Manager Customer Service

Larry D. Jackson,

HIA, MHP

** ******** **** **. ******, GA 30157

H: 770-***-****, C: 214-***-****

www.linkedin.com/in/larrydonjackson

***************@*****.***

Manager, Supervisor, Account Mgmt, Team Lead

Dynamic, experienced, articulate, and savvy Manager/Supervisor, with years'

of experience in business initiatives; Capacity to reduce unnecessary

costs through a variety of methods; Expertise in lean management with

extensive scope of responsibility and proven track-record of delivering

optimal results; Exceptional judgment and memory for details with

developing process improvement; Strong contract negotiations skills;

Strong operational process improvement background through effective

tactical planning; Provide strategic claims system and adjudication

skills, management and leadership, and detail-oriented account management

expertise. Proficient in MS Word, Excel, Access, T-C Plus, Easwin,

HYPERprep.

Core Strengths

> Business Analytics

> Quality Assurance

> Change Management

> Project Coordination

> Communications

> Process Improvement

> Customer Service

> Cost/Benefit Analyses

> Operations Management

Professional Experience

Floor & Decor, Lombard, IL

2012 -2012

Supervisor of Customer Service

. Supervise employees performing inventory, cashier, telephone operations

and contractor assistance.

Hallmark Service Corporation, Naperville, IL

2005 -2011

Claims Investigator/Examiner (Membership Review/Risk Management Unit)

. Performed detailed reviews and investigations for claims filed on

individual health insurance policies for the states of TX, IL, NM and OK

for BCBS.

. Oversaw all medical record reviews, contacted providers on any noted

issues or concerns and successfully prepared all Underwriter filings,

verification of benefits, processing of claims per risk management

standards.

Regional Sales Director - Innovative Cost Solutions, Inc., Chicago, IL

2004 -2005

. Successfully marketed company services to TPA's, Reinsurance, Worker's

Compensation Companies, Fully Insured Insurance Companies, and Self-

Funded Groups; Metrics Management

. Performed all strategic negotiations on health claims cost, and oversaw

all Account Management policies.

. Provided leadership to 5 employees on customer follow-up and action

plans.

Membership Team Lead - UniCare/WellPoint, Plan, TX/Chicago, IL

2001 to 2004

. Provided key Account Management functions for membership and billing

processes for Group Health Insurance.

. Oversaw efficient and effective processing of more than 30 employees, and

processed monthly revenue and production reports. Also performed staff

assessments; Planner/Scheduling; Metrics Management.

. Assisted Sales, Account Mangers and business associates on any issues

that needed clarification.

. Collaborated with IT Department on system conversions, implementation

issues and testing.

. Key reconciliation of invoices, audits, AR processing, payment history

analyses, and collections.

. Provided key training and development initiatives for all new hires and

existing employees.

Early Career:

Manager/Compliance Analyst - Group Resources, Inc. / Tucker & Clark, Inc.,

Dallas, TX 1997 to 2001

Call Center Supervisor - Pioneer Financial Services, Irving, TX

1995 to 1997

Education / Certifications / Professional Training

B.B.A., Finance & Real Estate - Angelo State University, San Angelo, TX

American Health Insurance Plans Certifications: Health Insurance

Associate Managed Healthcare Professional

DeVry, Irving, TX - C+ programming, Computer Building - 3.5 GPA

Waubonsee Community College - SQL Syntax, Excel

Affiliations:

North Texas Investment Group Treasurer Gryphon Players Theatre Group Board

Member

ASU Student Senate Senator ASU's Finance/Real Estate Organization

President

Additional Pertinent Information:

Group Resources, Inc. / Tucker & Clark, Inc. May

1997 - May 2001

Dallas, TX

***Group Resources, Inc. of Atlanta, GA bought Tucker & Clark, Inc.

Manager / Compliance Analyst / Mailroom Supervisor / Accounting

Administrator

. Managed the repricing company named Benefit Negotiators, Inc. (later

changed to Premiere Negotiators, Inc. after the Tucker & Clark was sold).

. PPO network management for clients and reinsurance.

. Managed 13 claims repricers.

. Supervisor of mailroom operations for the Dallas location with staff of

6.

. Responsible for monthly and annual employee evaluations.

. Filed tax form 5500 and 990 for clients using Hyperprep software.

. Responsible for revenue and expense reporting using Excel.

. Negotiated contract prices with doctors and provider facilities.

. Interviewing, hiring, and dismissal of employees.

. Processed payroll for over 70 employees using Accpacc and ADP.

. Training and development of employees.

. Used Microsoft Word & Excel, Lotus, Access, T-C Plus, Easwin.

References:

Reference Name: Camille Smith

Reference Company: Hallmark, Inc.

Reference Title: Supervisor, Naperville, IL

Contact Information: 708-***-****,

*************@*******.***

Reference Name: Paul Nagpaul

Reference Company: UniCare/Wellpoint, and Floor & Decor

Reference Title: Supervisor

Contact Information: 630-***-****, ***********@*****.***

Reference Name: Clyde New (Former VP of Tucker & Clark)

Reference Company: Group & Pension

Reference Title: Director of Marketing

Contact Information: 972-***-****, ******@******.***

Reference Name: Liz O'Quin

Reference Company: Roberts & Crow

Reference Title: Sr. Account Manager

Contact Information: 972-***-****,

********@**************.***

Reference Name: Bobby Strickland

Reference Company: Cigna

Reference Title: Contract Manager

Contact Information: 903-***-****,

******.**********@*****.***

Reference Name: Sheila Santangelo

Reference Company: Brightwell Payments

Reference Title: Operations Team Lead

Contact Information: 404-***-****,

***********@******************.***

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