Claim Research Analyst - Blue Cross Blue Shield of Alabama - Birmingham, AL
(2024-02)
- Prepared detailed reports summarizing research findings and recommendations for further action.
- Conducted in-depth qualitative and quantitative research to identify trends and generate insights.
- Collaborated with cross-functional teams to generate relevant insights from diverse datasets.
- Streamlined internal workflows by automating data collection, analysis, and reporting tasks.
- Optimized research methodologies through continuous improvement initiatives, enhancing overall process efficiency.
- Interpreted data and made recommendations from findings.
- Created and maintained database to store research data.
- Analyzed large volume of data to identify patterns, trends and correlations.
- Increased client satisfaction by providing customized research solutions tailored to their unique business needs.
- Processed according to business regulation, internal standards, and processing guidelines.
- Inquiries are resolved within accuracy and timeliness goals, specific to customer contract agreements.
- Perform an analysis of the claim and make necessary updates that may include recalculation of benefits for previously processed claims to determine the correct order of benefits for payment to be made by the applicable plan.
- Reject, redirect misrouted, or ask clarifying questions when information is incomplete or inaccurate to ensure timely processing as outlined by service level agreement goals.
Loan Technician - United States Department of Agriculture - Birmingham, Alabama
(2022-06 - 2024-02)
- Serves as a primary representative providing technical information, assistance and guidance to applicants for purchasing and repair homes, borrowers, and lenders, concerning eligibility and other requirements for loans, grants, and/or loan guarantee programs administered by RD
- Reviews and analyzes various loan/grant-servicing and related documents, forms and materials submitted for adequacy, completeness, accuracy of information, and conformity to established procedures and requirements
- Prepares loan documents and notifies attorney within 10 days of receipt of paperwork from loan specialist
- Maintains all automated RD program and monitoring systems as assigned to ensure that data entries are complete, accurate, and in compliance with guidelines
- Prepares and reviews closing related documents to ensure adequacy, completeness, accuracy of information, and to ensure conditions are met in advance of closing
- Prepares 504 loans and grants that do not require title work, closing will be held within 15 days of receipt
Office Automation - United States Small Business Administration - Birmingham, Alabama
(2012-06 - 2022-06)
- Performs routine clerical functions such as phone coverage, mail, monitoring supplies, timekeeping duties, etc.
- Uses database and spreadsheet software to enter, revise, sort, and retrieve data pertaining to the appropriate department
- Responds to callers and visitors or refers to appropriate staff member
- Compiles information for administrative and recurring technical reports
- Reviews and routes incoming/outgoing correspondence to designated office
- Distributes incoming mail accordingly
- Ability to plan, organize and prioritize work effectively and work independently and as part of a team
- Assisted the collateral office with labeling, filing, and pulling of collateral files
- Logged into the phone system to answer and make payment to the borrower regarding their disaster loan
- Entered checks into the field cashier system to be processed
- Prepared and shipped files to Federal Record Center.
