Management/ Healthcare Resume

Desired Industry: Healthcare	SpiderID: 7097
Desired Job Location: New York, New York	Date Posted: 5/25/2006
Type of Position: Full-Time Permanent	Availability Date: 05/25/06
Desired Wage: 45,000.00
	U.S. Work Authorization: Yes
Job Level: Experienced with over 2 years experience	Willing to Travel:
Highest Degree Attained: Other	Willing to Relocate: Yes

Objective:
An interesting position with a growing company

Experience:

HORIZON BLUE CROSS BLUE SHIELD OF NJ NEWARK, NJ
INSTITUTIONAL CLAIM AND CORRESPONDENCE SPECIALIST 2000 to 2006
· Reviewed settled insurance claims to determine that payments and settlements had been made in accordance with company practices and procedures.
· Adjudicated claims for the benefits offered under governmental social insurance program.
· Programs included unemployed, retired and disabled workers and veteran
· Evaluated the data on claim applications, birth and death certificates, physician's statements, employer's records and vocational evaluation reports.
· Interviewed and corresponded with claimants and agents to elicit information, correct errors and omissions on claim forms.
· Investigated questionable data.
· Authorized payment of valid claims and notified claimant of denied claim and appeal rights.
· Reevaluated evidence and procured additional information in connection with claims under appeal.
· Re-analyzed cases requiring investigation of claimant's continuing eligibility for benefits.
· Prepared written reports of findings.

KIDS FOOTLOCKER WOODBRIDGE, NJ
ASSISTANT MANAGER 1998 to 2000
· Supervised staff to accomplish goals and prepared schedules.
· Interacted with customers in purchase of merchandise.
· Balanced daily cash receipts and disbursements.
· Received and resolved customer inquiries and complaints.
· Performed multiple tasks .
· Analyzed marketing potential of new and existing store locations and recommended additional sites and deletion of existing area stores.

JOHNSON & JOHNSON WARREN, NJ
LAB TECHNICIAN 1996 to 1997
· Assembled, tested and troubleshot angioplasty equipment.
· Analyzed problems that caused operational delays.
· Performed multiple tasks.

FEDERAL EXPRESS CORPORATION NEWARK, NJ
CUSTOMER SERVICE 1993 to 1996
· Interacted effectively with customers.
· Handled questions and problems effectively.
· Suggested merchandise displays that increased sales.
· Executed daily operations of handling and picking up packages.
· Analyzed marketing potential of new and existing store locations and recommended additional sites and deletion of existing area stores.

U S ARMY QUEENS, NY
JR NCO/ SUBSISTENCE SUPPLY SPECIALIST 1989 to 1994
· Maintained inventory of food supply.
· Produced reports showing all financial and inventory detail including accounts payable and receivable.

Education:
SAINT PETER'S COLLEGE JERSEY CITY
ASSOCIATE OF SCIENCE IN BUSINESS MANAGEMENT
· Pursuing a degree in Business Management.
· Maintained a 3.0 grade point average while working 40 hours per week.
· Degree expected 2008.

THE CHUBB INSTITUTE JERSEY CITY, NJ
DIPLOMA IN COMPUTER PROGRAMMING 1999
· Earned above average grades while working part-time and participating in campus activities.
· Area of concentration: Computer Programming.

UNION COUNTY COLLEGE CRANFORD, NJ
COMPUTER SCIENCE

Reference:

Available upon request

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