Professional Administrative Support

Marie Bonds

*** ******* ***** ( Edison, NJ ****7 ( 848-***-**** (

************@*****.***

TECHNICAL SKILLS

Windows 7.0, Paradox, Excel 07, Word 07, Access 07, Outlook 07, Power

Point 07, Lotus Notes

EDUCATION

2009 National Certified Insurance & Coding

Specialist

2009 American Heart Association, CPR Certified, Avtech Institute of

Technology

2009 HIPAA Training for the Health Care Worker Certificate, Avtech

Institute of Technology

2009 Microsoft Office Specialist Certificate, Avtech Institute of

Technology

2009 Medical Billing and Coding Specialist Certificate, Avtech Institute

of Technology

1993 Data Entry Certificate, Phillip's Business School

PROFESSIONAL EXPERIENCE

Manpower Staffing Group - Somerset, New Jersey

MetLife Broker Dealer New Business Specialist Clerk 2013

to 2014

. Prepares, reviews, and processes new account paperwork for

establishing complex standard accounts. Enter accurate and pertinent

information into the system. Create a customer profile that generates

an account number along with a welcome letter to customer. Verify

application is complete and obtain any missing information that is

required to complete the process. Sometime we would e-mail the

principal broker dealer to get the missing information.

. Making sure that the registration information is correct before we

send out a welcome letter. There are different accounts like Direct

IRA, Roth, TOD, Joint, 529 College Plan, Individual, CUST (UTMA/UGMA),

Trust and Variable Annuity, Indexed Annuity, Fixed Annuity.

. Supporting the principal by collecting client folders and sorting them

into groups. Then process labels and getting the federal express

packages ready for the broker dealers.

Aetna Insurance -Princeton, New Jersey

Claim Benefit Specialist 2010 to 2012

Analyze and approve up to 100 claims per day with accuracy. Some

claims auto adjudicated by the system and others need further research

from claims specialist. Apply medical necessity guidelines and make

benefit determinations.

Coordinates responses for routine phone inquiries and written

correspondence related to claim processing issues. Research claims for

authorization through E-Tums system and sending determinations to

Clinical Claim Review for medical necessity.

Proofs claim for referral submission, current procedural terminology,

coding, provider selection process, clean or unclean, diagnosis,

coordination of benefits, member benefits, proactive calls, date of

service, pricing, check modifiers, patient notes and verify insurance

information.

Metropolitan Life Insurance Company - Bridgewater, New Jersey

Long-Term Care Account Representative 1990 to 2008

. Research and resolve daily billing tasks within specific timeframe.

Manage all billing, refund, cash transfer and remittance activities.

Facilitate a working dialog with Internal and External Business

Partners in order to provide superior service to AARP members and to

administer their Long-Term Care Benefit Plan.

. Monitor and maintain all aspects of billing, transmission and payment

processes for AARP group members. Analyzed escalated issues that had

to be resolved within 2 days.

. Research and provide resolution for all AARP LTC reports and identify

customer opportunities before they become an issue. Detect problems

quickly and processed money transfers, off-cycle bills, bill mode

change and payment history. Updated rates, versions, change of

address, EFT Authorization, Wavier of premium, cancellation and

terminations.

Account Receivable Specialist

. Responsibilities include processing check deposits, lockbox, wire

transfers and cash disbursement. Created a tracking system to identify

all incoming checks. Researched checks with no account number or

correspondences.

. Developed a production report for AM/PM, which calculated all incoming

checks for that day. Reconciled the suspense account and

processed journal voucher entries.

. Allocated funds into accounts and performed data entry. Batches were

created and distributed to assigned departments: Structured

Settlement, Growth & Preference plus Account, New Business, Terminal

Funding and Broker/Commission.

Additional Job: Bonaventure Textiles

Maintain a daily manifest record of transactions that had to be

resolved. Performed bookkeeping, record maintenance and balancing of

customer accounts. Daily production target in data processing was

exceeded. Insure quality control regarding accuracy of invoices.

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