SUMMARY:

• Confidential has three plus years with Confidential beginning in Richmond Hill, Canada in 2010 and continuing in confidential.
• Previous to Home Depot, Confidential spent six years with Confidential of New Jersey starting as a telephone representative and ending in Sales. Confidential has well - developed interpersonal and communication skills cultivated through extensive service to a diversity of internal and external clients, works well with staff members, and managing projects.
• Confidential is self - motivated and able to stay detail oriented in a high-stress and fast paced atmosphere. Confidential is able to adapt easily to new concepts, responsibilities, and changing priorities.

TECHNICAL SKILLS:

Proficient data entry, Microsoft Word, Excel, Access, PowerPoint, Exceptional organizational, written and oral communication skills, human relations, analytical, writing, telephone, QNXT, ICD-9, CPT-4, fax and PC skills. Enthusiastic and can adapt quickly to new environments. Window applications, CICS, NASCO (applications: HIQK, HRGK, EEC, GMIS, HQAK FDE, HRRK, HZMK, ITSK, and TPOL), CIRRUS, Terminal Server, Novell, BCL, MeDecision authorization systems, HPA, UCSW, UPS, NMS, SARS, PIBA, HSII, ERISCO, Lotus Notes, medical terminology. Strong project development skills.

PROFESSIONAL EXPERIENCE:

Confidential

Department Supervisor

Responsibilities:

• Oversee day to day and week to week operations of Flooring and Lumber.
• Delegates IOW report, No Homes report, Out of Stock report to associates in accordance with newly implemented Shrink Plan on a weekly basis.
• Orders merchandise on a weekly basis to assure merchandise stock is within parameters of inventory dollars allowed.
• Coordinates weekly signage implementation with respect to current promotions.
• Works in conjunction with the Store Manager and Assistant Store Managers in inventory control for Flooring and Lumber.

Confidential

Sales Specialist

Responsibilities:

• Customer service and special ordering merchandise and installations.
• Day to day shelf and bay maintenance from ceiling tiles, throughout the ceramic aisle and back-wall of hardwood and laminate into the carpet aisle and continuing through shelving and organization.
• Create measures for carpet, ceramic tile and hard wood installations and following up with those customers to assure project completion.
• Became a specialist after 4 months of floor work.
• Have received 17 Homer s to date including 2 Bronze, 2 Silver, 1 Gold and 1 Platinum, the Watch for Platinum winners as well as the Flooring All - Star .

Confidential

Account Manager/Recruiter

Responsibilities:

• Made cold calls to prospective candidates in order to match them to our clients needs.
• Extracted candidates resumes from employment search engines such as Workopolis.ca and Monster.ca
• Set up interviews with prospective candidates to prepare them for interviews with our clients.
• Created and maintained candidate’s files regarding talents, expertise and desired positions to interview for.

Confidential

Senior Account Consultant

Responsibilities:

• In house administration of Account Manager’s book of business, which consisted of 36 large groups (100 employees or greater).
• Handled inquiries from group benefits administrators as well as brokers regarding denied claims inquiries.
• Initiated paperwork for the implementation of new groups and members into the system.
• Followed up via telephone call and email with the Implementation area, Benefits area and Underwriting to ensure new groups information was correctly and efficiently loaded into system .

Senior Business Analyst

Confidential

Responsibilities:

• Product implementation, model office testing, system analysis, conversion, and configuration, project management, including creating timelines to establish dates/deadlines.
• Maintain daily operations systemic production issues and identify trends. Recruited for implementation of QNXT software and claims conversion of current PPO, HMO, CMM, Medallion, Traditional and Medicare lines of business processed on BCL (legacy) system.
• Responsible for testing of code upgrades and fixes to production claim issues, identifying anomalies and entering product enhancement requests from outside vendors.
• Responsible for functional testing, regression testing and conducting User Acceptance Testing.
• Responsible for gathering and documenting user business requirements and translating to technical requirements for the coding of scripts and/or product enhancement requests.
• Performed negative test cases to note any changes to current functionality.
• Initiate process improvements; develop policies and procedures, document workflows and desk-levels.
• Articulate high-level and/or detailed business requirements for product enhancement requests and for the coding of multiple scripts to be applied to various systems.

Technical Environment; Windows XP Operating System, BIZTALK, .NET as well as HIPAA protocols 834, 837 and 267.

Confidential

Business Analyst

Responsibilities:

• Performs necessary analysis to resolve system issues and make recommendations for viable solutions, including temporary workarounds.
• Assists in the implementation of new business, products, and contracts through review of system files and benefits testing.
• Responsible for completing, testing and validating test scenarios, system authorizations, troubleshooting issues and QNXT configuration.
• Creates and maintains testing dashboards and issue logs for production and development issues.
• Participated in different areas within the Confidential: Model Office, Reporting and Letters (Crystal Reports), CIRRUS to run report (Recovery) and ITS (Inter-plan Teleprocessing System).

Technical Environment; Windows XP Operating System, BIZTALK, .NET as well as HIPAA protocols 834, 837 and 267.

Confidential

Telephone representative

Responsibilities:

• Liaison for all facility/institutional providers that render services for Indemnity, Managed Care and Government subscribers.
• Assisted in the resolution of issues, provider network, financial transactions, enrollment and claims processing and educated providers regarding benefits,
• Performed investigation, systemic documentation and follow-up on all telephone and correspondence inquiries.
• Performed investigation on all nine claims, benefit and subscriber information systems.
• Pulled payment vouchers for all institutions and facilities requesting recorded history of payment Accounts Receivables.

Technical Environment; BCL, ERISCO, HSII, UCSW, EDI, FSCR, NMS, SARS and NASCO.