EXECUTIVE SUMMARY

Cherae D. Barrett

**** *. ***** **.

Olympia Fields, IL 60461

ux49xv@r.postjobfree.com

312-***-****

EDUCATION:

Undergraduate certified classes:

Word Processing, & Business Administration

Joliet Junior College - Joliet, IL

Business Management Program

Empress Casino - Joliet, IL

Real Estate Course

Real Estate Education Company

Chicago, IL

Academy for Advanced Learning

Insurance Pre-License Education

Schaumburg, IL

Licensed: Accident/Health & Life

SUMMARY of PERTINENT SKILLS:

Office Works, DOS, Windows 3.0, Windows 95, Windows 98, Word Perfect 5/6, Microsoft Office 95 & above operating system/software thru Windows XP, Microsoft Office 97, Windows NT & 2000, Windows 7, Vista, Office Products: Word, Excel, Access, Power Point, Outlook,

Auditing systems & software used:

Infinity, NICE, Witness & E-Witness, Liberty, Call Care Browser, UCAT, E-Monitoring, Q-finiti

Mainframes used:

IBM Mainframe, RUS, STAR, WGS 2.0, AS400, ISSI, Familiar with (LSI, CCI, EDT, LGS),

Windows based: MaG - Matis Global, SIA

Pertinent industry skills:

ICD-9 & CPT Codes, Knowledge of NAIC/NBA/SBA regulations, HIPAA laws, Sarbanes & Oxley, 10+ years medical insurance claim payer, State Licensed: Accident/Health & Life Insurance

Day Trade stocks & options with knowledge of various broker strategies.

Cherae D. Barrett Page 2. Cont.

SELECTED PROFESSIONAL EXPERIENCE:

AXA-Assistance – Auditor June-2007 – Sept 2010

Hired as Auditor for medical claim payment in hold status utilizing Claim Audit tool(s) according to established processing & audit procedures. Duties include audit high dollar claims according to established processing and audit requirements. Audit PPO & TPA accounts for accuracy as needed. Provide detailed reporting of audit findings to Quality Control while the role must serve as a reporter of fact(s). Identify trends in audit errors and training opportunities and reports to assigned respective Managers. Prepare Examiner appeals for committee review, including additional Auditor(s) opinion, as needed. Participate in audit calibration session(s). Providing feedback to staff on audit related issues. Work as a catalyst, an interface between different groups. Wrote & completed Quality Control Claim Audit Policy, and implemented improved evaluation forms, new rebuttal process, responsible for communicating and informing documented system issues, error trends, translated foreign medical claims. Provide consultation on needed preparation for compliance regulations for external audit. Meet regularly with Sr. Management to update and inform staff of implementing corporate standards to apply internally. Identified and found claim training tool resource for the company. Introduced the Claim Training on-line tool for the Training Department. July 2009 began working as Claim Process Improvement Project Manager, most recently worked as consulting auditor as of 01/01/2010.

United Insurance Group – Licensed Agent Rep.

Burr Ridge, IL September 2006 – Jan 07

Senior Specialty markets offering Medicare Advantage, Medicare Prescription Drug Plans, Med Supplements, Long Term Care, Annuities, and Life products.

Certified Medicare Advantage plans training received from Humana Insurance of Oakbrook, Illinois.

A Wellpoint Company

Unicare Insurance – Auditor II Bolingbrook, IL April 2000 – Aug 2005

Hired in April 2000 to process claims for second shift as a Claims Associate III. Processed approximately 900 claims per week. Also trained on keying claims from UB-92s and HICFAs into RUSS Mainframe for overtime hours; also worked on Appeals for Claim Denials and Additional Benefits. As of July 2000 second shift was eliminated in order to assist the Customer Service unit during the first shift. Daily projects were: to coordinate and adjust claims for the state of Texas from our Provider Relations units in Plano and Houston, Texas, answer and resolve Management and Supervisor calls and complaints, train newly hired Claims Associates, and answer and assist customer service on issues of reconsideration of claims, etc.

