- Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
- H: (555) 432-1000
- C:
- resumesample@example.com
- Date of Birth:
- India:
- :
- single:
Seeking a position to develop and implement new and innovative health care improvement processes all while providing the highest quality care. Strong problem solver with excellent time management skills.
Bachelors of Science: Health Management & Policies Family Studies, Expected in May 2016
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University of New Hampshire - Durham, NH
GPA:
Health Management & Policies Family Studies
- Strong analytical & quantitive skills; Detail oriented; Project Management & Social Marketing skills; Team player
| - Knowledgeable on CPT & ICD coding through SPSS and JMP
|
Short Term Disability Claims Manager I, 04/2015 - Current
Alutiiq Llc – Dayton, OH, - Initially hired as short term disability intern which turned into full time employment after graduation.
- Provided over 800 initial point of contact assistance and contributed to 90% of approvals.
- Managed an inventory of 195 claims to apply appropriate contractual provisions, legal guidelines and case management resources to draw a conclusion for the short-term disability claim.
- Contributed to quality and profitability by effectively implementing Standard Work practices and exceeding performance guidelines and metrics.
- Completed task within 3 business days - goal 95% met at 100%.
- Target goal for claim determination within 7 business days - exceeded target by averaging at 6 days in the year 2016.
- In the year 2016 no claims were overturned by the appeals unit.
- Developed experience with data entry within System One applications, and Microsoft office suite applications to conduct analysis and provide appropriate compensations to claimants.
- Developed knowledge of medical terminology, using ICD and CPT coding to determine if the claimant is considered medically disabled and through what duration.
- Communicated weekly claim resolutes to team members & Manager 1.
Staff Assistant, 08/2014 - 04/2015
UNH Registration Office – City, STATE, - Adapted to Banner Student Software, database of over 14,000 student records.
- Provided comprehensive administrative support within the department.
- Conducted daily reports during open enrollment on class registration.
Summer Receptionist, Full-Time, 04/2013 - 07/2014
Special Events Of New England – City, STATE, - Responded to over 1000 rental inquiries in a timely, effective and proactive manner to provide rates, estimates, and quotes for events within a high-volume environment.
- Provided administrative support.
- Developed experience with Point of Rental software.
Fluent in English & Spanish
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