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Claims Analyst

Location:
Littleton, CO
Posted:
November 08, 2017

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Resume:

Francisco F. Bibal

720-***-****

ac27f7@r.postjobfree.com

EXPERIENCES

**** – Present Online-Stock Trader

- Monitor and trade stocks on US stock exchange

**/****–06/2017 Express Employment Professional (Assigned to State of

Colorado Personnel Department) Lakewood CO USA

Administrative Assistant

- Performed administrative and clerical functions such as data entry, scanning and photocopying, and other ad hoc tasks.

Key Skills

&

Knowledge

PLATFORMS:

UNIX

WINDOWS XP, NT, DOS

KNOWLEDGE OF :

PL/SQL

SQL*PLUS

ORACLE FORMS

ORACLE REPORT

PRO*C

SOFTWARE:

MS OFFICE

BEN

COMPUTRACK

LTS

FAS

FACETS

BETS

DATABASES:

ORACLE

SQL SERVER

ACCESS

SKILLS:

ANALYSIS

QA MANUAL TESTING

PROGRAMMING

APPLICATION SUPPORT

DATA ENTRY

ADMINISTRATIVE

LANGUAGES SPOKEN:

ENGLISH

FILIPINO

03/2017–04/2017 Express Employment Professional (Assigned to Colorado Department of Human Services) Lakewood CO USA

Administrative Assistant

- Performed administrative and clerical functions such as data entry, scanning and photocopying, filing sorting and mailing and other ad hoc tasks

10/2016 –12/2016 APEX assigned to KAISER Englewood CO USA

Configuration Analyst

Built and configured members’ medical benefits

Created weekly reports for Benefits Data Management

09/2016 – 10/2016 Express Employment Professional (Assigned to Colorado Department of Public Safety) Lakewood CO USA

Administrative Assistant III

- Prepared and updated personnel data for new human resource information system.

01/2016 – 04/2016 APEX assigned to KAISER Aurora CO USA

Business Analyst/ Research Technician

Conducted research to determine if checks coming into Claims Account Department are refund or to be returned to the provider

Processed refund and A/P checks

08/2015- 10/215 Corestaff assigned to Great-West

Cash Administrator

- Processed employees distribution for their retirement.

04/2015 – 06/2015 EXPRESS EMPLOYEMENT PROFESSIONAL (Assigned to Colorado Dept. of Agriculture) Lakewood CO USA

Administrative Assistant

- Performed clerical functions in Inspection Consumer Services Division such

as filing, sorting, scanning and other ad hoc tasks. .

09/2014 – 01/2015 INCUVENTURE PARTNERS, INC. (PHILIPPINES)

Business Analyst

Conducted interviews with business owners to gather necessary data for Taxpayers Registration Information Update Project of Bureau of Internal Revenue, Philippines

Studied the existing on-line registration system to identify the things that needed to be done for enhancement of Primary and Secondary Registrations.

Prepared system documents such as Functional and Technical System requirements.

12/2012 – 2013 JBIBS ENTERPRISES, INC. (PHILIPPINES)

Collection Officer

In charge of submitting invoices to the clients and collected checks from them to be deposited directly to the company’s account.

Doing administrative and ad hoc tasks.

01/2009 -11/30/2012 – CIGNA (As Permanent) / 2003 – 01/2009 CORESTAFF/TODAY’S STAFFING ASSIGNED TO GREAT WEST LIFE AND ANNUITY COMPANY/CIGNA Greenwood Village, CO USA

FSA/HRA/C-FUNDS Claims Analyst/Processor

Examined and processed electronic claims. Determined whether to return, pend, deny or pay claims within policies.

Determined steps necessary for adjudication. Followed established departmental policies and procedures, operating memos and corporate policies to resolve claims and claims issues. Settled claims with claimants in accordance with policy provisions.

Processed reports, returned/refund checks for /HRA.

2002-2003 TALENT TREE ASSIGNED TO KINDER MORGAN, INC Lakewood, CO USA

Right-of-Way Administrative Assistant

Reviewed and paid contractor’s invoices according to their agreement with Kinder Morgan.

Provided support to accounting staff with regard to receivable requests from contractors.

Responsible for organizing and keeping all records in connection to Right-of-Way Department

Balanced all the checks and drafts sent by the banks with KMI system.

2001 HARVEY’S CASINO HOTEL Central City, CO USA

Front Desk Attendant

Responsible for reservation, checking in and out of hotel’s guests.

Provided high level of customer service support to Casino’s guests and players

Performed audit and running reports of all company’s departments on daily basis.

1996-2001 BUREAU OF INTERNAL REVENUE (PHILIPPINES)

Programmer/Analyst/Application Support and Maintenance Team Lead

Developed front-end, back end and report modules for the Tax Computerization Project in the Philippines

Conducted impact analysis with other systems for every module/script created/updated.

Prepared test plan, test cycle and test data.

Worked with system owners to define the systems requirements needed, and likewise, provided technical assistance with the users and conducted unit, system, integration, and functional testing and made sure that the test plans had been followed.

Education:

Bachelor in Computer Data Processing Management, Polytechnic University of the Philippines, Manila, Philippines



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