Whitney Wells

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Live Commerce Team Manager & Host

CN Fragrance

Mar 2025 - Current (1 year 6 months)

• Built CN1’s first structured live-host management function, establishing processes for recruiting, onboarding, scheduling, coaching, performance evaluation, and team standards. • Lead TikTok Shop live-commerce operations and sales strategy while continuing to host and sell directly to customers. • Develop standardized host training, evaluation, and performance processes designed to improve consistency, accountability, and brand representation. • Coordinate directly with company leadership on staffing, promotions, product priorities, inventory needs, live scheduling, and growth initiatives. • Use live performance and sales results to identify opportunities, coach hosts, refine programming, and improve the customer shopping experience.

Claims Processor

Sana

Mar 2024 - Sep 2025 (1 year 7 months)

Claims Processing: Efficiently process and adjudicate medical insurance claims, ensuring accuracy and compliance with company policies and regulations. Appeals Management: Review and resolve appeal cases, performing thorough investigations to determine valid claims and adjust payments as needed. Ticket Resolution: Respond promptly to support tickets from internal departments, addressing queries related to claims status, payment issues, and policy details. Cross-Departmental Collaboration: Act as a liaison between various departments to provide clear and accurate information, facilitating smooth claim processing and issue resolution. Data Management: Maintain up-to-date records and documentation, ensuring confidentiality and accuracy in all

Senior Claims Representative

Sidecar Health

Jun 2023 - Mar 2024 (10 months)

Adhering and maintaining quality and production levels set forth, by processing claims submitted by members and providers. Working, in depth, in stretch roles, including intake data and maintaining company records for all misstatement case investigations. Assessing and maintaining medical and healthcare knowledge as it applies to medical records, medical conditions, medications, medical devices, diagnosis coding, and procedures. Maintaining standard and uniform operating procedures that are legal and fair. Upholding policy contracts for the limited benefits Access Plan. Finding and establishing ways to improve our company operations in this area and make them more uniform and efficient. Generating, maintaining, and verifying all legal compa

Claims Processor II

Delta Dental of Colorado

Nov 2022 - Mar 2023 (5 months)

-Reviewed and interpreted complex medical records, billing codes, and documentation to ensure accurate coding and billing practices, including dental, CPT, HCPCS, and ICD-10 codes, resulting in reduced claim rejection rates and improved revenue recovery. Having a proven ability in processing claims within the HealthRules/HealthEdge system, is highly knowledgeable, and have demonstrated the ability to be a knowledge leader on the team. -Contributed to process improvement initiatives, including identifying areas of inefficiency, developing strategies for streamlining operations, and implementing best practices to optimize claims processing workflows.

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Sr Claims Representative

NeuGen

Feb 2019 - Oct 2022 (3 years 9 months)

-Processed and managed a high volume of medical claims within the HealthRules/HealthEdge system for various insurance plans, including Medicare, commercial insurance, and workers' compensation, adhering to company policies, industry regulations, and coding guidelines. Exhibits a thorough and broad understanding of the end-to-end claims process. -Collaborated with healthcare providers, insurance companies, and other stakeholders to resolve claim-related inquiries and discrepancies, maintaining a high level of customer service and professionalism. -Mentored and trained junior team members on medical billing and coding practices, providing guidance and support to ensure adherence to regulatory requirements and company policies.

Registrar

UW Health

May 2016 - Jun 2018 (2 years 2 months)

-Responsible for online posting of copayments and general patient payments, online updating of patient insurance information, assuring that invoices are adjudicated to the appropriate insurance coverage when insurance changes take place, and notifying departments of referral needs and patient responsible account balances. -Conducted retro adjudication, and was responsible for cash management of payments collected during the check-in process. -Responsible for verifying and updating patient demographic and insurance coverage information and reviewing pre-certification questions.

Member Services Representative

Dean Health Plan Inc

Jun 2015 - May 2016 (1 year)

-Received, documented, and resolved customer inquiries and provided accurate information by following established best practices and utilizing all available resources and tools. -Educated customers, providers and employers on Dean Health products, tools, and opportunities, over the telephone and on the Internet.

Customer Relationship Specialist

Healthgrades

Dec 2014 - Jun 2015 (7 months)

-Responsible for proactive outbound calls and receiving inbound calls designed to add marketing value to products and services. -Educated healthcare consumers, market research, and provided high quality customer service.

Senior Client Relations Specialist

HSA Home Warranty

Jul 2012 - Dec 2014 (2 years 6 months)

-Investigate, evaluate and settle escalated claims, applying a technical knowledge and human relation skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. -Worked with clients, sales reps, regional directors, and others to provide excellent customer service and claims help and resolution while supporting the activities of the sales team with higher severity claims expediently and knowledgeably. -Paid and processed claims within my designated authority level.

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