Customer Service Health Insurance
Resume:
Darren P. Maloney
*** ******** **., *********, ** 61535
Phone: 309-***-**** . Email: ***************@*****.***
EDUCATION Bachelor of Science, Organizational Leadership
**** - **** ****** *****ge, Eureka, IL
2004 - 2007 Associate's Degree in General Education
Illinois Central College, East Peoria, IL
WORK Caterpillar, Inc. Building SS, Peoria, IL
October 2008 - Logistics Planning Analyst
Present Responsible for supporting the requirements, distribution, and
operations groups at the Americas Operating Division.
Duties include the gathering of performance data, analyzing
information, providing reports and supporting
documentation, and the preparation and execution of
presentations. Uses corporate systems such as MRP, ETS, and
FRACS. Supports Plan For Every Part (PFEP), Inventory
initiatives, Pull/Kanban strategy, and MRC-Connect. Manages
supplier performance/delivery by using route cause
analysis, and taking corrective measures to solve issues
with suppliers. Job roles also include working with
purchasing as a liaison for acquiring material for the
office and shop floor, placing demand into computer
systems, and grief resolution for past due shipments.
Ensures effective material scheduling that meets quality
measures and timely delivery. Job requires effective
communication with all levels of management and hourly
employees. Position requires strong analytical and decision
making skills, and proficiency in Excel and PowerPoint.
Strong written and verbal communication skills are needed
to effectively communicate with suppliers and internal
departments on a daily basis.
July 2007- Caterpillar, Inc. Building AB, Peoria, IL
October 2008 Workers Compensation Associate Claims Representative
Meets established quality and volume standards and goals
by assessing PPD claims and processing TTD claims
according to the Workers' Compensation Claims processing
standard operating procedures (SOPs); Assists in processing
PPD claims by coordinating appointments between claimants
and Workers' Compensation section employees, gathering
pertinent information from multiple sources, and tracking
the progress of claims; Assesses and processes TTD claims
by analyzing the information received, determining
eligibility based on existing employee information and
state legislation, and processing the claims; Identifies
multiple sources of additional information that should be
investigated the build PPD cases by analyzing the history
of claimants; Responsible for payment of Workers'
Compensation medical bills; Analyzes bills to take the
appropriate discounts according to the Illinois Fee
schedule.
November 2006 - Caterpillar, Inc. Building KK, East Peoria, IL
July 2007 Metal Treatment Specialist III
May 2001- CVS Pharmacy, Washington, IL.
November 2006 Pharmacy Technician
Working knowledge and use of ICD9 codes; Workman's compensation
claims; Customer relation liaison between customers and
health providers; Responsible for maintaining daily
inventory and proper disbursement of medications to
customers. Customer service includes filling prescriptions,
compounding medications, and explaining benefits and
changes to current health insurance policies. Position
requires accuracy with all tasks, typing at least 40 wpm,
self-sufficiency, and prompt decision making under
pressure.
Skills/ Proficient in Microsoft Office Suite software, PeopleSoft, and
Lotus notes; Type 45wpm; PADI (Professional
Activities Association of Diving Instructors) Certified Open Water Scuba
Diver.
Personal Ron Tourtillott, Product Support, Mechanical Lab
Supervisor, Caterpillar Inc.,
References 309-***-****
John Goldsmith, Engineering Project Team Leader, Caterpillar Inc.,
Dennis Roan, Planning and Distribution
Supervisor, Caterpillar Inc.,
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