Promoted in Feb/2001 to Quality Auditor II. Responsibilities include: auditing customer service calls for technical accuracy and soft skills quality, and auditing of claims for accuracy. Provide on-going and meaningful feedback to operational units. Make recommendations and identify specific training needs. Develop relationships with respective associate, supervisor, manager, or supporting area. Discuss results with representative and/or supervisor/manager.

Customers serviced: Individual & Small Group Client Services for benefits and claims, Small Group Underwriting, Small Group Membership.

Cherae D. Barrett Page 3. Cont.

Review live and recorded phone and input of data in system for accuracy. Compare EOC / Benefit Agreements with the benefits displayed on line for accuracy. Audit Unicare Individual & Small Group inquiries. Provides MBU with error analysis, recommends improvements to prevent errors, presents quality improvement / best practices to MBU unit and Quality Circle meetings. Ensures incoming calls are compliant with HIPAA laws and regulations. Make recommendations for additional training needs. Documents errors, analyze trends and prepares reports to management using Excel and Word. Prepare other related activities as required. Auditing customer service calls for technical accuracy and soft skills quality, and auditing of claims for accuracy. Make recommendations and identify specific training needs. Develop relationship with respective managers, supervisor, associate and other support areas. Discuss results with representative and supervisors. I was last responsible for integration and implementation within the Bolingbrook office of new guidelines to mirror offices across country, also responsible for prepping spreadsheets and databases for corporate goal Operation Performance Metrics. Assist auditing external vendor through monitoring of live and prerecorded using Witness/equality Balance R6.

EYE II EYE, Inc. - Account Executive South Holland, IL January 1999-April 02’

Provided advanced consulting services with the following responsibilities: manage all personnel/consultant records, promote outside sales to potential vendors or clients, provide public advertising and marketing, create company brochures and letterhead, and develop projects.

I assisted with the purchase of corporate literature and products. Provided Project Management over various deals and contracts and made several contacts by making appointments with future clients. While marketing with clients and vendors I negotiated for consultant rates, as well as,

the percentage of our agency fee for placement of service. Determined some facts of the actual agreed contract then create and re-wrote legal contracts. Provide contract recruiting for technical personnel into job placements outside the company.

Empress Casino - Credit Executive/Executive Host Joliet, IL & Hammond, IN

February 1993 – December 1998

From 1993 to 1998, I began in Joliet as a Credit Operator. I was promoted to Concierge Club Supervisor, to Casino Host, and then into a Credit Executive/Executive Host position. I encompassed a great deal of responsibilities with the later position at the Majestic Star Casino in Gary, Indiana. My duties included: generating a minimum of $100,000.00 in revenue, approving and establishing lines of credit in access of $10,000.00 for new and existing customers, reviewing credit files, closing defaulted credit lines, making collection calls and interacting with other internal departments. I provided services to the Marketing Department as an Executive Host planning and developing new strategies and advertisements to retain a certain level of Casino player as a satisfied customer. I provided means of entertainment by way of invite to elaborately planned parties, pro-basketball games, dinners, shows, and usually provided limousine transportation to and from events. Normally hosting the event or gala, I would personally take customers to many events. Prior to this position I supervised and co-managed 49 Concierge Club Representatives, providing training, auditing, and evaluations. As a Credit Operator I learned all credit procedures and terminology for the processing of credit applications, as well as how-to deal with customers face-to-face and on a one-on-one basis; later preparing me for credit approval.

Cherae D. Barrett Page 4. Cont.

Travelers Insurance – Benefits Specialist Naperville & Matteson, IL 1988-1993

Career began with Travelers Insurance in 1988 as an Auto Insurance Policy Rater. There I balanced and calculated figures for homeowner and auto insurance premiums. Later in 1990, I worked with Mass Mutual Insurance of Matteson, Illinois as a Medical Claims Adjustor reviewing and paying approximately 400 medical claims a week; communicating directly with over 500 insurers per month in the accurate and timely resolution of their billing problems. I worked with Mass Mutual for one year, then returned to Travelers Insurance when offered the position of Claims Examiner, of later promoting to the position of Benefits Specialist for the Coordination of Benefits area investigating fraudulent claims. Worked with The Travelers Insurance for a total of (5) five years. My duties included many of the same as a Medical Claims Adjustor concentrating on Managed Care & PPO Products.

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