Responsibilities
Crystal Bailey is the Program Manager for five regional Health Insurance Funds (HIF) and one County Commission. She is the primary liaison between insurance carriers and clients to resolve issues, negotiate contracts and recommend plan design changes. Crystal is also responsible for assisting and advising brokers and clients on all aspects of their employee benefit plans within the HIF, including day-to-day account management, vendor management, annual enrollment process, and resolution of high-level claims issues.
Background
In 1989, Crystal joined Prudential HealthCare/Aetna as a Group Insurance Eligibility Technician before working as a Quality Review Technician, where she assisted in migrating Prudential HealthCare client and membership information onto the Aetna systems platforms through technical support for all products. In 2003, Crystal worked as a Benefits Consultant before being promoted to Senior Broker Liaison in the Preferred Producer Department for Aetna Inc, where she assisted with the creation of Aetna products communications, review and interpretation assistance of Aetna contracts, and planning of implementation and open enrollment activities for all lines of coverage.
In 2006, Crystal served as Associate Account Manager for Aetna Inc., where she assisted Key and Select account managers in maintaining their current fully and self-insured Middle Market book of business. Her responsibilities included investigation and resolution of issues reported by preferred producers and sales, which included but are not limited to enrollment, claims, membership services, pharmacy, and commissions for all Aetna lines of coverage. During her time at Aetna, Crystal gained an extensive background in producer and plan sponsor issues resolution and spearheaded several special projects, one of which included the transferring of eligibility to Aetna’s new Traditional system.
Education
Community College of Philadelphia – Bachelor of Science in Biology
Professional Designations
Licensed in Health and Life Insurance for New Jersey, Pennsylvania, and Delaware
