Darshell R. Hearn **** Queen Palm Drive, Las Vegas, NV 89128 Phone: Hm. 703-***-**** Email: addo11@r.postjobfree.com

SUMMARY OF QUALIFICATIONS:

DOI Nevada Property and Casualty License, DOI Nevada Accident and Health License

Secure/ Maintain Confidential and Statistical data, DoD Security Clearance, NIPR/SIPR, DEERS

Customer Relations Management, Customer/Client Problem Resolutions, ABX White Belt Six Sigma

Trainer, Calendar Control, Data Analysis Policy Implementation, Kiazen Implementation,

MS Office Suite proficient, Solution Central, 40% Membership increased within fourteen days

ZEN, HEDIS, HUB, TouchWorks, IDX, Genesys, Facets, Dynamics, HIPPA, QNXT, ProPat,

Technical, Proposal, and Intra-company Policy writing, Data Entry, HTML, Sales Force, PeopleSafe

Customer/Patient Advocacy, Claims, Corporate and New Hire Company Trainer, Account Executive

EDUCATION: Bachelor- BS Degree, Biblical Studies, North Carolina College of Theology, Carolina Beach, NC Cochise College, Sierra Vista, AZ, Business Management/Computer Information Systems Saint Leo University, St. Leo, FL Bachelor- Business Administration-Management, In Progress

EXPERIENCE: 2018-Present: Membership Experience Consultant, Anthem Blue Cross of California, Las Vegas, NV: • Enter patient information and physician orders accurately, verify insurance eligibility for all claims. Submit prior authorizations as needed, upload images and medical records based on facility needs, confirm receipt of final reports, and make all necessary notes in patient's file, and communicate data with patient and facility. Verify patient information and report and documents all critical findings. Provide professional inquiry, Ensure all routine and stat claims are processed in the designated timeframe with appropriate facilities/physicians. Communicate benefits, conduct provider searches, appeals, grievances, and claim adjustments as appropriate. Perform other related duties as assigned

2017-2018: Community Outreach Development Coordinator, Aetna Better Health of Nevada Las Vegas: Assist communities to identify needs, opportunities, rights and responsibilities in healthcare. Educate healthcare options and develop community organizations relationships, Travel to urban and rural perceived to be culturally, economically, or geographically disadvantaged seeking active engagement, participation to dialogue with public for awareness. Prepare reports, Calendar control, Schedule, Plan and Attend events. Public speaking, Implement strategies, and encourage participation through positive interactions. In conjunction, assist Network Relations with Emphasis in rapport building with providers and internal partners. Maintain professional relationships. Monitor provider needs, input demographic data, contract coordination, investigate referral statuses, Medical claims intake, processes, and follow up. Provide credentialing support, provider contract support, process, and recruitment education. Compile Statistical sensitive data.

2014-2016: Senior Advising Scheduler, United Healthcare, H.E.W Division-TCP (Health Education & Wellness) Medical Management, Quality Improvement Department, Las Vegas, NV: Assist members engagement to HEW programs. Provide group orientations, overviews, and training in specific wellness programs promoting physical, emotional, intellectual and spiritual health. Disclose guideline specific provider One-on-One assessment procedures and treatment options. Schedule appointments, Data entry, Create Patient Referrals and Provide information to HEW related programs. MS Office Suite, Maintain counselor patient calendar, schedule meetings, and trainings as needed. Provide extensive customer service, answers inquiries.

2013-2016: Surveillance Role Player Analyst, HT-JCOE, EKS Group, LLC, Sierra Vista, AZ Provide surveillance services to Department of Defense in subject matter expertise in Human Intelligence, Counterintelligence, Counter-terrorism, and Collection Management Operations. Provide Operational Planning, Contingency Planning, Collection Management, Analysis, Report, Training Operations (Strategic, Operational & Tactical), Plans, Policy & Doctrine Targeting. Support Investigations, Interrogations & Debriefing, Vulnerability/Threat Assessments, Information & Personnel Security, Risk Management & Planning, Support to Law Enforcement and Homeland Security.

