Devin Andrade

Network Data Specialist I - Anthem

Virginia Beach, VA

ac5uxb@r.postjobfree.com

757-***-****

Work Experience

Network Data Specialist I

Anthem - Virginia Beach, VA

January 2017 to Present

•Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.

•Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

•Synchronizes data among multiple claims systems and application of business rules as they apply to each database.

Store Team Leader (Assistant Manager)

Walgreen's - Chesapeake, VA

June 2008 to Present

* Provide exceptional service to customers by greeting and assisting them with purchases.

* Manage store scheduling to ensure proper coverage based on business needs.

* Train newly hired and promoted associates to achieve maximum productivity.

* Ensure proper sales promotional set-up of store and maintenance of sales floor and stock room to create a neat, clean, and well presented store.

* Coordinate the receiving and stocking of all merchandise. Conduct inventory and order store merchandise.

* Communicate with the Store Manager and District Manager regarding all employee relations, day-to- day operations and any compliance related issues.

* Complete cash deposits and bookkeeping transactions. Claims Analyst

Anthem - Virginia Beach, VA

October 2015 to January 2017

• Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, coordination of benefits, & healthcare terminology.

• Good working knowledge of claims and products, including the grievance and/or re-consideration process.

• Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

• Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability entitlement.

• Researches and analyzes claims issues.

• Responds to inquiries, may involve customer/client contact. Call Center Customer Service Representative (Technical Support) Cox Communications - Chesapeake, VA

January 2015 to October 2015

* Trouble shoot the root cause of customer problems and identify the action required (using company databases, customer information, and collaboration with other departments) to resolve issue and schedule service appointments when necessary.

* Keep customers informed about progress by checking the status of work orders in customer record system.

* Provide seamless customer experience through documenting call details and new account information into the computer system and completing any forms required to request action by other departments.

Education

Business Administration

ECPI University - Virginia Beach, VA

August 2018

Business Administration

Stratford University - Newport News, VA

2012 to 2013

Skills

CRM, CUSTOMER RELATIONSHIP MANAGEMENT, Excel, Facets, Microsoft Office Additional Information

Customer Service Vendor Management Employee Relations

Problem Resolution Store Management Project Management TECHNICAL SKILLS: Proficient in Microsoft Office (Word, Excel, PowerPoint), CRM systems, PEGA, Facets and E-mail

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