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Paula Smeeton

- 1509 Amber Ln.Ÿ Xxxxxx, XXXXXX xxxxxx ( (xxx-xxx-xxxx *







Dear Hiring Manager,




I am writing this in response to a job vacancy posting for the position of ________________. Please accept my application to become part of your team. My resum is attached for your review and consideration.


What I offer is my more than 19 years providing high-performance customer service, business management support, risk management, and financial service support in the healthcare and insurance industries. I am currently with Multiplan in Napervxxxxxxle XXXXXX as Supervisor for Customer Finance, following a tenure at Volt/Aetna in Parsippany, NY as a Business Data Analyst. For more detaxxxxxxs, please take a moment to go through my resum .


In all my professional engagements in customer and collection services, I have demonstrated not just my relevant managerial competencies in marshaling resources to manage risks and improve collection, but also my personal strengths that include a passion for achieving business objectives through sustained results-driven work excellence. Along the way, I have also proven my interpersonal communication skxxxxxxls that help buxxxxxxd customer relationships whxxxxxxe forging teamwork synergies with colleagues in attaining shared commitments.


I am confident that my experience and personal strengths offer the right mix of qualifications with which I can help achieve your objectives as part of your team. Should you need further clarification, or would prefer to schedule an interview, please do not hesitate to reach me through my phone or emaxxxxxx address indicated in the heading. Thank you so much for considering me, and I look forward to hearing from you soon.










Attachment: Resum





Paula Smeeton

- 1509 Amber Ln.Ÿ Xxxxxx, XXXXXX xxxxxx ( (xxx-xxx-xxxx *


Accounts Receivable Management (Health Insurance)


Qualifications Profxxxxxxe


    Highly self-motivated and results-driven management professional with more than 19 years providing high-performance customer service, business management support, risk management, and financial service support in the healthcare and insurance industries.

    Detaxxxxxx-oriented, analytical and methodical with critical thinking to address work issues even under stress.

    Well-organized with multitasking and prioritization skxxxxxxls that optimize resources to achieve outstanding results from concurrent tasks.

    Decisive leadership, strong people management, and exceptional interpersonal communication skxxxxxxls that inspire confidence whxxxxxxe forging teamwork synergies with colleagues and subordinates across diverse ethnicities and demographics.


Key Expertise

Customer Service

    Insurance Business Development

    Multiple Account Management

    Customer Service Management

    Relationship Management (Customers, Public, & Suppliers)

    Service Quality Management

Business Management

    Business Needs Analysis

    Systems Data Analysis

    Process/Workflow Improvement

    Inter-Office Coordination

    Negotiations & Diplomacy

    Policies & Regulatory Compliance (i.e. HIPAA)

Financial Management Support

    Accounts Receivables Aging and Monetization

    Credit & Collection

    Internal Audit & Control

    Fiscal & Budget Administration

    Risk Management

    Credit Management

    Staff Supervision & Training

    Office & Staff Administration

    Records & Document Management

    Oracle Financials

    MS Office & Lotus Notes

    Emaxxxxxx/Webmaxxxxxx, Web Research, & Social Networking.


Professional Experience


Multiplan Inc.Ÿ Napervxxxxxxle XXXXXX

Supervisor, Customer Finance Oct 2004 Present

    Direct, supervise, and train a team of 9 professionals on collection and maintenance of over 400 accounts generating $60M in annual revenue.

    Provide HR support in hiring new staff, onboarding of new hires, career development, and on-the-job mentoring to achieve high productivity and service quality.

    Attend and participate in all meetings involving sales, clients, product development, and AR management.

    Collaborate with IT on all AR and related system upgrades, providing feedback on functional usabxxxxxxity and adoption of industry s best practices.

    Present performance and market data analysis to support decision making of senior management (Controller, VP Finance, Director of Profit and Development, among others).


Volt/Aetna Inc.Ÿ Parsippany, NJ

Business Data Analyst Jul 2003 Feb 2004

    Provided data analysis of research findings and business performance reports to assist decision making of executive in improving service delivery, ensuring data accuracy at all times.

    Buxxxxxxt and maintained consultative relationships with both internal and external customers.

    Conducted data audits to ensure vendor data integrity and consistency. Generated and distributed periodic reports for both internal and external audiences.


Aetna Inc. Ÿ Sugarland TX

Accounts Receivable Premium Reconcxxxxxxiation Analyst Apr 2001 Jul 2003

    Identified and resolved payment discrepancies. Processed enrollment transactions to facxxxxxxitate account reconcxxxxxxiation and accurate bxxxxxxling.

    Improved financial performance by reducing receivables age, preventing payment defaults, and providing re-scheduled or customized payment options and terms to meet client needs.

    Investigated delinquent accounts applying corporate collection policies to resolve direct and related issues.

    Ensured consistent compliance with state and federal laws regarding bxxxxxxling and/or member terminations.




Paula Smeeton

- 1509 Amber Ln.Ÿ Xxxxxx, XXXXXX xxxxxx ( (xxx-xxx-xxxx *


Professional Experience (continued)


Aetna Inc. Ÿ Sugarland TX (continued)

Eligibxxxxxxity Consultant Feb 2000 Apr 2001

    Reviewed customer eligibxxxxxxity data to ensure seamless approval process, terminations, and changes in the proper systems. Processed and corrected transaction errors generated through system interfaces.

    Investigated and resolved eligibxxxxxxity, bxxxxxxling, and member issues generated from the Plan Sponsors, marketing offices or claim offices.

    Consulted and coordinated with proper offices to release eligibxxxxxxity and benefit information.

    Applied relevant corporate policies, state and federal laws, and Plan Sponsor account structure and benefits in recommending eligibxxxxxxity decisions to senior management.


Prudential Healthcare Ÿ Sugarland TX

HIPAA Customer Service Supervisor Oct 1998 Jan 2000

    Developed and directed a team of 10 professionals in managing client accounts in compliance with HIPAA legislation.

    Resolved HIPAA issues via emaxxxxxxs, phone calls, and through the National HIPAA customer service line letters within service level standards and timeframes whxxxxxxe ensuring compliance with new state and federal legislation.

    Identified opportunities for process and service quality improvements whxxxxxxe adhering to state and federal guidelines and industry regulations.

    Provided appropriate support in 3rd party audits and collaborated with them in ensuring quality deliverables.

    Created and submitted vendor payment vouchers and reconcxxxxxxed vendor invoices to production counts.

HIPAA Customer Service Consultant Nov 1997 Oct 1998


Kelly Services/Prudential Healthcare Ÿ Bourbonnais XXXXXX

Claims Processor Mar Nov 1997







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