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Yyyyyy x. yyyyyy
- 104 Church St.Ÿ Xxxxxx, XXXXXX xxxxxx ( (xxx-xxx-xxxx * abc@xyz.com
Sales Insurance Claims Business Analysis
Qualifications Profile
Highly self-motivated and results-driven professional with more than years providing high-performance customer service and technical support mostly in the healthcare industry.
Detail-oriented, analytical and methodical with critical thinking to resolve work issues even under stress.
Flexible and adaptable with quick learning abilities to reach high produxxxxxxivity levels in fast-paced work environments.
Well-organized and resourceful with multitasking skills that optimize limited resources to achieve outstanding results.
Strong people management and interpersonal communication skills that inspire confidence while forging teamwork synergies with colleagues across diverse ethnicities.
Key Expertise
Full Cycle Projexxxxxx Management
Systems/Business Needs Analysis
Projexxxxxx Budget Administration
Insurance Claims Administration
Service Sales Management
Sales Performance Analytics
Multiple Account Management
Customer Service Management
Relationship Management (Customers, Public, & Suppliers)
Process/Workflow Improvement
Inter-Office / Agency Coordination
Policies & Regulatory Compliance
Staff Supervision & Training
Records & Document Management
MS Office, Email/Webmail, Web Research, Social Networking, & Online Collaborative Computing
Professional Experience
Business Projexxxxxx Senior Analyst, Cigna (Mindlance) Ÿ Bloomfield, XXXXXX Aug 2015 Apr 2016
Facilitated the projexxxxxx implementation of HSA banking processes for new and existing client base, supported client/vendor meetings, and collaborated with clients in assessing their business needs while providing a rewarding customer experience during data and systems migration.
Ensure short turnaround times to complete projexxxxxxs and assigned work with accuracy.
Tracked and reported on all aspexxxxxxs of the client systems implementation.
Collaborated with service teams to complete vendor bank struxxxxxxure documents and internal requirements.
Participated in auditing and correxxxxxxing historical and technical records to ensure best possible customer experience in system implementation.
Managed assigned portal site builds from concept to implementation, providing user direxxxxxxory, creating IDs and site passwords, and conduxxxxxxing final quality review and onsite testing before hand-over to clients.
Extraxxxxxxed and interpreted details from benefit summary documents before updating the WebMD site.
Addressed and resolved system issues to ensure a satisfying client experience around company projexxxxxxs and services.
Business Projexxxxxx Analyst, Cigna (Randstad) Ÿ Bloomfield, XXXXXX Jul 2014 Mar 2015
Streamlined business processes for Rx/Catamaran claim adjudication projexxxxxxs, diagnosed claim defexxxxxxs within Cigna s internal claim systems to ensure accurate claim adjudication, developed and executed test scripts, and presented test analyses to senior management.
Executed manual regression and automated testing, working closely with business owners to ensure test cases and strategies were consistent with business requirements.
Completed UAT implementation projexxxxxxs through astute planning, multifunxxxxxxional coordination, and management reporting of deliverables, and proper E2E and regression testing.
Store Manager, FI Roberts, Inc. Ÿ Farmington, XXXXXX Dec 2013 Jul 2014
Direxxxxxxed front and back office store operations, providing HR oversight in staff recruitment, training, performance appraisal and termination while managing and organizing staff assignments for optimized sales and operations.
Long Term Disability Analyst AIG Ÿ Farmington, XXXXXX Jul 2006 May 2003
Managed a caseload of 125 clients/quarter, analyzing and building cases for accurate & prompt claims processing.
Interviewed claimants, medical specialists, and employers to validate pertinent claim information.
Started as a Benefit Analyst working with claims staff to calculate and issue short-long term disability benefits.
Identified process inefficiencies for improvement while presenting weekly and monthly expense reports.
Education
HIGH TECH INSTITUTE (2004)
Medical Coding & Billing Certification, Accounting
U.S. NAVY DENTAL TECHNICIAN SCHOOL (2002)
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