Deborah Caprarotta

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

Elkhart, IN 46517

574-***-****

abm9p6@r.postjobfree.com

Career Summary

A motivated professional with proven skills and abilities to provide

excellent customer service and training in a highly detail oriented

environment while maintaining the integrity and confidentiality of personal

information; a competent team leader who possesses excellent verbal,

written and interpersonal communication skills with a diverse customer

base. Proficient at using computers, Microsoft and industry specific

software to design and develop customized applications, seeking a position

where experience and skills can be used to enhance the growth of a

progressive organization while offering opportunities for advancement.

Professional Qualifications

Ebix, Inc. Pittsburgh, PA

2008-Present

Contract Labor - LuminX System

. Plan Building

North America Administrators, L.P. Nashville, TN

2006 -2008

Claims Analyst

. Process Claims

. Handle calls and correspondence, written and verbal

Acclamation Systems, Inc. Pittsburgh, PA

2005 -2007

Contract Labor - LuminX

. Plan Building

Adaptis Yakima, WA

2006

Consultant - LuminX Programs

. Did some troubleshooting for them directly (previously through

Jacobson).

The Jacobson Group Chicago, IL

2005 -2006

Consultant - LuminX

. Created procedures for Voids, Provider Maintenance, and System Remarks

. Training

. Helped in testing the Plans before going Live

. Answer questions concerning several different set-ups on the systems

. Areas of Expertise include:

o Plan Building - Basic, PPO (Single or Multiple), PCP, Referral

o FSA - plan bldg, debit card set-up, processing, and reporting

o Provider and PPO Maintenance

o Letter Creation and Maintenance

o Eligibility

o Claims Processing

o Report Generator

o Void programs

Healthcare Resources Group South Bend, IN 2001 -

2005

Director of Plan Services / Implementation Manager/Account Executive

Plan Builder/Acquisition Team

. Heavily interfaced with clients (such as AM General, TCU, 1st

Source to develop healthcare plans for their organizations

including medical, dental, vision, flexible spending and STD

. Used a computerized system to reprice medical claims for a local

Preferred Provider Organization

. Developed, designed and implemented computerized plans on the LuminX

system for all plan types

. Managed the daily operations of the Enrollment team ensuring the

accuracy and timeliness of Eligibility, Cobra, ID Cards and HIPAA

processes

. Interviewed and selected new hires; developed and facilitated training

programs; conducted performance evaluations

. Set up Training programs and Operational Procedures on the LuminX

System for Plan Building, Claims Processing, Provider Maintenance, and

FSA's with or without the MBI debit card interface

. Helped set up Auditing processes and procedures for medical/dental and

flexible spending account claims

Pyramid Benefits/The One Benefit Source South Bend, IN

1997 - 2001

Claims Specialist / Customer Service Representative

. Processed various medical and dental claims ensuring the accuracy and

confidentiality of client information using the LuminX system

. Performed troubleshooting and problem resolution of customer and

provider claims

. Set up HIPAA and Cobra training for all the examiners and eligibility

clerks

. Investigated and responded to plan appeals

Mennonite Mutual Aid Goshen, IN 1992 -

1997

Sales and Support

. Supported Agents in the field

. Handled Sales calls in regions without an Agent

Medical/Dental Claims Specialist; Customer Service Rep

. Handled the claims from the initial input to continuing customer

support for my groups.

. Handled Fully Insured as well as Self Funded groups

Eligibility Coordinator

. Received and processed all of the individual applications for the

fully insured products.

. Answered all calls pertaining to Eligibility

Education

Glen Oak Community College, Centerville, MI Associated Degree in Business

Medical Clerical Certification

Continuing Education Seminars:

HIPPA - Cobra - Corbel - SPBA Member - Life and Health Classes - Flexible

Spending Accts,

Health Reimbursement Accts, and Health Savings Accts. Seminars / EBIA, STD

and LTD Seminars,

Management Seminars, LuminX training

Professional References

Patsy Grooms

COO

North America Administrators

1212 8th Ave S.

Nashville, TN 37203

615-***-****

abm9p6@r.postjobfree.com

Brian Wolkins

Sr. Business Analyst - Project Manager

Great Lakes Region

Meritain Health

19800 Detroit Rd

Rocky River, OH 44116

Office:440-***-****

Cell: 440-***-****

abm9p6@r.postjobfree.com

Becky Warner

Regional Branch Manager

Yakima Operations Center

Adaptis

5 N Third Street

Yakima, WA 98097

Main: 509-***-****

Direct: 509-***-****

abm9p6@r.postjobfree.com

Rosemary Barnes

Insurance and TPA Professional

1240 Altgeld

South Bend, IN 46614

574-***-****

abm9p6@r.postjobfree.com

Additional References or information on request.

Contact this candidate