yyyyyy x. yyyyyy                                                            0000 xxxxxx xxxx , xxxx , xxxxx 00000

(xxx-xxx-xxxx

                                                                                                                                               abc@xyz.com

 

objective

dynamic leader with expertise in project management eager to contribute broad background in all aspects of business functions toward supporting the employer in optimizing operational and financial performance.

 

career profile

ø  over 17 years of relevant experience in technical team leadership, account service and meeting stringent quality standards.

ø  knowledgeable in full project life cycle management.

ø  demonstrated abilities in quality management and customer relations.

ø  skilled in strategic planning, operations and performance review.

ø  award-winning record of promotion to team leadership positions of wide-ranging responsibility and authority.

ø  career built with industry leaders in financial service and healthcare.

ø  demonstrated leadership/training abilities in directing critical initiatives, methodologies and coordination in challenging environments.

ø  background in forecasting, scheduling, training and coaching.

ø  capacity in effective decision making through critical thinking process.

ø  proven supervisor of professional personnel.

ø  expertise in all facets of high volume operations.

ø  skilled in advanced it software applications.

ø  adept in leadership, team building and motivation.

ø  deliver measurable contributions to increased productivity and profitability.

ø  strong organizational, administrative and analysis skill sets.

ø  solid understanding and knowledge of cost control.

ø  consistently meet stringent organizational goals.

ø  outstanding competence in communications and presentations.

ø  university-level training in business management.

 

professional experience

prudential insurance company, roseland, nj                                                                               2006 - present

employment life claims manager

       retained to oversee and provide leadership for team of 18 life claims examiner associates and one technical lead.

       meet performance guarantees including quality and customer service for sensitive accounts including lockheed, wal-mart, ibm, at&t and bellsouth, among others.

       facilitate quality management of pending claims to deliver exceptional customer service.

       effectively interact with account management team.

       coordinate with vp level within prudential recruitment for claims examiner and management positions.

       originate weekly reporting/trending analysis for vice president covering all pending claims, million dollar claims and on-hand reporting.

       author daily inventory reporting of departmental claims on hand, pending claims and claims processed by each examiner plus actions not occurring in automated system.

       conduct daily evaluation/reporting for all new hires covering productivity and error ratios.

       designated as superintendent of senior vp recognition program.

       develop follow-up correspondence for pending claims to assist examiners

       effectively evaluate team queue for any outstanding images that do not attach to a claim already assigned to an examiner.

       assess and review each examiner's queue to balance work loads and ensure attainment of service goal of claims processed within four days.

 

 

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       facilitate all national accounts with full responsibilities.

       ensure 97% of complete life claims are paid within five business days of receipt of all pertinent data.

       have achieved 98% transactional accuracy in random sampling of processed claims.

       post 99% financial accuracy in similar random samplings.

       prioritize sensitive cases including assignment of examiners with appropriate experience.

       validate scorecard time and downtime for each examiner on a weekly basis.

       tasked to review any claims processed with face value exceeding $250,000.

       ensure effective service for such key accounts as ibm, att, cingular, wal-mart and lockheed martin.

 

horizon bcbsnj, newark nj                                                                                                       1999 - 2006
senior call center business analyst

       retained to direct daily telephone functions.

       key player in leadership/management of 53 clinical and non-clinical employees.

       developed methodologies improving service delivery times.

       spearheaded reporting/analysis tracking and trending for quality and call center operations.

       coordinated with cross-functional teams to improve organizational efficiencies.

       designated as liaison to it and bsd departments for assessment of phone systems and technologies.

       led quality review/education process for staff from entry level to sr. examiner including clinical/non-clinical staff, managed care and medicare businesses.

       directed quality staff to manage trends and track areas of call center educational opportunity.

       performed statistical reporting of utilization management data.

       advised senior management including directors, medical senior staff and vice presidents.

       recipient of employee of the quarter award for excellence.

 

 

earlier background

during 1991-1995, served as claims coordinator, tpa, fairlawn, nj. in this assignment, built outstanding account management, underwriting, research, investigative and benefits administration skill sets.

 

education

caldwell college, caldwell, nj   1977 - 1978

asu, tempe, az     1976 - 1977

 

yyyyyy x. yyyyyy                                                            0000 xxxxxx xxxx , xxxx , xxxxx 00000

(xxx-xxx-xxxx

                                                                                                                                               abc@xyz.com

 

 

 

cover letter text

 

date

 

 

 

hiring agent name

title

company name

address

city, state   zip code

 

dear                   :

 

i am currently seeking a challenging career opportunity in a project management assignment and am submitting my resume for your review.  in advance, i thank you for your time and consideration.

 

as demonstrated in the accompanying resume, my professional qualifications include over 17 years of successful operations/project background with national leaders in insurance and healthcare.  to complement this background, i possess demonstrated expertise in team building, quality, customer service, staff direction, process improvement, organizational performance assessment, cost control and account management, as well as strong analytical, problem-solving and administrative capabilities.  as an employee, you will find me to be an enthusiastic and disciplined team player, committed to supporting you in achieving your objectives through superior performance. 

 

i am confident that i could be a valuable asset, and look forward to interviewing with you in the near future to further discuss my areas of experience and expertise that would be a contribution to your organization.

 

 

 

 

sincerely,

 

 

 

 

 

yyyyyy x. yyyyyy

 

 

 

attachment

 

 

yyyyyy x. yyyyyy                                                            0000 xxxxxx xxxx , xxxx , xxxxx 00000

(xxx-xxx-xxxx

                                                                                                                                               abc@xyz.com

 

 

 

thank you letter text

 

 

date

 

contact name

company name

address

city/state/zip code

 

dear _______________________________:

 

i would like to thank you for providing me the opportunity to interview with you and discuss the exciting project management position currently available with your organization.  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 an enthusiastic, disciplined team player eager to continue a successful career as a dedicated member of your staff.  i believe you will find my dynamic management, coordination and communications skills vital to your operations and look forward to contributing to your success.

 

should you have any additional questions, or to discuss future employment opportunities, please feel free to contact me at your earliest convenience.  again, thank you for the enlightening interview.  i look forward to your response.

 

 

 

 

sincerely,

 

 

 

 

yyyyyy x. yyyyyy