Personal Resume of Lessia B. Tuttle

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

East Bend, NC 27018

336-***-****

ac5syr@r.postjobfree.com

OBJECTIVE

To obtain a position that will enable me to use my significant computer skills, strong organization and prioritzation skills and ability to multi-task while paying close attention to detail and accuracy. I am certain I can work in most any administrative/clerical position and specifically in areas such as Medical Insurance Claims, Quality, Planning/Scheduling.

EDUCATION

Forbush High School, East Bend, NC

Surry Community College, Dobson

Effective Production Control Methods Seminar

Diversity Awareness Workshop

PROFESSIONAL EXPERIENCE

2006-2017 Blue Cross and Blue Shield of North Carolina

Quality Auditor

●Performed quality reviews of departmental operation activities to determine the accuracy of established procedures and effective operational processing.

●Identified issues through review of quality results and communicates those needing further investigation to management.

●Provided face-to-face and/or written feedback and coaching at the individual or team level regarding quality review results to help improve individual and overall performance

●Researcherd and provided information and resources to operations staff to increase accurate processing, call handling, data entry, and resolution of issues.

●Identified development needs and worked with staff to implement improvement strategies to increase overall quality.

●Entered results of reviews into appropriate quality database

●Attended and/or presented at team meetings to keep teams informed of audit activities, issues and decisions.

●Partnered with the business area(s) to ensure procedures were current and participated in the revision of business processes and procedures as needed.

2005-2006 Claims Processor/Adjuster

●Escalated claims requiring special attention to operation specialists based on policies and guidelines to ensure the resolution

●Understood business requirements for the customer and provided solutions to their specific needs

●Responded to inquiries from Customer Service Professionals, subscribers, or providers regarding claims payments

●Determined claims resolution methods by reviewing benefit eligibility, claims history and other information

●Identified system issues by documenting the issue, recommending potential solution and referring it to appropriate technical staff

●Reviewed claims for “fraud and abuse” and escalate to S.I.U.

●Used continuous improvement and knowledge of claims to be more efficient and meet production goals by sharing best practices

●Met or exceeded established quality and performance standards

2004-2005 Yadkin County Schools Yadkinville and Boonville

2003-2004 Piney Grove Middle School Lawsonville, NC

Interpreter for the Deaf and Hard of Hearing

●Communicated classroom information between the teacher, the deaf student and other hearing students according to the language level of the student and the goals of the Individualized Education Plan (IEP).

1990-2003 Lantal Textiles, Inc. Rural Hall, NC

(Manufacturer or woven textile fabrics for the transportation, contract and home furnishing industry.)

Production Planner/Scheduler

●Maintained production of 40 weaving machines

●Scheduled all new customer orders and provided lead-times for customer inquiries, while maintaining on-time deliveries

●Ensured all materials were available for the production of orders

●Issued all materials for scheduled orders to production

●Maintained dyed yarn inventory as necessary to support the sampling processes

●Prioritized all dye orders for the transportation, contract and home furnishing industry within Lantal dye house

●Printed, reconciled and adjusted inventory cycle counts and year-end inventories

●Performed numerous other administrative duties including customer service and some accounting procedures

1989-1990 WIP Analyst

(Work in Process System)

●Acknowledged orders in WIP system based on capacity and materials availability

●Compiled information from various reports to help plan and schedule orders

●Worked with Product Development as necessary to produce samples

●Updated daily tickets and logs in WIP system

●Maintained Daily-Weekly Activity Reports

●Purchased necessary forms and supplies for multiple departments

●Covered front desk switchboard when needed

●Delivered mail to multiple departments

SKILLS

●Knowledge of Microsoft Outlook, Access, Excel and Word

●Windows 10

●Power MHS

●Facets

●Document Direct 4.4

●Operation of Office Equipment (10-key calculator, Fax machine, Printer and copier

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