Manager Quality Assurance
Resume:
Darryl Columbus
San Antonio, TX 78250
Email Address: acz61q@r.postjobfree.com Cell: 210-***-**** (Primary Number)
MANAGEMENT PROFESSIONAL
MANAGEMENT SUMMARY
Dynamic leader with 25+ years of experience in the Insurance Industry and HR Services. In-depth knowledge of HMO, PPO, Non-PPO, and Triple Option Coverage’s. Proven ability to administer both group and self-funded insurance on many levels, while managing several departments and clients simultaneously. Strongly committed to team-building, personnel training / developing and client satisfaction. In addition, I am very strong in building, maintaining, and retaining client relationships.
HIGHLIGHTS OF QUALIFICATIONS
Strength in organization, management, and team building.
Excellent working relationship with all departments, clients and support staff.
Strong background in staff orientation, scheduling, evaluations, and training.
Excellent written and oral communications skills.
Proficient user in all aspects of PC software, including Lotus, WordPerfect, Microsoft Word, Excel, Access, Microsoft Project, and PowerPoint.
Created programs for Quality Assurance and Training Departments.
Compiled Workflow and Procedural Manual for all departments of Claims Office.
Budget preparations and implementation for all areas of responsibility.
Instrumental in preparing RFP’s for prospective clients.
Successful in maintaining Client Retention (98
PROFESSIONAL EXPERIENCE
Managed and supervised: Quality Assurance, Training Department, Accounting Department, Recovery Department, Program Integrity, Eligibility, COBRA, Information Systems, and Subrogation (All Managed Simultaneously).
Administration of Point of Service Health Plan for the University of Texas System, servicing over 130,000 members.
Responsible for interpretation and documentation of plan benefits for the University of Texas System, and multiple group and self-funded accounts with membership from 200-10,000+ lives.
Interim Director for remote office in San Francisco. (During employment w/ Anthem).
Managing multiple accounts simultaneously with a success rate of 95% (25+clients).
TEAM BUILDING AND MOTIVATION
Instrumental in working with fellow employees to maintain motivation and production during concurrent implementation of new group P.O.S Health Plan.
Managed and directed HCPS (Claims Production System) conversion which consisted of testing, troubleshooting, system enhancements, documentation and training.
Managed several staff members in the transition of 3 claims offices to San Antonio.
Consulted other offices for the purpose of streamlining their organization and building morale.
Leave of Absence Manager for Hexion, Sandvik, and BT North America.
Interim Benefits Lead, Levis Strauss & Company
Benefits Liaison: Capital One.
Darryl Columbus
EMPLOYMENT HISTORY
Home Depot, San Antonio, TX 2015 to present
In Store Promoter
ACCENTURE, San Antonio, TX 2007 – 2013
Lead for Absence Management, Benefits Liaison, Process Improvement and Project Management
BENEFIT PLANNERS, San Antonio, TX 2002 – 2006
Senior Account Manager (Client Services)
GALLAGHER BENEFIT ADMINISTRATORS, San Antonio, TX 2001 – 2002
Senior Account Manager, (Client Services)
WORLD SAVINGS, San Antonio, TX 2000 – 2001
Department Manager, Closing Department
ANTHEM BENEFIT SERVICES, San Antonio, TX 1988 – 1999
Manager, Administration and Quality Assurance
AETNA LIFE AND CASUALTY, San Antonio, TX 1 984 – 1988
Senior Claims Processor
EDUCATION
BBA, Concentration in Management and Leadership, University of Texas at San Antonio
Undergraduate (Same Discipline), University of Texas at El Paso
Certification of Computer Programming / Operations, CBM Technical Institute of San Antonio
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