Summary
Overview
Work History
Education
Skills
Timeline
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Theresa Carlton

Louisville

Summary

Dynamic leader with a proven track record at Humana, Inc., driving a 20% increase in Medicare Reconciliation revenue through strategic process improvements. Expertise in financial analysis and team leadership, complemented by a strong focus on customer service excellence and technology integration. Committed to enhancing operational efficiency and achieving outstanding results.

Overview

33
33
years of professional experience

Work History

CEO/Store Owner

AMS, Inc.
Louisville
06.2003 - 12.2021
  • Achieved $5 million in gross sales.
  • Oversaw all aspects of running a small business
  • Assessed financial performance regularly, identifying key areas for improvement.
  • Analyzed market trends and customer data to enhance decision-making processes.
  • Implemented technological solutions to boost operational effectiveness.
  • Managed inventory levels, restocking shelves as needed.

Department Manager, Medicare

Humana, Inc.
Louisville
03.1989 - 03.2003
  • Managed team of 87 employees, ensuring timely task completion and operational efficiency.
  • Implemented process improvement strategies, resulting in 20% increase in Medicare Reconciliation revenue.
  • Coached new staff on department policies and procedures to enhance competency.
  • Conducted regular performance reviews to evaluate employee progress and development.
  • Collaborated with IT to identify technology needs and develop comprehensive database programs.
  • Held diverse roles in health insurance, including customer service representative, training specialist, technical writer, department supervisor, project manager and department manager.
  • Acquired extensive knowledge of commercial insurance, Medicare, Medicaid, and Third Party Processors.

Education

Master of Arts - Corporate Communications

Western Kentucky University
Bowling Green, KY
12-1988

Bachelor of Science - Marketing And Accounting

Western Kentucky University
Bowling Green, KY
12-1986

Skills

  • Financial analysis and market research
  • Process improvement and technology integration
  • Inventory management and compliance
  • Customer service excellence
  • Team leadership
  • University teaching experience

Timeline

CEO/Store Owner

AMS, Inc.
06.2003 - 12.2021

Department Manager, Medicare

Humana, Inc.
03.1989 - 03.2003

Master of Arts - Corporate Communications

Western Kentucky University

Bachelor of Science - Marketing And Accounting

Western Kentucky University

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Theresa Carlton