illment, <ma in , (anu!acturer DEB site and (ar$etin Support'

C4(PAN5 NA(E continued Senior O*erationa# Business Ana#+st, 6777&677/ An internal consultant !or the Chie! Administrati%e 4!!icer and Senior Eice&President o! 4perations' Dor$ed on pro+ects in se%eral operational areas, includin 3 Claims, ;nder#ritin , Customer Ser%ice, (ar$etin and (<S includin de%elopin an a ent re%ie# process, assistin on a claims auto&ad+udication process, assistin in the outsourcin o! claims entry !unctions, re%ie#in under#ritin operations, implementin an under#ritin dia nosis code re%ie# process, re%ie#in sta!!in models, customer ser%ice e!!iciencies, re%ised customer ser%ice per!ormance standards, e%aluatin the telecommunication speci!ications !or a remote operational site, de%elopin a model !or claims processin reco%ery costs in a corporate disaster situation, and de%elopin a transition plan !rom a customer ser%ice en%ironment to a contact center en%ironment' C4(PAN5 NA(E, City, State /000&6777 Senior Mana,er O*erations 9esponsible !or (ember Ser%ices in the Corporate Ser%ices .i%ision #hich included three separate !unctional units3 customer ser%ice, membership and the mailroom' C4(PAN5 NA(E, City, State /021&/000 -rou* Leader Custo er and &ro)ider Ser)i!e, /00F&/000 9esponsible !or the (ana ed Care, Pro%ider Ser%ice, State o! <o#a, Pro!essional Group and Special <n)uiry units' Additional responsibility !or small special pro+ects unit that included customer ser%ice, claims processin , ad+ustments, re!errals, rie%ances and numerous special pro+ects' Mana,er Mana,ed Care Business, /00?&/00F Led Company NameCs only mana ed care product* a dedicated unit handlin re!errals, customer ser%ice and claims processin !unctions' Assumed responsibility it #as a small -(4 and the lo#est per!ormin ser%ice area in the or ani"ation' <n less than si, months per!ormance impro%ed to the hi hest per!ormin ser%ice unit and the !astest ro#in -(4 in State' Mana,er Medi!are Se!ondar+ &a+er and Cas" Co##e!tions, /001&/00? (edicare Supplement coordination o! bene!its unit !unctions included phone ser%ices, claims processin , cash collection and bene!it coordination' Per!ormance had impro%ed in less than one year returnin the unit to bein in ood standin #ith the re ulatory a ency' Mana,er Medi!are Anti.Fraud Unit( /006&/001 .e%eloped a dedicated, stand alone anti&!raud unit responsible !or detectin health care !raud in the (edicare pro ram' .e%eloped ne# techni)ues in re%ie#in lar e data %olumes to !la potential aberrant situations' Mana,er Uti#i/ation Re)ie0( Fraud and A1use( Bud,et and Cas" Re!o)eries , /00/&/006 =ocus on utili"ation re%ie#* sta!! e%aluated the appropriateness o! treatment and utili"ation trends, !raud and abuse, cash collections, bud et and reportin ' &ro2e!t Mana,er, /020&/00/ Medi!are Data Coordinator, /02F&/020 Auditor 3 Senior Auditor, /021&/02F