MONIFA HAMPTON
Franklinton
Summary
Dynamic Account Implementation Analyst with proven success at Blue Cross NC, adept at managing complex implementations and ensuring 95% accuracy in benefit file administration. Skilled in cross-functional collaboration and error resolution, I excel in enhancing client relations and driving process improvements to support sales initiatives.
Overview
9
9
years of professional experience
Work History
Account Implementation Analyst
Blue Cross NC
11.2023 - Current
- Lead end-to-end implementation of new employer groups, loading and maintaining group information and benefit files in compliance with plan specifications and regulatory requirements.
- Manage 10 to 20 or more simultaneous implementations for groups of 100 to 1,000 or more members, coordinating with Sales Executives, Account Managers, producers, enrollment, operations, and membership departments.
- Analyze and coordinate implementation of new products, group changes, benefit enhancements, non-standard benefits, and mass updates, maintaining 95 percent or higher accuracy across all documentation.
- Resolve benefit inquiries and interpretation issues from Account Managers, producers, sales reps, and small/major market clients; coordinate claim extracts and adjudication requirements as needed.
- Perform rigorous error management, reviewing and correcting benefit files to ensure accuracy in all system records and implementation deliverables.
Client and Group Service Advisor
Blue Cross NC
05.2017 - 11.2023
- Provided high-volume support resolving inquiries related to eligibility, benefits, claims, enrollment, quoting activities, and coverage for Account Managers, producers, sales reps, and small market clients.
- Achieved 95 to 100 percent accuracy in system records.
- Maintained full HIPAA compliance across all member interactions, data handling, and account records management.
Education
Master of Business Administration - Information Technology And Cybersecurity
North Carolina Central University
Durham, NC12-2028
Bachelor of Business Administration - Management
North Carolina Central University
NC08.2026
Skills
- Account implementation and management
- Group setup and maintenance
- Benefit file administration
- Eligibility management
- Error resolution and file correction
- Quoting and renewal support
- Non-standard benefits administration
- Client and broker relations
- Sales support and coordination
- Process improvement strategies
- Salesforce CRM expertise
- Microsoft Excel reporting
- HIPAA compliance knowledge
- Cross-functional collaboration
Websites
Accomplishments
High Honors and Deans List
Timeline
Account Implementation Analyst
Blue Cross NC
11.2023 - Current
Client and Group Service Advisor
Blue Cross NC
05.2017 - 11.2023
Master of Business Administration - Information Technology And Cybersecurity
North Carolina Central University
Bachelor of Business Administration - Management
North Carolina Central University