Quality Control Management

Dinel L. Torrence

PO Box *****

Syracuse, NY 13235-0814

H: 315-***-**** abjd22@r.postjobfree.com

Summary

Resourceful Quality Control Specialist with extensive experience monitoring

incoming and outgoing mail processes to ensure that they are effective.

Able to keep records, check input and output for non-conformance, review

individual processes and the quality of the system for effectiveness, and

facilitate continual improvement. Utilizes strong communication, planning,

and organizational skills towards improving operational efficiency.

TECHNICAL SKILLS

Applications: MS Outlook, Office, Word, Excel, PowerPoint, DelTek Time

Reporting, Internet Explorer, Certified USPS Mail Systems,

UPS Mail Systems, FedEx Mail Systems, Airborne Express Mail

Systems, DocuShare

Other: Knowledge of Medicare Claims Processing, Fixed Asset System

Professional Experience

Wellpoint /National government Services, Syracuse, NY 1984-2009

Quality Control Specialist & Mail Distrubition Clerk 1997 - 2009

Analyzed and improved existing Incoming and Outgoing mail processes within

the organization to meet the department's goals and objectives.

. Reviewed and monitored Incoming mail processes to ensure adherence to ISO

9000 and CMS (Centers for Medicare/Medicaid Services) policies to ensure

compliance with all required policies and guidelines.

. Published detailed reports to Management to communicate workload

statistics so that timeliness and accuracy standards could be maintained.

. Coached Mail and Distribution Technicians to ensure that individual

processes and procedures were carried out effectively.

. Facilitated continuous improvement of processes and procedures that were

inhibiting the ability of the department to meet timeliness and accuracy

guidelines.

Accounting Technician 1995 - 1997

Posted detailed Fixed Asset and Accounts Payable debit and credit

transactions to ensure accurate accounting reports for Management and to

ensure compliance with generally accepted accounting principals.

. Balanced monthly Fixed Asset transactions to produce accurate month-end

reports for Management.

. Distributed Fixed Asset Reports timely and accurately to meet Corporate

guidelines.

. Updated Excel spreadsheets to record Fixed Asset transactions.

. Entered Travel and Expense Report data into Corporate Financial System to

generate payments to associates for costs incurred as a result of

business travel.

Dinel L. Torrence Page

Two

H: 315-***-**** abjd22@r.postjobfree.com

MSP Claims & Subrogation Investigator 1984 - 1995

Investigated and processed Medicare Secondary Payer hospital claims

accurately and timely according to rules and regulations established by the

Centers for Medicare/Medicaid Services) to meet the requirements of our

contract with the Federal Government.

. Reviewed hospital claims to determine if another insurance carrier was

responsible for the health care costs incurred by the beneficiary so that

Medicare funds were not expended in error.

. Communicated by phone and written correspondence with other Insurance

agencies, employers, hospitals, doctors and lawyers to redirect claim

processing when Medicare was not the primary payer for the claim payment.

Education

Associate Degree, Occupational Studies, Bryant & Stratton College,

Liverpool, NY

Business Certificate, Typing, Powelson Business Institute, Syracuse,

NY

CERTIFICATIONS

Notary Public, Onondaga County

Professional internships

City of Syracuse, City Hall, Corporation Counsel Department of Law, 2005

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