I am seeking the Reinsurance Analyst position at Global Atlantic Financial Group. This position will enable me to make the most of my MBA education and apply my experience in a field that I am passionate about. Self motivated, adept at problem solving, detail oriented, multi-tasking, team player, excellent team-building skills and a quick learner. Accustomed to handling confidential and sensitive records in compliance with the Health Insurance Portability and Accountability Act of 1996. History of consistently producing accurate and timely results at all capacities. Excellent communication skills.
Flexible and versatile - able to consistently be successful in high paced and high pressured environments. I excel in deadline-driven environments. Meticulous and unearthing in analysis of data to ensure noteworthy presentations.
Skill Highlights
Forecasting
HIPAA
Microsoft Word
Strategic Planning
Profit and Loss Management
CPSI
Budgets
Customer Service
Operations Management
Microsoft Excel
Microsoft Outlook
Business Process Improvement
Business Strategy
Project Management
Professional Presentations
Employee Relations
Microsoft PowerPoint
Project management
Leadership/communication skills
Human resources
Budgeting expertise
Employee relations
Negotiations expert
Self-motivated
Market research and analysis
Customer-oriented
Risk Management
Total Quality Management
Revenue and Market Expansion
Strategic Planning
Lean Management
Budget Forecasts
Customer Relations Management
Accreditation Audit
Vendor Sourcing
Organization Management
Team Building
Professional Experience
05/2011 to Current
Senior Recovery/Resolution representativeLeslie's Pool Supplies (Dba) – Midwest City, OK,
Provide expertise claims support at Partners Healthcare by reviewing, researching, investigating, negotiating and resolving all claims that our clients have remitted payments for.
As well as overpayment recovery for health plans, commercial customers and government entities.
Consistently exceeded my rising quarterly targets.
Analyze and identify trends on account receivable reports and provide reports as necessary.
Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.
Initiate telephone calls to members, providers and other insurance companies to gather coordination of benefits data.
Investigate and pursue recoveries and payables on subrogation claims and file management.
Process recovery on claims.
Conduct contestable investigations to review medical history.
01/2011 to 06/2011
Peer monitor and Customer Service RepComputershare Fund Services – City, STATE,
Analyzed the quality of proxy vote calls received and made by Custom Service Representatives.
Wrote coaching tips for all Customer Service Representatives.
Administered verbal testing for new hires.
Reviewed, analyzed, interpreted and provided feedback on proxy data on spreadsheet.
Fielded outbound and inbound calls for proxy voting.
Interpreted content of proxy cards and prospectus to shareholders and/or authorized person(s).
07/2006 to 01/2010
Long Term Care Compensation AnalystJohn Hancock/Manulife – City, STATE,
Subject Matter Expert for correcting technical errors that resulted in lack of payments or incorrect payments to our clientele (Agents, Managing General Agents and Agencies and Third Party Wholesalers).
Trained new employees and wrote training modules.
Proposed quality analysis criteria to upper management that was accepted and implemented.
Ensured that our daily applications on the computers in our disaster recovery locations were functional.
Worked with multiple departments to resolve problems that were beyond my domain of operation but affected results from my department.
Reviewed and revised 1099 forms.
Compiled compensation data for year to date requests for clients.
Trained all my associates in the compensation department some aspect of Microsoft Word and Microsoft Excel.
Furnished clientele and management with daily, weekly, monthly and annual compensation reports.
Contributions during our weekly team meeting carried much weight and was rarely discarded.
Assessed the quality of fellow associates' work weekly.
Communicated with Financial Agents, Financial Advisors, Managing General Agents and Agencies that were based both domestically and abroad over the phone and by e-mail.
Senior representative in the department.
Partook, supervised and endorsed the completion of the million dollar round table forms that were submitted by our clients.
Periodically assigned work to team members.
Successfully handled unclaimed property.
Lauded numerous times by management and our clientele for the service rendered.
11/2003 to 08/2006
Customer ServiceJohn Hancock/Manulife – City, STATE,
Liaison among departments.
Resolved any issue(s) causing stagnation and sometimes delay in completion of tasks and/or response to our customers' requests.
Effectively articulated work requests that were unclear or misfiled between and sometimes among departments.
Maintained files that indicated the status of each request that needed to be expedited.
Trained new employees how to use and navigate through the numerous daily applications.
Rewarded numerous times by upper management for outstanding work.
Dealt with Agents, Policyholders, Beneficiaries, Claimants, Long Term Care Facility Representatives, Lawyers and Executors.
Education
Expected in 2016
: Healthcare Management Western Governors University - Salt lake City , UT GPA:
Expected in 2002
Bachelor of Science: Legal Studies/Pre-Law Studies University of Masschussetts - Amherst, MA GPA: Legal Studies/Pre-Law Studies
Skills
Business Process Improvement, Customer Service, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Healthcare Policies, Presentations and Profit and Loss.
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