jessica claire 100 montgomery st 10th floor 555 4321000 resumesampleexamplecom professional summary quicklearning hardworking passionate integritydriven problem solver strong organizational interpersonal skills eager secure systems analyst position striving achieve goals greater impact premera skills willingness learn learns quickly excellent memory active listening critical thinking highly analytical strong focus work history 122019 current care management analyst dignity health folsom ca problem solving collaboration clear concise writing flexible adaptable fresh ideas ms office triage clinical appeals receipts analyze validate track data documentation received providers members identifying trends opportunities improve process efficiencies meeting compliance regulatory standards requirements manage clinical complaints appeals process compiling data preparing documents using leankit various applications within facets claims payment systems express scripts jiva client letter identifi aldera aim microsoft office adobe acrobat dc evaluate member eligibility information contracts benefits products authorization medical necessity determination rationale internal external reviewers thorough resolution complex account needs collaborate mentor support team members prioritizing handling specialized appeals research analyze cases provide recommendations solutions engage coworkers leaders achieving greater understanding development expertise 122009 112019 appeals specialist fep premera blue cross city state acted departmental resource using dynamic analysis exceptional problemsolving skills efficient resolution member appeals provider appeals congressional inquiries conducted careful interpretation data objectives ensure complete understanding complex member provider needs executing thoughtful determinations extensively communicated verbally writing members providers federal office personnel management health insurance organizations various internal departments including ihm pss payment policy hce finance siu qrr research resolve issues trained mentored evaluated provided continued support engaging team members facilitating success offering methodical concise approaches accurate complete analysis documentation performed inteam audits managed quality review determination responses rationale provided audit feedback developed maintained text blocks guidelines resources lean handling casework implementation various inteam procedures standards identified root causes system issues anomalies claims enrollment processing bridge facets fepdirect systems initiated improvements provided recommendations affecting processes implemented companywide nationally fep directors office collaborated business partners partners identify document refine business requirements functional requirements new system implementations used system tools extract data validation system requirements supported collaborated uat assist testing identifying issues developing solutions maintained 99 higher inteam audit accuracy 100 corporate audit accuracy 102008 112009 customer service representative fep premera blue cross city state delivered primary customer support members providers identifying accurately resolving benefits claims issues excellent interpersonal skills positive attitude exemplary attention detail performed extensive research using multiple systems resources quick thinking problemsolving skills provide optimal service callers thoughtfully composed questions creatively work anticipate future issues striving ensure onecall resolution adhered personal goals met premeras highest quality standards education coursework toward court reporting 20062008 green river community college auburn wa coursework toward court reporting 20052006 court reporting institute seattle seattle wa coursework toward ba business 19971998 boise state university boise id coursework toward ba psychology 19941997 university idaho moscow id