Customer Service Data Analyst

**** ****** *****, *******, ** ***** 407-***-**** adf6w5@r.postjobfree.com

KEY QUALIFICATIONS

• 15 Years of experience in the Health Care Industry

• Over 2 years of experience in the Mortgage Industry

• Proven committed to Customer Service satisfaction

• Successful implementation of Quality standards

• Proficient in MS Office applications

• State of Florida Licensed Notary Public

PROFESSIONAL EXPERIENCE

ABM Aviation Document Control/Quality Control 2017-2020

• 100% consistent compliance with company and client Document Control standards

• Catering Production Quality Control compliance for 5 different Aircraft type

• Training, development and skills inventory tracking of production employees

• Communication with client at different levels of the organizational structure.

• Development of implementation for new production requirements and specs

• Providing changes and updates to the Fleet Teams to insure correct product placement

• Auditing product staged on the dock prior to transport to the Airport Operating Area Seminole Country Schools Food Service Assistant 2015-2017

• Responsible for serving meals to children, teachers and visitors

• Prepared breakfast and lunch according to meal schedule

• Maintained kitchen and serving lines clean and up to health code standards

• Stocked drinks, utensils and others supplies

Digital Risk Forensic Verification Analyst 2013-2014

• Reviewed loan files and re-verified all information in order to validate the accuracy of pertinent documents in loan file.

• Reviewed state and federal disclosures for compliance

• Perform in-depth research to document critical credit documentation is accurate (income, employment, occupancy, credit, assets, valuation, contract, HUD-1, interested party involvement)

• Reviewed title commitments and policies

• Claims and Property Foreclosures

Blue Cross Blue Shield of Florida Analyst II 2012-2013

• Ensure accurate and timely research, critical issue resolution, and loading of providers data, contracts and network programs

• Identify targeted provided and resolve discrepancies, selection, preparation and execution of provider contracts

• Conduct assessment and determine proper set up of the new contract within PIP, PCM, NST and Diamond systems

• Coordinate resolution of load, business and pricing rule issues with established contract points throughout the corporation

• Ensure proper supporting documentation is defined and maintained on file for all load processes

• Call Center – in-bound and out-bound

Independent Mortgage and Associates Assistant Loan Process 2010-Present

• Review mortgage contracts originated by loan officers and make sure they are packaged and processed accurately and in a timely manner

• Consult with applicants upfront to determine their mortgage needs and provide advice to help determine which mortgage program is applicable

• Assist clients with the completion of the application and collect all documents to accompany application – Call Center/Customer Service

• Verified all supported documentation is current

• Resolve any issues that arise after submission

• Experience with Conforming Loans: Conventional and Non-Conventional, Government: FHA and VA Wells Fargo Loan Servicing Specialist III 2011-2012

• Responded to written and phone inquiries from customers, title companies and internal personnel loans

• Reviewed CIP and CAP files (1st and 2nd Level) and evaluate if they were processed in accordance with HAMP and Proprietary Modification

• Perform In depth review of closed mortgages to ensure compliance with State and Federal Laws

• Claims and Property Foreclosures

Health First of NY Claims Service Representative 2007-2010

• Researched incorrectly paid claims and determine action plan to correct

• Interpret benefits processing of adjustments

• Respond to phone inquiries regarding plan benefits, claim payments and provider information

• Identify trends from provider inquiries and recommend solutions to reduce all volume-Customer Service United Healthcare Cost Recovery Analyst 2002-2007

• Process accounting adjustments, analyze data, identify trends, determine root causes and provide reports to claims team

• Manually load Primary Care, Specialists and Ancillary contracts United Healthcare Data Analyst Specialist 1994-2001

• Loaded Provider Contracts for processing and evaluation

• Reviewed and evaluated claims for payment

• Answered customer and provider calls in a timely manner – Customer Service EDUCATION

• Medical Coding and Billing Seminole State College 2014 – 2015

• Liberal Arts Hillsborough Community College 1985-1989

• High School Diploma Leon King HS 1984

References Available upon Request

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