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Virtual Assistant Quality Assurance

Location:
Chicago, IL
Posted:
November 10, 2023

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Resume:

APRILMINER

AprilMiner

ad001r@r.postjobfree.com

312-***-****

● Fifteen years of client services experience with approximately 15 years in a high-volume financialindustrysuchasJPMorganChaseandCNOFinancial.

● Oversixyearsofexperienceinfinancialanalyzing,processing,andreportinginhigh-volume environmentswellresolvingaccountsandaccountreconciliationasclientrequests.

● Over 6years of Volunteer work for a CHA approved Property Owner.

● Professional known for making supervisory decisions,using discretion and processing highly confidential information.

● Maintain Patient/client confidentiality in accordance with HIPAA/Privacy regulations.

● Monitored,audited,and performed financial transaction processing while working for JP Morgan Chase,CNO Financial and Maximus Government Contractor.

● Strong analysis,problem-solving,teamwork,and proficient in Microsoft Office Suite with Insurance and financial systems.

●Quality Assurance experience for both Call Center and Health insurance Products.

● Located in Chicago,IL with the flexibility for an interview Education:

GED Graduated:November2011

Issued by the state of Illinois and Certified by the Regional Office of Education DeVry University Chicago,IL CollegeCredits:January 2012–April 2014 Business Administration &Project Management

Skills:

● Administrator Support

● Client Services

● Analytical

● Microsoft Excel

● Microsoft Outlook

● Microsoft PowerPoint

● Microsoft Access

● Microsoft Publisher

● Microsoft SharePoint

● Citrix

● Internet Explorer

● Claim Review Processing

● Cash Handling

● Database System

● Operational Systems

● Banking Product Knowledge

● Health insurance Product knowledge

● Account Reconciliation

● Thinking Creatively

● Coaching & Development

● ATM/ACH Transactions

● HIPAA/Privacy Regulations

Work Experience:

Jewel Foods,(Current)-Chicago,IL July2023(20+Hrs/week) Cashier

Cashier/Service checks for grocery items using accuracy,different tenders,and look up keys to ensure a seamless customer experience.

● Money transaction handling

● Customer Service

● Critical Thinking

● Multi-tasking

● Strong attention to detail

1

April Miner

Sedgwick-Chicago,IL March 2023-May2023

Leave of Absence Specialist

Professionally.

● Processing Information

● Case management

● Determining benefit periods

JP Morgan Chase(Contract)-Chicago,IL October2021–April2022 Client Service Representative

● Execute decedent beneficiary payouts for the Estate Team

● Reconciled tickets once payment settled

● Validated documents

● Reviewed internal financial systems to determine fund a availability.

●Analyzed financial information,processed,and performed administrative support Apple One Employment Agency,INC(Contract)-Remote February2021–June2021 Referral Specialist

● performed pre certification for AIM Healthcare

● Collaborated with internal and external service areas to complete the intake process

● C

● Identifiedserviceneeds

● CommunicatedwithProviders,Supervisors,Peers,orSubordinates

● Documentedandrecordedinformation

● InteractedWithComputers

● PerformedAdministrativeActivities

GHarmaanian-Chicago,IL January2016–February2021

VolunteerRoleVirtualAssistant/ResidentPropertyOwner/Bookkeeper

● Preparedandmailedchecks

● Scheduledandconfirmedappointmentsforclients,customers,andsupervisors

● Opened,read,routed,anddistributedincomingmailorothermaterial.

● Cash-handlingtransactionsover$3000

● FollowedCHAandChicagorentalguidelines

● Resolvedtenant/Vendorqueries

● Inspectionpreparation

● Screenedpotentialresidentsandhandledpropertyshowings

● CreatedamoneyapplicationinExcelforapplyingrentalpayments

● Collections

TheCentralStatesHealth&WelfareFund–Chicago,IL June2013–August2014 BenefitSpecialist

● MaintainedbenefitadministrationinalargeNPOCallCenter

● Handledahighvolumeofinboundcalls

● Proactively assisted members with benefit,pension,claims,andWEBnavigationquestions throughemailcorrespondenceandinbound/outboundcalls

● Collaboratedwithvariousentitiesregardingmemberfacts,claimhandling,subrogationlaws, andpensionquestions

Maximus(GovernmentContract)–Chicago,IL Dec2012–June2013 2

APRILMINER

QualityAssuranceSpecialist

● Identifiedqualityproblemsandrecommendsolutions

● Suppliedqualitycontroldatanecessaryforregulatorysubmissions

● Wroteandrevisedstandardqualitycontroloperatingprocedures

● Participatedininternalassessmentsandauditsasrequired

● Performedvalidationsortransfersofanalyticalmethodsbyapplicablepoliciesorguidelines

● Documentedandrecordedimportantinformationwithintheaccount

● Monitoredprocesses,materials,andsurroundingsoftransactions

● Evaluatedinformationtodeterminecompliancewithstandards

● Updated and utilized relevant knowledge and judge the qualities of things,services,and people

CNOFinancial–Chicago,IL March1990toMarch2011

SeniorQualitySpecialist/ClaimReview/VendorManagerSupport/CustomerService

● Provideddirectadministrativesupporttotheassignedmanagerandsupervisor

● Supported the following teams and departments:Quality Assurance Manager,Vendor Manager,Claim Review Manager,and Claim Audit CustomerService Supervisor

● Monitoredandauditedthecustomerservicedepartment

● TrainedonsiteandoffshoreQAstaffonprocedures,processes,andsoftware

● Developed material and trained customer service Staff on internal procedures andQuality Application

● Reported,Analysis,andQualityMetrics,ad-hocreportingperrequest

● Participatedinprojects&initiativesdesignedtostreamlineprocessesandenhancedsystems

● DevelopedautomatedchecklistandreportingtemplateusingExcel

● Worked with a developer and core team to design a quality checklist and reporting web applicationtool

● Updated source material-Responsible for updating source material for Health,Life & AnnuityCustomerServiceintranetlink.

● Re-calculatedtheamountoftheclaim

● Postedandattachedinformationtotheclaimfile

● Transmittedclaimsforpaymentorfurtherinvestigation

● Contactedinsuredandotherinvolvedpersonstoobtainmissinginformation

● Organized or work with detailed office or warehouse records,using computers to enter, access,search,andretrievedata

● Examined letters from policyholders or agents,original insurance applications,and other companydocumentstodetermineifchangesareneededandtheeffectsofchanges

● Calculated premiums,refunds,commissions,adjustments,or new reserve requirements, utilizedinsuranceratestandards

● Communicatedwithpolicyholdersandhandledcallstoprovidecustomerserviceandobtain informationonclaims

● Reviewedinsurancepolicytodeterminecoverage

● Correspondwithinsuranceandagenttoobtaininformationorinformthemofaccountstatus orchanges

● Enteredinsuranceandclaims-relatedinformationintodatabasesystems 3



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