LiveCareer-Resume

sr analyst claim reporting and specialty service resume example with 20+ years of experience

JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Reliable Senior Analyst with outstanding talents in client management, business operations and leadership. Strong project management skills with adroitness in successfully managing multiple tasks at any given point. Over a 7-year background providing strategic analysis services to businesses. Communicative Senior Analyst with strong project management and relationship building talents. Gifted to assess business processes and inefficiencies. Dedicated to providing leadership and coordination of project teams. Detail-oriented claims analyst and project lead driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting points of view. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.

Skills
  • Knowledge of Analytics Programs
  • New Policies Processing
  • Recommendations for Action
  • Data Entry
  • Policy Modifications and Updates
  • Problem-Solving
  • Data Summaries
  • Coverage Determination
  • Report Generation
  • Spreadsheet Development
  • Financial and Economic Data
  • Teamwork and Collaboration
  • Reusable Knowledge Assets
Experience
07-01-16 to Current Sr. Analyst, Claim Reporting and Specialty Service Banner Health | Gilbert, AZ,
  • Assembled project teams and assigned individual responsibilities to facilitate on-time completion of planned tasks.
  • Maintained close connection with project personnel to quickly identify and resolve problems.
  • Updated project plans based on changing objectives, specifications and staff availability.
  • Utilized formulas to extract data from queries into Excel spreadsheets.
  • Used data warehousing for data profiling to examine data available in existing databases.
  • Synthesized multiple sources of data and large data sets to develop reports, tools and metrics.
  • Communicated with other departments to establish action plans and manage open claims to closure.
  • Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
11-20-90 to 07-01-16 Senior Claims Analyst Ockham | Poland, ME,
  • Followed all company procedures to keep data confidential.
  • Gathered proper documentation and data to prepare claims for submission.
  • Reviewed coverage determinations, investigated and evaluated claims and negotiated settlements.
  • Input claim information and payments into company database.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
  • Reduced loss ratios through fair and prompt processing of claims.
09-01-89 to 06-01-90 Veterinary Technician GreenSummit Animal Clinic | City, STATE,
  • Prepared and administered medications and vaccines as prescribed by veterinarian.
  • Cared for animals in post-operative recovery by closely monitoring vital signs and progress.
  • Restrained and stabilized animals during examination and treatment to prevent injuries.
  • Prepared and labeled medications and instructed client on administration.
  • Supported veterinarians to drive quality care, advocate for pets and educate clients.
  • Obtained relevant health history and information from clients to maintain medical charts.
  • Assisted with diagnosis and treatment of animal health problems by performing lab tests on specimens.
  • Shaved surgical areas and placed IV catheters in preparation for surgery.
  • Operated anesthesia, oxygen and monitoring equipment.
  • Performed physical examinations and recorded weight, temperature and other vitals.
  • Administered and monitored anesthesia for surgeries and operations.
  • Addressed healthcare needs of animals by coordinating with veterinarians and following orders.
  • Scrubbed, counted and packed surgical instruments and drapes for autoclave sterilization.
  • Monitored vital signs during surgery and notified veterinarian of changes.
  • Delivered excellent service to pet owners to drive repeat business.
  • Assisted with polishing, removing stains and other dental procedures.
  • Used high-tech equipment to assist in diagnostic, medical and surgical procedures.
  • Tracked and scheduled follow-up appointments for animal treatment.
Education and Training
Expected in 08/2016 Bachelor of Arts | General Studies University of Central Missouri, Warrensburg, MO GPA:
Expected in 09/1987 Associate of Applied Science | Veterinary Technology Maple Woods Community College, Kansas City, MO, GPA:

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • University of Central Missouri
  • Maple Woods Community College

Job Titles Held:

  • Sr. Analyst, Claim Reporting and Specialty Service
  • Senior Claims Analyst
  • Veterinary Technician

Degrees

  • Bachelor of Arts
  • Associate of Applied Science

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: