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

(xxx-xxx-xxxx

abc@xyz.com

objective

operations and administrative professional with expertise in healthcare insurance, benefits administration, policy development and human resource management, eager to contribute toward defining, integrating and launching innovative reliability/productivity solutions.

career profile

ø  b.s. degree.

ø  over five years experience in all phases of administration, operations and client relations.

ø  record of progression to assignments of increasing authority and responsibility.

ø  career built with national leader in health insurance.

ø  demonstrated competence in accurately determining corporate liability.

ø  outstanding team leadership and customer relations skill sets.

ø  notable writing, communication and presentation abilities.

ø  adept in management/supervision, personnel training and meeting professional standards.

ø  proficient in advanced business software applications and equipment.

ø  knowledgeable in attaining organizational objectives on a consistent basis.

ø  well-organized multi-tasker with exceptional interpersonal skills.

ø  expertise in policy/procedure development and implementation.

ø  selected for critical corporate projects.

ø  award-winning poet.

 

professional experience

humana, louisville, ky                                                                                                     2003 - present

ky medicare grievance and appeals specialist (2006-present)

       promoted to analyze/process policies related to claims events to determine extent of company liability.

       followed guide lines of center of medicare/ medicaid services.

 

medicare plan load specialist ((2005-2006)

       advanced to load humana medicare plans into databases to achieve correct claims processing.

       customized items according to member medicare-specific plans.

       effectively deducted/tracked correct deductible, applied proper coinsurance and set computers to pay claim without an adjudicator to humana negotiated rate.

 

commercial coordination of benefits specialist (2004-2005)

       tasked with diverse benefits administration responsibilities.

 

comercial claims specialist (2003-2004)

       recruited to perform claims adjustment for health insurance claims.

 

education

university of louisville, louisville, ky

bachelor of science, justice administration, 2002

atherton on microsoft office, 2006

career highlights

edits choice award international library of poetry, 2007

poem published in book, forever spoken.

 

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 an operations/administrative capacity 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 a b.s. degree and over five years of successful experience with a national leader in healthcare.  to complement this background, i possess demonstrated expertise in office operations, policy/procedures, customer relations and risk management.  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 to your firm, 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

 

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