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Process Management. Benefit Analyst- Project Management, Customer Service, Call center
Sr. Business Analyst
From June 2007
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
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.
Group & IFP
Up to January 2003
~Broker Service Customer service representative. Claims professional & hospital claims examiner.
Usually involved in special projects.
Qualifications & Certifications
Lodi Career Center
San Joaquin Delta college
John F. Kennedy High School
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