Shannon MacBeth
Hillsborough
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
16
16
years of professional experience
Work History
Case Management Assistant
Medavie Blue Cross
09.2018 - 01.2025
- Setting up new claims on WITS programming
- Ensuring correct data on ES system
- Maintaining and monitoring new data pertinent to current medical disability cases
- Maintaining and monitoring Maximum Benefit Program files
- Calculating rehab hours corresponding with return to work situations
- Setting up benefit payments in Scepter
- Speaking with claimants, lawyers and medical professionals regarding cases
- Writing letters regarding benefits, payments, outstanding medical information and return to work programs
MAAX QA
Medavie Blue Cross
02.2017 - 09.2018
- Review group and benefit set up on our new platform (MAAX)
- Created a tracking system for bugs and errors
- Created a tracking system for employee errors
- Testing of new platform outcomes in real time data
Web Analyst – Customer Benefits
Medavie Blue Cross
02.2012 - 02.2017
- Creating and maintaining training documentation for the various web duties
- Training new web personnel
- Training new mappers on the rules portion of mapping
- Completing quality assurance double checking on all web jobs performed by other web personnel
- Maintaining auditor spreadsheet
- Analyzing all mapping jobs to determine if web billing criteria is required
- Maintaining web databases
- Updating and maintaining various spreadsheets within the Mapping Department
- Answering various inquiries from Provider Affairs, the Contact Center and claims analysts
- Translate Scepter maps to give clear and precise wording of benefits available on the GMP/IP web pages
Mapping Analyst – Customer Benefits
Medavie Blue Cross
01.2011 - 01.2012
- Completing requests received from Underwriting
- Answering various inquiries from Contract Center and Quick Pay Departments
- Updating POSv based on ES changes
- Continuing mapping for FAP requests as a backup personnel
Mapping Analyst – FAP (term position)
Medavie Blue Cross
10.2009 - 01.2011
- Updating and maintaining FAP databases
- Responding to requests made by the FAP department and FAP claims department regarding benefits, fee guides and benefit code mapping
- Completing requests for POC 6 updates
- Updating fee guides
Case Management Assistant
Medavie Blue Cross
11.2008 - 10.2009
- Setting up new claims on WITS programming
- Ensuring correct data on ES system
- Maintaining and monitoring new data pertinent to current medical disability cases
- Maintaining and monitoring Maximum Benefit Program files
- Calculating rehab hours corresponding with return to work situations
- Setting up benefit payments in Scepter
- Speaking with claimants, lawyers and medical professionals regarding cases
- Writing letters regarding benefits, payments, outstanding medical information and return to work programs
Education
Medical Office/Transcriptionist Course -
Oultons Business College
06.1995
Graduation - French Immersion
Caledonia Regional High School
06.1994
Skills
- Case planning
- Case analysis
- Motivational interviewing
- Follow-up skills
- Confidentiality
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Multitasking Abilities
- Reliability
- Organizational skills
- Relationship building
- Self motivation
Timeline
Case Management Assistant
Medavie Blue Cross
09.2018 - 01.2025
MAAX QA
Medavie Blue Cross
02.2017 - 09.2018
Web Analyst – Customer Benefits
Medavie Blue Cross
02.2012 - 02.2017
Mapping Analyst – Customer Benefits
Medavie Blue Cross
01.2011 - 01.2012
Mapping Analyst – FAP (term position)
Medavie Blue Cross
10.2009 - 01.2011
Case Management Assistant
Medavie Blue Cross
11.2008 - 10.2009
Graduation - French Immersion
Caledonia Regional High School
Medical Office/Transcriptionist Course -
Oultons Business College
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