Supervisor Claims Eligibility - Insurance Resume Search
Supervisor Claims Eligibility - Insurance Resume Search
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Supervisor Claims/Eligibility Resume


Desired Industry: Insurance SpiderID: 6417
Desired Job Location: Baltimore, Maryland Date Posted: 4/6/2006
Type of Position: Full-Time Permanent Availability Date: 5/8//06
Desired Wage: 45,0000
U.S. Work Authorization: Yes
Job Level: Management (Manager, Director) Willing to Travel: Yes, Less Than 25%
Highest Degree Attained: Other Willing to Relocate: No


Objective:
Over 10 years experience in management capacity in the health insurance industry, including several phases of the administration and adjudication practices associated with Federal Employees Health Benefit Plans (FEHB).



Experience:
Coventry/First Health/ Claims Administration Corporation 1987-present

Eligibility Supervisor/Supervisor Service Operations 1999-present

·Supervise and organize a team with cross-functional duties and responsibilities including eligibility and reconciliation.
·Oversee the maintenance of accurate member files for enrollment and eligibility for over 300, 000 members.
·Maintain excellent customer relationship with over 200 Federal Agencies and the United States Postal Services as well as internal department within the organization.
·Represent the department on all project teams.
·Independently examine and analyze the team’s performance against measured goals: demonstrate ownership of all team results: recommend and lead the implementation of action plans to improve individual and team service level.

Operations Team Leader 1995-1999

·Project specialist for front-end operation to three National locations for implementation while managing a team of 30 members.
·Developed the expertise of the team members to meet daily goals and acceptable quality statistics.
·Conducted semi-annual reviews, addressed performance issues, evaluated promotability of staff and implemented corporate policies.
·Provided leadership and conducted the daily operation of 30-35 employees with varying job functions.
·Consistently met and exceeded corporate goals with good or better quality statistics.
·Tracked daily productivity statistics and rolled up figures for corporate reports.

Supervisor, Document Preparation, Mail –In and Mail Out 1988-1999

·Managed all incoming and outgoing insurance correspondences including claims, checks, eligibility documents.
Venris Mitchell Perry Page 2

·Supervised colleagues to sort and scan documents for imaging.
·Oversee check cutting and disbursement process.
·Prepared and implemented departmental workflow policies and procedures.
·Conducted interviewing and selection process for new employees.
·Completed written performance review, counseling sessions and maintained attendance and payroll records for employees.
·Completed production and departmental statistical reports.






Education:
Education
University of the West Indies
Certification in Social Work


Skills:
Microsoft Word
Microsoft ExcelProfessional Development
Blanchard’s Situational Leadership
Management Development
Interpersonal Problem Solving
PROGRESS – Customer Focused Quality Teams


Reference:
References willbe furnished upon request.


Candidate Contact Information:
Name: Venris Mitchell Perry
Street: Phone: 301-731-3450
City: Bowie Fax: 301-731-3450
State: Maryland
Zip: 20720
Web Site:


    



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