DANICA VELTRI-GLASS
**** ******** ******, *** **********, PA 15068
(C) 724-***-****
adwjcq@r.postjobfree.com
Objective:
To enter into a new career field and into a more stable future for my family. Experience:
March 2015 – Present
● Support cross-functional team members to meet or exceed quality and production standards
● Manage weekly inventory of approximately 3,000 – 5,000 adjustments
● Manage daily assignments of working claims inventory that average $10 million
● Implemented workflows/workarounds for claims processing that increase productivity
● Created training manuals implemented for training new team members
● Identify and participate in the training needs of team members
● Participate in the development/refinement of policies and procedures
● Process claims and/or adjustments in accordance with provider contracts
● Research and respond to both external and internal inquiries within 24 business hours
● Assume supervisory responsibility for extended periods of time in the absence of the supervisor
● Perform system demonstrations for prospective/existing clients
● Complete special projects as assigned
● Provide technical support to team members
● Assisted in CMS Audit sessions analyzing issues and corrective actions with Claims Directors TECHNICAL CLAIMS SPECIALIST, EVOLENT TEAM, UPMC
July 2014 – March 2015
● Managed multiple priorities according to designated standards
● Processed standard to complex adjustments (project reports, claim adjustment pends, corrected claims, CUT logs) according to designated standards, while meeting or exceeding production and quality goals
● Interacted with internal and external customers to resolve claim adjudication/adjustment issues
● Mentored new team members, training and reviewing guidelines of claims adjustment and processing
● Openly participated in team meetings, offering ideas and suggestions to ensure client satisfaction and promote teamwork
● Participated in and conducted training programs
● Processed standard to complex claims in accordance with company policy and procedures in a timely manner while meeting or exceeding production and quality goals
● Resolved outstanding items in accordance with designated standards
● Successfully completed special projects within designateddiscretion when serving guests alcoholic beverages to ensure their safety
BARTENDER, THE MEADOWS HARMAR
January 2000 – March 2009
● Interacted with customers and built lifelong
● Maintained a balanced cash drawer
● Worked closely with others as a team
● Helped organize banquets and parties
● Maintained the work area and kept it clean and organized Education:
DUQUESNE UNIVERSITY – Pittsburgh, PA
Forensic Science & Law
September 2006 – October 2007
ITT TECH- Pittsburgh, PA
Criminal Justice
August 2010 - June 2011
COMMUNITY COLLEGE OF ALLEGHENY COUNTY – Pittsburgh, PA General Studies
August 2001 – May 2002
VALLEY HIGH SCHOOL – New Kensington, PA
Graduation: June 2000
References available upon request