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Yyyyyy x. yyyyyy
0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx | abc@xyz.com
Detail-oriented Professional seeking a challenging career opportunity in healthcare administration or financial auditing.
Profile of Qualifications
- Demonstrated ability to maintain quality control throughout all operations within the healthcare and financial industries.
- Strong analytical problem-solving skills with a proven track record of meeting deadlines in fast-paced environments.
- Recognized for the ability to accurately compile / analyze and conduct claims investigations / audits.
Education & Professional Development
Health Services Management Certification, DeVry, Chicago, IL 2016; May 2017
Master of Business Administration, Minor in Human Resources, GPA: 4.0, Ashford University, Clinton, IA; 2015
Bachelor of Arts in Business Administration, GPA: 3.84, Ashford University, Clinton, IA; 2013
Professional Synopsis
Aetna, Plantation, FL 2016-Present
STD / LOA Benefit Manager
- Demonstrate a strong attention to detail while thoroughly reviewing information to determine short-term disability coverage and FMLA / LOA eligibility.
- Leverage excellent leadership skills to ensure quality control throughout daily operations, as well as on-time completion of all tasks.
- Maintain adherence to all state laws and regulations throughout administration of FMLA / LOA.
- Properly set expectations amongst employees and employers; use strong communication skills to educate individuals on various details.
- Compiled necessary medical information from providers / specialists; accurately record claim information.
Department of Business & Professional Regulation, Margate, FL 2014
Tax Auditor II
- Maintained quality control while conducting complex tax audits for entities possessing alcohol and tobacco licenses.
- Leveraged top notch communication skills throughout daily interactions; resolved inquiries, provided detailed information and handled issues.
- Successfully processed tax documents.
Department of Employment Security, Harvey, IL & Chicago, IL 2003-2013
Tax Auditor II (2008-2013)
- Responsible for conducting complex field audits for clients including corporations and sole proprietors; utilized a strong attention to detail to thoroughly review employer records and ensure accuracy of reported wage reports.
- Thoroughly reviewed all information to ensure quality control; conducted in depth reviews of trends / audit problem areas.
- Maintained open lines of communication with employers / legal representatives; collected detailed information throughout initial and closing interviews.
- Successfully determined unemployment compensation tax liability; conveyed pertinent information regarding rights to employers.
- Demonstrated strong leadership skills while conducting effective training for team members.
Employment Security Service Representative (2004-2008)
- Fulfilled key role maintaining quality control throughout the adjudication of major benefit claims issues.
- Conducted in depth investigations / research on claims cases; thoroughly documented determinations.
- Demonstrated top notch organizational and problem-solving abilities completing tasks on time.
Employment Security Program Representative (2003-2004)
- Strategically identified client needs by conducting benefit rights interviews and reviewing eligibility factors.
- Successfully provided referral, placement and follow-up services on available job orders / training programs.
- Performed various administrative tasks as necessary, including data processing / extraction, maintaining accurate records and assigning DOT codes.
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