yyyyyy x. yyyyyy
0000 xxxxxx xxxx , xxxx , xxxxx 00000 • (xxx-xxx-xxxx • firstname.lastname@example.org
results-focused business / administrative support professional eager to offer 9+ years of combined experience in provider data management, fraud investigations, claims resolution, treasury / finance, and customer service toward maximizing your company s success within a growth-oriented role.
profile of qualifications
integral leader who excels at interfacing among diverse clientele, c-level executives, business peers, and the public.
out-of-the-box thinker who plans, prioritizes, and manages tasks to maximize use of resources and meet goals.
ambitious self-starter who demonstrates superior attention-to-detail and sharp analytical abilities.
proficient in microsoft office, lotus notes, cosmos, ndb, and internet applications; types 40 wpm.
utilized broad scope of industry knowledge toward managing a high-volume database, including reporting and extracting data, initiating database improvements, and developing and maintaining key quality assurance standards.
expertly maintained current provider data to ensure network quality using excel and multiple computer systems.
led corrective activities to clean database and retain users while directing all multi-department communications.
strategically steered loan application processes by entering data into multiple systems, along with scheduling appointments; advising customers of approvals / denials; obtaining proof of income, payoff information, and automobile insurance information; and contacting diverse agencies to receive required customer documents.
accurately balanced general ledger accounts, and resolved complex loan application issues as required.
contributed sharp analytical abilities toward directing moderately complex investigations to protect bank from known or suspected internal / external criminal activities with a primary focus on money laundering and fraud schemes.
efficiently retrieved information and reviewed transactional activity using bank data systems, along with preparing investigative comprehensive reports and identifying patterns and trends in large quantities of companywide data.
collected data and compile documentation and evidence, and refer cases for criminal prosecution where appropriate.
built productive operations by inputting domestic / international wire transfers while ensuring accurate account management and liaising among key departments to guarantee client trades were settled and available for transfer.
balanced general ledgers and ach deposits to meet and / or exceed company daily deadlines, along with recognizing money laundering trends on domestic / international wires to maximize bottom-line performance.
demonstrated strong communication skills toward promptly responding to member and provider inquiries regarding benefits, eligibility, and claims resolutions for large self-insured group contracts, including corresponding with provider and insurer during enrollment processes and explaining benefits received to insurance customers.
coordinated efforts with additional insurance companies to resolve billing issues during dual insurance situations.
mentored new representatives and assisted client advocates with wide-ranging contract-specific projects.
handled up to 80 calls per day within a high-volume call center environment.
managed funds and accounts via in-house hospital general ledgers and bank transactions, including applying payments to patient accounts, generating bills and explanation of benefits for customers and providers, contacting insurance companies to verify co payments, obtaining and reviewing policies, and filing medical records and charts.
optimized treasury processes by running expense reports, overseeing petty cash, and handling up to $10,000 daily.
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