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Customer Service Representative

Location:
South Carolina
Posted:
August 01, 2013

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Resume:

BRENDA PHILLIPS

***G Third Loop Road Email: ***********@*****.***

Florence, SC 29505 Mobile: 843-***-****

OBJECTIVE

To obtain a position in the greater Columbus, Ohio area that will allow me to use the skills and

abilities acquired through my professional work experience.

PROFESSIONAL EXPERIENCE

BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA, FLORENCE, SC

Business Testing Analyst II March 2011 – current

Prepare and review test data/test plans for major projects (HIPAA 5010, ICD10, ITS releases, new

contracts), develop test matrices with reflected changes and detailed expected outcome, execute

test cases, evaluate results for errors, report problems, suggest corrections, complete and review

daily reports for system performance and compliance using SQL and QMF and function as a

liaison between operations and the testers.

Business Testing Analyst I August 2006 – March 2011

Coordinate and perform testing of major system enhancements and InterPlan Telecommunications

Systems with external Blue Cross Plans, review test documents, create test matrices, execute test

cases for internal and external system enhancements with ANSI coding and creating X12

electronic files, identify problems, run daily and weekly reports and review system performance,

act as a liaison between operations and external customers.

Customer Service Representative, Level IV March 2002 – August 2006

Complete telephonic and written correspondence from government agents, external and internal

customers, review legal documents and maintain legal files, make corrections to claim and file

errors received from beneficiaries, providers and external agents, identify and report errors or

suspected fraud.

Customer Service Representative, Level III March 1998 – March 2002

Answer telephonic and written inquires, review claims, identify and correct errors, report

suspected fraud and abuse and system errors with accuracy.

EDUCATION

Associate’s, Business Administration

Pennsylvania State University, December 1990

References available upon request



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