2014: Technical Service Associate, Aerotek Aviation/Northrop Grumman, Sierra Vista, AZ Analysis of Data, Compile and Sort source information. Establish Data Entry priorities. Process technical source documents, analyze and review data for deficiencies. Resolve discrepancies within standard procedures. Confirm data system changes, upgrades, Review Output Resolutions. Secure complete data base backups. Maintain operational policies and procedures. Report needed changes, Maintain security, protect confidential information operations. Provide thoroughness, critical thinking, and delivery of driven results.

2012-2013: Provisioning Enterprise Email Support Cell Analyst, Network Enterprise Technology Command, C-TNOSC, Ft. Huachuca, AZ, Zenetex LLC, Herndon, VA Create Incidents/Tickets; translate user request for analysts and troubleshooting. Assist users with hardware and software related issues. Resolve/Escalate incidents in accordance with government procedures. Perform quality assurance with Customer/end users. Perform Reports, Data Analysis, Critical Thinking and Decision Resolution. Interface with military/DoD personnel clientele, daily, to assist in resolving Enterprise Email issues. Follow up and conduct quality checks with customers for service restoration request satisfaction.

2010-2012: Administrative Assistant, Training & Test Technician, HT-JCOE/JAICC, Ft Huachuca, AZ Coordinate, oversee, and apply concepts, policies, methods, and procedures of course implementation. Perform Routine and Non- routine Office Management functions. Prepare/maintain time sensitive organizational reports, Compose and utilize appropriate correspondence procedures. Edit, Review, and Approve documents, presentations, and Course material. Design, update, maintain, and Secure Instructor/Student records. Develop Training calendars, Classes, and Courses. Monitor field training exercises, Assist organizational umbrella course operational functions. Secure Chain of Custody, Physical Security, and Security Access Management.

2009-2010: Education Enrollment Counselor, University of Phoenix, Sierra Vista, AZ Provide program specific information, Enroll students in degree program of choice, Provide application assistance, answer program inquiries, Collect civilian and military transcripts for credit matriculation assessments. Answer Financial Aide inquiries, Provide guidance overview of Student Portal, Class Participation, Posting assignments, and Classroom Experience. Assist students throughout the educational curriculum and graduation process. Secure confidential documents and sensitive information.

2008: Assistant Community Outreach Coordinator, Shaw Group, E & I, Inc. Bisbee, AZ Direct support to Project Manager, Establish community outreach opportunities. Provide telephone and written correspondence to community, compose confidential reports. Respond to inquiries, Produce presentations for public meetings and community events. Multi-task and Prioritize simultaneously. Complete projects under pressure, and Meet Deadlines. Demonstrate effective administrative, organizational, and communication skills. Prepare and maintain confidential material, Employee Travel, and Calendar Control. Process GSA expense reports, and maintain Office Inventory Logistic Reports. Submit Time-sheets, Weekly Vehicle Inspection, and Mileage log reports. Demonstrate proficiency of office-related software applications and operations.

2004-2008: Customer Relations Manager/ Trainer/Marketing, Water Management, Inc. Alexandria, VA Provide Customer Relations, Attend Client Meetings, and Introduce Conservation Solutions. Assist Senior Management, and Crew work orders, Proposal Development, Technical Writing, and Implement Marketing Strategies. Perform Database Management, Compose Documents, Coordinate CEO itinerary, Schedule Weekly Department meetings, Conduct Company Quarterly Customer Service Training. Inventory Logistics, A/P and A/R invoicing, Price adjustments, Billing, Audits, and Problem Resolution. Monitor Consumption and Service Department Reports, Productivity Standards, Collect Statistical Data, Project Status, Generalist HR Process Payroll, Vacation, and Leave requests, and compile staff Sales reports.

Volunteer Experience: 2014-Present- Three Square of Greater Las Vegas Food Bank 2014-2016-Positive Actions Committee, Social Committee, Department Mixer Committee 2014- Red Cross CPR, AED, First Aid, Community CPR Certified 2014- Catalyst Scholarship- DeVry University 2006- Green Week, Water Day, Washington, DC- Coordination Committee, Volunteer 2005-2007-Joint Utilities Discount Day (J.U.D.D.), DCWASA/DC Dept. of the Environment, Washington, DC 2005-2007- ACS- Army Community Services, Fort Belvoir, VA- Vernondale Community Mayor 2001 Army ESAP Substance Abuse Soldier Program, Fort Gordon, GA- Volunteer 1998-2003- ACS- Army Community Services, Fort Gordon, GA- Volunteer