We provide IT Staff Augmentation Services!

Ppo & Aso Adjustment Specialist Resume

4.00/5 (Submit Your Rating)
Hire Now

Objective

Seeking a position in Human Resources where I can apply my professional experience and education.

Education  Bachelor of Arts in Human Resources  Bachelor of Arts in Spanish

Certification

Sitting for Professional in Human Resources (PHR) exam in 2010

Experience

PPO & ASO Adjustment Specialist
Confidential- San Antonio, TX March 2006 – May 2009

  • Process escalated PPO & ASO claims within a predefined deadline
  • Research, interpret policies, and procedures efficiently
  • Consolidate project results and provide findings to management
  • Work directly with claim managers to solve urgent issues and answer questions regarding processing claims
  • Locate required documentation for third party audits

Customer Service Representative
Confidential- San Antonio, TX June 2003 - March 2006

  • Provide support to members regarding their HMO benefits and billing
  • Served as a mentor in the mentor program, which consisted of coaching and training new associates in all facets of the job function
Skills
  • Highly proficient in MS Office- Word, Excel, Power Point, and Access
  • Excellent interpersonal skills
  • Ability to work independently without supervision
  • Able to multi-task, incorporating time management skills
  • Capable of communicating effectively, both orally and in writing
  • Detailed knowledge of PPO, ASO, and HMO benefits
Professional Memberships
  • Student member of San Antonio Human Resources Management Association (SAHRMA)
  • SAHRMA Mentee
  • Member of The National Society of Leadership and Success

Hire Now
Report an issue

We'd love your feedback!

Privacy Policy
Resume Categories
Client Services
Job Seekers
Visa Sponsorship