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Assistant Manager

Location:
6514
Posted:
March 30, 2010

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Resume:

Kim Luu

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

Hamden, CT *****

Phone: 203-***-****

E-mail: ******@*****.***

SUMMARY

An insurance professional with experience in analyzing, researching and

validating credentials of healthcare providers and mortgage applicants.

Highly organized and empathic with excellent interpersonal communication

skills and the ability to identify and meet customer needs.

WORK HISTORY

AETNA INSURANCE COMPANY, Hartford, CT 2007 - November

2009

Credentialing Analyst (2008 - November 2009)

Credentialing Processor (2007 - 2008)

Promoted to Credentialing Analyst, responsible for increasingly more

complex state practitioners' validation as in-network providers.

. Researched and validated practitioners' licenses, medical insurance and

history of malpractice claims for recredentialing 300 applicants as in-

network providers in accordance with National Committee for Quality

Assurance (NCQA)

. Processed and resolved issues with applications in a timely manner

. Gathered providers' information by phone, fax, email, accredited websites

through Geddi (intranet) and Council for Affordable Quality Healthcare

(CAQH)

. Entered providers' practice and new information into Enterprise Provider

Database (EPDB) system

. Completed recredentialing and credentialing applications submitted

through the Enterprise Credentialing (EPC) for committee approval

. Responded to practitioners' questions regarding the status of initial

credential application

MORTGAGE LENDERS NETWORK USA, INC, Middletown, CT 2006-2007

Title and Deed Coordinator (2006 - 2007)

Document Processor (April 2006 - 2006)

Promoted to Title and Deed Coordinator, obtaining mortgage deeds and final

title policies.

. Requested endorsements for mortgage deeds and final title policies by

calling, faxing, mailing and emailing closing agents

. Contacted closing agent or city halls for outstanding mortgages and final

title policies

Kim Luu

Phone: 203-***-****

Page 2

MORTGAGE LENDERS NETWORK USA, INC, Middletown, CT 2006-2007

Title and Deed Coordinator (2006 - 2007)

Document Processor (April 2006 - 2006)

Promoted to Title and Deed Coordinator, obtaining mortgage deeds and final

title policies.

. Reviewed incoming mortgage deeds and final title policies for complete

and correct information

. Mailed out recorded deeds and final title policies to appropriate

investors

. Opened, sorted and logged in all incoming documents in a timely manner

MCDONALD'S, Plantsville, CT

2001-2006

Assistant Manager

. Supervised up to 14 crew members per shift

. Controlled food components, labor, waste and cash while managing shift

. Maintained critical standards for product quality, customer and

service speed

. Resolved customers' complaints face to face or on telephone

EDUCATION

BS, Business Management and Organization, Central Connecticut State

University,

New Britain, CT, 2004

Nurses Assistant Training, American Red Cross, New Haven, 2009

LICENSE / CERTIFICATION

Nurses Assistant, State of Connecticut, 2009

CPR Certification, 2009



Contact this candidate