Claims Operations Specialist Resume
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Chantilly, VirginiA
SUMMARY:
- I began my career in Telecommunications.
- With over 20 years of progressive experience in network analysis, effective troubleshooting and telecom technologies
- I am highly motivated and goal - oriented.
- My major strength is completing multi-faced tasks within a timely manner.
- I am skilled in customer interaction, loyal, dependable and willing to do whatever is needed to meet established goals.
PROFESSIONAL EXPERIENCE:
Confidential,Chantilly, Virginia
Claims Operations Specialist
Responsibilities:
- Act as a liaison between medical facilities and other insurance carriers to research and obtain pertinent information for claim resolution.
- Responsible for the coordination of EDI (Electronic Data Interchange) submissions for Confidential Virginia Workers Compensation claims.
- Research and reconcile EDI filing errors on Workers Compensation claims.
- Manage Cognos and StrataWare reports to ensure the timely payment of Workers Compensation bills.
- Process claim requests to support the Auto, Workers’ Compensation, and Property claim professionals.
- Utilize Metropolitan Reporting Bureau and ISO for claims investigations.
Confidential,Herndon,Virginia
Planner
Responsibilities:- Established and maintained relationships with the Public Safety Answer Points (PSAP’s) and industry specific agencies.
- Responsible for E 9-1-1 ticket resolution. Researched and resolved ANI/ALI errors, misrouted E 9-1-1 calls and ESN (Emergency Service Numbers) using Remedy and EvenTrak ticketing systems. Escalating to Tier 2 support for resolution when necessary.
- Researched improper 911call routing to determine root cause and implemented through the appropriate fix agent.
- Developed executive level reporting for CLEC (Competitive Local Exchange Carrier) business operations.
- Created 911 test plans and coordinated testing with PSAP’s and internal test group.
TN Analyst
Responsibilities:- Managed the telephone number (TN) inventory for Digital Phone products for all regions within Confidential footprint.
- Worked closely with CLEC partners to order telephone numbers for over 2100 rate centers.
- Developed and implemented action plans and tools to avoid total exhaustion of telephone number (TN) Inventory.
- Forecasted and ordered TN’s required to support the migration of Confidential to a CLEC, following NANPA (North America Numbering Plan Administration) guidelines. Tracked the inventory of telephone number blocks allocated to Confidential on a rate center basis and managed all associated action plans.
- Updated industry databases (NAS, PAS, NPAC, and LERG) to order, track and modify Confidential TN inventory.
- Worked with our AOCN (Telcordia) and Pooling Administrators to ensure all TWC inventory was accurately entered in the LERG.
- Filed semi-annual NRUF (Numbering Resource Utilization/Forecast) Report with NANPA.
Senior Help Desk Technician
Responsibilities:- Managed the DPOM (Digital Phone Order Management) Support User mailbox - Managed user access logins and responded to e-mails from the divisions regarding problems with DPOM application/system/service in a timely and accurate fashion.
- Generated trouble tickets for the resolution of DPOM provisioning issues utilizing the Remedy Ticketing system.
- Responded to inbound calls from all divisions regarding order flow processes and assisted in successfully provisioning digital phone customers. Provisioned feature change orders for the divisions using DPOM.
- Performed rate center changes for divisions upon request to match MSAG information (Master Street Address Guide).
- Acted as a liaison between the divisions, regions, LEC’s and CLEC to resolve provisioning issues and escalations.
Confidential, Sterling,Virginia
Help Desk Support Analyst
Responsibilities:- Supported the Wireless Number Portability/Local Number Portability customers on utilizing Nightfire Clearinghouse system to validate pending ported WLNP/LNP services and determined if wireless /wireline numbers were subject to porting.
- Assisted customers in provisioning LSR/ASR orders and resolved billing and E911issues.
- Provisioned and troubleshoot wireless companies domains as necessary to correct port in and port out transactions within Nightfire.
- Managed the designated Wireless Number Portability inbox for outages and issues. Escalated issues to the appropriate parties for immediate resolution using the Siebel Ticketing system.
Confidential, Sterling,Virginia
Operations Support Analyst
Responsibilities:- Managed and assigned Remedy tickets to Tier 2 Technical Support staff for SharePoint issues reported by customers.
- Resolved Tier 1 SharePoint issues for customers nationwide.
- Processed and distributed Executive level daily reports.
- Provisioned new users in Active Directory with customized TECOS program to utilize SharePoint.
Confidential, Herndon,Virginia
Service Order Associate I. Voice and Data Provisioner
Responsibilities:- Provisioned Voice and Data digital phone orders via Verizon GUI with a high level of accuracy and generated complete records of customers request in CSG billing system.
- Initiated and submitted LSR/ASR’s to the appropriate RBOC (Regional Bell Operating Company).
- Obtained Firm Order Commitment (FOC) dates
- Coordinated with RBOC LSR/ASR feedback through FOC acknowledgement and escalated orders as necessary to completion.
- Scheduled installation dates for new service and verified order information.
- Served as point of contact for various internal departments, Internal Support Representatives, Field Sales, Leasing Agents, Dispatch and Technicians to answer questions regarding orders. Tracked issues as necessary.
- Member of the NOP Training Team. Responsible for updating Methods and Procedures for Provisioning Southeast Region (GA,NC,FL,SC) Orders for the purpose of cross training.
