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Business Analyst

Location:
Carmel, IN
Posted:
December 28, 2014

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Resume:

Matt Wood

**** ****** *** ***** ? Carmel, IN ****3

317-***-**** ? ********@*****.***

Business Manager

Management through skillful leadership.

Account Management ? Client Relationships ? Medical Claims

Employee Benefits ? Operations Management

PROFESSIONAL SUMMARY

. More than 11 years of experience in multiple industries with a

Bachelor of Science in History and a Master of Business Administration

Spring 2014.

. Extensive knowledge of employee benefits, medical claims, HIPAA,

ERISA, medical terminology and coding and maintaining client

relationships.

. Highly adaptable and resourceful, detail oriented with exceptional

multi-tasking abilities, self motivated and capable in independent

operations and team dynamics.

. Demonstrated professionalism with solid work ethics, thoroughness and

dedication as well as strong interpersonal and communication skills.

. Proficient in window operating systems, Microsoft Office Suite (Word,

Excel, and Access), and Enterprise Output Manager.

Professional Experience

TIC International, Carmel, IN August 2008 - Present

Corporation specializing in consulting and third party administration for

multiemployer healthcare, defined benefit pension and defined contribution

plans.

CLIENT SYSTEM ANALYST/OPERATIONS

Investigate, correct and upgrade XGN claims system adjudication. Ensure

meeting client requests and compliance with Health Insurance Portability

and Accountability Act (HIPAA) by creating program upgrades. Generate

month end reports for multiple union funds as well as yearly 1099 and W-2

tax forms. Interact with clients to assess needs and provide information

and services. Prepare specified data reports requested by clients using

Microsoft Access.

. Streamlined company correspondence processes through implementing the

Enterprise Output Manager program and acting as lead system

administrator.

. Improved multiple procedures by designing forms such as self-pay, cash

out letters and termination notices.

. Assisted in the creation of a new explanation of benefits (EOB) form

distributed to satellite offices through the enterprise output

manager.

Principal Financial Group, Indianapolis, IN June 2003 - August 2008

Global financial company offering businesses, individuals and institutional

clients a wide range of financial products and services for retirement,

insurance and investment.

ANALYST

Matt Wood 317-***-**** ? ********@*****.*** Page 2

Principal Financial Group - Continued

Evaluate medical claims from initial contact to closing for multiple

clients. Handle high dollar accounts and appeals with members, providers

and other clients. Maintain Employee Retirement Income Security Act

(ERISA) guidelines pertaining to claims while communicating status.

. Extensive knowledge of medical terminology, ICD-9, CPT codes, pre-

existing and HIPAA policy guidelines.

Education

MASTER OF BUSINESS ADMINISTRATION

Anderson University, Anderson, IN, Spring 2014

BACHELOR OF SCIENCE IN HISTORY

Butler University, Indianapolis, IN

Sigma Chi Fraternity - Pledge Trainer, Executive Counsel

Community Leadership

Butler University, Benefit Cancer Society, Alumni Golf Charity Fundraiser



Contact this candidate