Process Solutions Analyst Sample Resume Format in Word Free Download -->

Process Solutions Analyst Sample Resume Format in Word Free Download

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Sofia Gee
sofia@yahoo.com
309 West Crane Street
Rossville, GA30001
(423) 903-9874

SUMMARY OF QUALIFICATIONS

§  Expertise in Microsoft Word, Access, Excel, and PowerPoint
§  Extensive knowledge of the Facets system-customer service and claims
§  Exceptional problem solving and analytical skills
§  Project Management and leadership experience
§  Experience in design, development, and delivery of training material

 

PROFESSIONAL EXPERIENCE


Process Solutions Analyst I – Business Analytics and Relationships      2011 – present
BlueCross BlueShield of Tennessee

§  Work independently as a project leader, ensuring timely completion of required deliverables
§  Analyze business situations and translate into specific requirements by preparing support requests, feasibility studies, and recommendations
§  Coordinate efforts between end users and systems and configuration/programming personnel
§  Provider general guidance and technical assistance to end-users
§  Plan, coordinate, and/or conduct Facets system acceptance testing
§  Ensure smooth system development, enhancement, and implementation activities
§  Maintain positive communications and relationships between users and system configuration personnel
§  Determine root causes of problems and proactively initiate steps to prevent future problems
§  Remain current with many business functions and needs, and serve as configuration representative to prospective project teams
§  Devise training materials, train users, and monitor training efficiency to ensure effective user understanding of the system

Quality Analyst- Business Testing                                                                 2009 – 2011
BlueCross BlueShield of Tennessee

§  Verify correct product configuration for claims and customer service for medical plans in Facets
§  Develop and execute test plans, test scripts and identify and coordinate problem resolutions
§  Prepares and runs database queries to help identify system issues through Access as requested by management
§  Work independently to respond and report to management on system issues on a timely basis
§  Build and maintain excellent working relationships with peers in configuration and support areas, which requires effective problem solving and communication skills

Learning Facilitator – Training & Development                                           2006 - 2009
BlueCross BlueShield of Tennessee

§  Design, develop, and deliver training for Facets medical and dentalclaims and customer service
§  Analyze performance data after each class to identify problem areas and error trends and offer solutions for corrective actions
§  Test Facets enhancements to ensure training material effectiveness
§  Supervised the daily work performance and activities of employees
§  Monitor and review trainee telephone inquiry audits according to divisional quality guidelines
§  Conduct counseling sessions with employeesin relation to work performance and corporate policies, completing related documentation as necessary
§  Interview external candidates for customer service and claims positions
§  Assist and cross-train other facilitators when needed
§  Build and maintain excellent working relationships with peers in support areas

COBRA Exception Technician                                                                          2004-2006         
BlueCross BlueShield of Tennessee

§  Handled member, broker, and group inquiries regarding membership and COBRA coverage
§  Interpreted and enforced current COBRA federal guidelines
§  Updated and maintained member eligibility in Facets
§  Researched and reconciled monthly group billing

Customer Service Representative                                                                 2002-2004
BlueCross BlueShield of Tennessee

§  Researched and answered member and provider inquiries regarding policy information
§  Made claims and customer service decisions
§  Met established weekly/monthly department productivity and accuracy goals


EDUCATION

Covenant College                                                                         2004
Bachelor of Science- Organizational Management

DaltonState College                                                                     1998
Associate of Arts- General Studies


COMPUTER SKILLS

§  Microsoft Word, Access, Excel, PowerPoint
§  Facets
§  Training Software :
-       SnagIt
-       Camtasia
-       Articulate – Quizmaker, Engage, and Presenter
§  Work Force Manager
§  Ultra (call monitoring)
§  Imaging Suite


ADDITIONAL TRAINING

§  Certification- TriZetto Facets
§  Lean Six Sigma- Yellow Belt
§  7 Habits of Highly Effective People
§  Coaching to Maximize Performance
§  Communication Skills for Effective Leadership
§  Critical Management Skills
§  Battlefield Leadership Seminar


REFERENCES   

Available Upon Request


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About Author of the Website:

Neetu Singh is the founder of Resume Formats .Neetu Singh holds an Engineering degree in Computer Science with MBA Degree in Finance and Human Resource (HR). Currently she is running a Global Manpower Consultancy. Contact Her Here

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