La Nitra McKinney

**** **** *** *****

Birmingham, Alabama 35235

205-***-****

Email: abjkfv@r.postjobfree.com

Education

Faulkner University; B.S. Business Administration

Computer Capabilities

Microsoft Word, Excel, Power Point, Crystal and Stars

(Advance proficiency in all of the above)

Work Experience

Blue Cross Blue Shield of Alabama, Birmingham, AL-Subrogation Analyst,

Subrogation Division

June 2007 - Present. Full time -40 hours /week

Responsibilities:

. Respond to routine correspondence, calls and inquiries from members and

attorneys.

. Request documentary evidence such as police reports, depositions and

other correspondence to create cases and report findings to Management.

. Investigate performance of complex tasks and prioritize multiple projects

within the department.

. Investigate and analyze data from police reports, depositions and other

correspondence.

. Investigate Blue Cross Blue Shield projected liability along with

liability notification of Subrogation rights.

. Effectively manage my case load pertaining to confidential information

while using independent judgment.

. Investigate and analyze documentary information to draw effective

conclusions with evaluative judgment.

. Effectively communicate with attorneys, providers and insurance agencies

both orally and in writing.

. Interview members and create a file of their statements pertaining to

their Subrogation case.

. Maintain contact with members and their attorneys during the course of

processing their case.

. Participate in settlement negotiations, calculation of attorney's fees

and pro rata shares of expenses.

. Coordinate implementation of policies and procedures for other analysts

to improve workflow and productivity.

. Responsible for successful completion of cases, including workload

implementations and application development.

Blue Cross Blue Shield of Alabama, Birmingham, AL-Inquiry Analyst, Claims

Processing Division

April 2000 - June 2007. Full time -40 hours /week

Responsibilities:

. Budget monitoring of various accounts.

. Verified insurance benefits.

. Researched claims for correct processing of ICD-9-CM, CPT-4 and HCPCS

codes.

. Verified medical, dental and Medicare benefits for reimbursement and

claim processing.

. Delegated tasks as needed and followed up with associates on aged

inventory reports to ensure the department was in accordance with quality

work and within our weekly goal.

. Claims refunding and adjustment for Wal-Mart, Bellsouth and other various

large Groups.

. Assisted District Office with customer priorities and Group exception

requests.

. Gathered and analyzed data and generated reports to Management.

. Assisted providers and billing departments with insurance billing and

HIPAA compliance.

. Conducted special projects and reports to improve workflow and

productivity.

. Examined current department policies and implemented new strategies and

procedures.

. Researched and documented projects and presented recommendations to

management.

Compass Bank, Birmingham, AL-Proof Operator - Part-time

August 2006 - May 2007. Part time-20 hours /week

Responsibilities:

. 10-Key by touch with 9800 keystrokes.

. Knowledge of credits and debits

. Process and encode checks for loans, commercial and personal accounts.

. Exceed company goals of production and maintained an accuracy score of

98% or above.

Superior National Insurance Group, Birmingham, AL-Underwriting Clerk,

Workers Compensation Division

February 1998- April 2000. Full time -40 hours /week

Responsibilities:

. Maintained database of 250,000 contracts.

. Followed up with correspondence to Worker's Compensation recipients,

attorneys and providers.

. Analyzed data of new and existing Worker's Compensation contracts and

pending cases.

. Reviewed cases for complete documentation and evaluated questionable

cases for evidence of fraud.

. Assisted Underwriters with court preparations, litigation and settlements

. Advised and assisted in interpretation of benefits.

. Resolved problems and made recommendations pertaining to regulations and

procedures.

. Gathered and analyzed information related to on the job injuries in

support of workers on the job compensation claims.

. Supervised the activities of other clerks and project team members

assigned to project.

Alabama Power, Birmingham, AL-Customer Service Representative, Call Center

June 1996- January 1998. Full time -40 hours /week

Responsibilities:

. Assisted customers with billing questions and outage problems.

. Assisted customers with payment arrangements.

. Updated addresses through phone calls and emails.

. Answered over 500 calls a day.

AmSouth Bank, Birmingham, AL-Teller, Bank Services

January 1994- June 1996. Full time -40 hours /week

Responsibilities:

. Provided day-to-day clerical and administrative support.

. Maintained an accurate account of daily cash flow.

. Accurately balanced cash drawers.

Contact this candidate