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Gessele - Process Management - Galt, CA, USA

Leslie Gessele

Galt, CA, USA

Services

Process Management

Summary:

Process Management. Benefit Analyst- Project Management, Customer Service, Call center

Work History

Sr. Business Analyst

Midlarge

From June 2007

Customer Operations:
Midlarge/ASO Custom new and renewing group Implementations~representing Customer service. Work with Managers, Supervisors, Acct & sales Managers, for a successful new and renewing group implementation. Assist Project Managers on many projects within Customer Ops. Attend the Legislative and Benefit Policy committee meetings. I represent Customer Operations on all Health Care reform projects. Operations.Achievements: On Project for New product Blue Groove. Created all process flows and Training materials for Customer Service, Working on the new groups- eBay Inc, Pomona USD, Forever 21, Trinet. Amongst other groups launched in past Implementations. Currently working on the Summary Benefits SBC project. Attended Lean Expert training and Project Management classes.

Business Analyst for Benefit Analytics

EDS

From June 2006

Maintain reports on production of benefit strings. Monthly reports. Pull IA business objects. Work with EDS to implement process improvements on benefit strings. Work with Sales & Account Managers making sure groups have the correct benefits.

Sr. Operations Specialist-Claims dept

SG & Midlarge

From January 2003

Handle IFP/SG & Midlarge new & renewing implementation, representing the claims dept. Handled all security, issues relating to MACs/Data Discrepancies, claims issues. Participated in DEO project. Participated in Active Choice balance forward project. Create test scenarios, & supervised team of processors to conduct UAT. Worked with BT&A issues. PCD's/PEC/Medicare. Worked on many projects~ reviewing Business requirements.

Various positions

Group & IFP

Up to January 2003

~Broker Service Customer service representative. Claims professional & hospital claims examiner.
Usually involved in special projects.

Qualifications & Certifications

Expert Excel

Lodi Career Center

San Joaquin Delta college

John F. Kennedy High School

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