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Career ObjectiveThe focus of my career has been to better myself in any position and perform theresponsibilities of the job to the best of my abilities. My organizational skills, years of experience in Operations (including Enrollment, Claims and Inquiries) and drive for excellence will help me to accomplish these goals.Expertise Highlights* Claims Pricing & Adjudication* Data/Business/Systems Analysis* Database Management* System experience include - Crystal Aspect, WMS2, EOS Thin Client, BI3, TPX Local 3270, TSOB* Documentation (Manuals\Job Aides)* Provider/legal/fraud inquiry and billing experience* Develop and maintain effective working relationships with customers and/or business partners* Technological experience - Microsoft Office (Word, Outlook, Excel, Access, PowerPoint)

Professional ExperienceBLUE CROSS BLUE SHIELD OF MICHIGAN - SOUTHFIELD, MI 2000 to PresentAnalyst/Interim Senior Analyst -Operational Performance Management 2007 to PresentKey Results:* Promoted to the position of Interim Senior Analyst for a period of four (4) mo

nths (May-Sept 2010); assisted team with contact center reporting, productivityreports, and monthly dashboard publications* Compile metrics from existing corporate production and reporting systems; produce routine and non-routine reports, while identifying anomalies and recognizingtrends within the data* Assist team members and external customers by answering questions and supplying requested information in order to expedite timely resolution of problems* Publish and maintain the weekly VIPER reports and graphs, and a Weekly Operating Trend

Analyst - Corporate Database Department 2005 to 2007Key Results:* Responsibilities include timely upkeep of group benefits to the company databa

se* Resolution of inquiries related to group benefit structures and database system issues* Provide leadership team with routine project status reports; issue, communicate and recommend policy decisions to achieve objectives

Pricer VII Claims Adjudicator - Professional Services Department 2002 to 2005Key Results:* Process complex, senior level regular claims for in state and out of state submissions for approval/denial* Utilize claims finalization techniques, which demand a knowledge of systems logic and to process claims via Tad Router* Provide support to other processing claims unit functions as required through

the mobilization process of skill acquired through prior training and experience

Pricer IV Claims Adjudicator - Professional Services Department

2001 to 2002Key Results:* Direct data entry of in state and out of state claims

General Clerk - Professional Services Department 2000 to 2001Key Results:

8/6/2019 Senior Analyst or Operations Analyst or Data Analyst or Data Man

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* Responsibility for the identification of in state and out of state claims, aswell as pay direction

Microfilm Clerk - Claims Support Department March 2000 to September 2000Key Results:* Responsible for performing micrographic filming of medical claim forms* Cross trained in film development and claim archival procedures

EducationNORTHWOOD UNIVERSITY - LIVONIA, MIBachelor of Business Administration (BBA) - Business Management 2009

ITT TECHNICAL INSTITUTE - TROY, MIAssociate of Applied Science (AAS) - Computer & Electronic Engineering Technology 2004