Annuity Processing Operations Specialist Resume Example

•Performed audit of randomly selected claims to ensure quality processing (CLA)

•Handled appeals of Part B Medicare claim denials for providers and beneficiaries in the southern United States (Reopening, Dismissal, ALJ)

•Protocols, reviewed administrative law judge decisions, and coordinated activities between various entities involved in appeals administration

•Added modifiers as appropriate coded narrative diagnoses and verified diagnoses

•Created and sent out an acknowledgment letter to Medicare Health Plan, and appealing party. Making sure that the acknowledgment letter went out by regular first class mail within 48 hours of our receipt of the case file

• Responsible for all Human Resources duties, accounts payable duties, and entered weekly timesheets into payroll spreadsheet on excel then reported to Payroll Department for payroll
• Trained and scheduled all of the office associates
• Ensure accuracy of bank deposits and petty cash
• Reviewed customer financial applications for accuracy
• Maintained office supplies and office machines
• Assisted in resolving advanced client issues by finding appropriate problem resolutions
• Acted as a liaison between Management, Corporate, Finance Companies, and Sales Consultants
• Compiled new hire, termination, employee kits participated in interviewing, and performance evaluations/ salary increases
• Responsible for dealing with special ending reports (monthly, yearly, auditing)

• Assisted over 6 clients daily
• Provided excellent customer service skills over the phone and in person
• Attended training classes to receive the requirements to be a childcare provider. CPR and First-aid every 6 months out of a year (Action for children) and Red Cross

•Audit merchandise by counting, ticketing, packing, and sorting

•Inspected merchandise items to ensure proper quality and brand specification

•Performed audits of randomly selected employees to insure quality processed, and inputted information onto a spreadsheet

• Responsible for all Human Resources duties, accounts payable duties, and entered weekly timesheets into payroll spreadsheet on excel then reported to Payroll Department for payroll
• Trained and scheduled all of the office associates
• Ensure accuracy of bank deposits and petty cash
• Reviewed customer financial applications for accuracy
• Maintained office supplies and office machines
• Assisted in resolving advanced client issues by finding appropriate problem resolutions
• Acted as a liaison between Management, Corporate, Finance Companies, and Sales Consultants
• Compiled new hire, termination, employee kits participated in interviewing, and performance evaluations/ salary increases
• Responsible for dealing with special ending reports (monthly, yearly, auditing)