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yyyyyy x. yyyyyy
job title: program specialist, gs-0301-09/13
job announcement: hhs-os-2010-0112
agency: office
of the secretary of health and human services
sub agency: department of health and human services
core competencies
program development, program administration, reviews/evaluations, research/analysis, project management, contract management, regulatory compliance, quality assurance, reporting, auditing, information systems management, human resources, staffing, training, supervision, workflow planning/distribution, cost controls, administrative operations, executive support, customer service, account management, communications, consulting, advising, negotiations, presentations, interpersonal relations, insurance claims, investigation, invoicing, payment processing
professional experience
1999 - present
claims specialist
specialty risk service
shawnee mission, ks/lake mary, fl
hours per week: 40
annual salary: $50k
supervisor: amy devine-murphy; phone:xxx-xxx-xxxx; contact: yes
consistently ensure delivery of exceptional customer service in facilitating claims processes. actively negotiate and authorize settlement of claims for large third party administrator (tpa) accounts throughout fl, ga, al, tn & ky; previously managed ks, mo, ia and ne region, 1999-2006. proficiently prepare and present quarterly claim reviews for all clients.
conduct thorough research, analysis and review of claims for quality control and compliance. efficiently monitor contract specifications and confirm services are delivered in accordance with established contractual guidelines. cost-effectively retain independent defense attorneys and nurse case managers.
1998 - 1999
customer service representative
haas & wilkerson
shawnee mission, ks
hours per week: 40
annual salary: $35k
supervisor: bill wilkerson; phone: 913-432-4400; contact: yes
supported broad-scope operations of busy insurance company through dynamic administrative support of senior management, with consistent focus on optimizing client servicing and relations. productively coordinated and processed high volume of large commercial general business accounts of company chief executive officer. provided quality summarizations of insurance details. efficiently invoiced and reviewed bound policy, including audits and endorsements.
1997 - 1998
senior claims representative
lockton companies
prairie village, ks
hours per week: 40
annual salary: $32k
supervisor: marianne peterson; phone: 816-960-9000; contact: yes
page 1 of 3
celeste k. maulfair page 2 of 3
lockton companies continued
spearheaded claims resolution of assigned accounts and proactively liaised between client and insurance carrier to maximize outcomes. contributed subject matter expertise by participating in claim meetings, tpa negotiations, tpa audits, and quarterly claim reviews.
1996 - 1997
senior claims representative
thomas mcgee, l.c.
kansas city, mo
hours per week: 40
annual salary: $27k
supervisor: bill fuss; phone: 816-842-4800; contact: yes
facilitated timely handling of medical only and minimum lost time claims for tpa accounts as well as processing of payments to claimants and providers.
1988 -1996 (various positions concurrent with raising children)
office
administration, pro staff personnel services-kansas city, mo; hours per week: 27; annual salary: varied; supervisor: n/a; company phone: 816-505-3020;
contact: yes
substitute
supervisor, park
hill school district-kansas
city, mo; hours
per week: 20; annual
salary: varied; supervisor:
mike otto; phone: 816-359-4340; contact: yes
teacher/teacher
aide, first
baptist church-blue
springs, mo; hours
per week: 20; annual
salary: varied
supervisor: n/a; church phone: 816-229-8522; contact: yes
1984 - 1987
claims specialist
employers reinsurance corporation
shawnee mission, ks
hours per week: 40
annual salary: $28k
supervisor: bill fagerberg; phone: 913-676-5200; contact:
yes
demonstrated strong prioritization, workflow planning and project management
skills in effectively supervising daily average of 600+ insurant agent
professional liability claims covering a 13-state territory; expertly
determined coverage and evaluated agent liability as well as negotiated and
authorized settlements. strategically retained independent adjusters and
attorneys to maximize discover and defense performance as well as cost
controls. collaborated with attorneys in conducting periodic file reviews.
boosted operational efficiencies by resourcefully creating and managing a
departmental educational reference library.
1981 - 1984
outside commercial casualty claim representative
aetna casualty and surety
kansas city, mo
hours per week: 40
annual salary: $24k
supervisor: n/a c company out of business
optimized customer relations by productively interfacing with claimants, attorneys and varied stakeholders in settling claims as well as providing analytical review and detailed documentation. conducted thorough investigations and evaluations of claims spanning liability (personal, product, medical practice), bond, workers compensation, and property. held authority for negotiating, authorizing and paying settlements.
successfully retained independent defense attorneys to support objectives of ensuring effective discovery and cost management.
contributed sharp management skills and business acumen toward collaborative department supervision as well as claim and caseload assignment and file review. actively assisted in orienting and training personnel to support optimal productivity and quality of work as well as compliance with company policies and procedures.
celeste k. maulfair page 3 of 3
aetna casualty and surety continued
1979-1981
assistant store manager
county seat
shawnee mission, ks
hours per week: 40
annual salary: $10k
supervisor: georgia taylor; phone: n/a; contact: yes
drove full-scope store operations, from staffing, scheduling, team supervision, sales, and customer service to maintenance, inventory control and merchandising; entrusted with serving as acting store manager. held personal responsibility for overseeing maintenance staff. designed and implemented an enhanced inventory control program; reduced static inventory by 80%. led store to increase sales by 15% through innovative displays and merchandising strategies.
1978-1980
zone management trainee/sales clerk
sears roebuck & company
shawnee mission/manhattan, ks
hours per week: 40
annual salary: $9k
supervisor: n/a; company phone: 913-967-8799 and 785-532-0232; contact: yes
capitalized on opportunity to participate in company management training program.
education
kansas state university
manhattan, ks
degree: bs in fashion marketing
date earned:
gpa: 2.8
credit hours: 130
specialized training/certifications
aei
c legal principals designation
cic - commercial property, casualty, agency, personal lines
hartford intermediate work comp school
chartered property casualty underwriter (cpcu) 1 & 2
technical skills
insurance software: csonline, delphi, applied
ms applications: microsoft word, excel, powerpoint
community leadership
founding board member of child care program, including development of bylaws and guidelines
treasurer pta
media center volunteer coordinator, pta
yyyyyy x. yyyyyy
job title: program specialist, gs-0301-09/13
job announcement: hhs-os-2010-0112
agency: office
of the secretary of health and human services
sub agency: department of health and human services
date
office of the secretary of health and human services
department of health and human services
re: job announcement# hhs-os-2010-0112
i would like to thank you for providing me the opportunity to interview with you and discuss the exciting program specialist position available with your agency. having gained a deeper insight into the job requirements and your objectives, i am confident you will find me a valuable asset in achieving your goals.
as discussed, i am a performance-driven team player with the skills and knowledge required to effectively support this position. in particular, i believe my dynamic (list a few skills/qualifications relevant to the position that you discussed during the interview) skills will be key factors to excelling in supporting your operations, and i am positioned to deliver both immediate and long-term results as a member of your staff.
should you have any additional questions, or to further discuss this opportunity, please feel free to contact me at your earliest convenience. again, thank you for the enlightening interview. i look forward to your response.
sincerely,
celeste k. maulfair
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