Administrative Data Entry
Resume:
Leslie Lavertu
Bristol, CT 860-***-**** *********@*******.*** linkedin.com /in/leslie-lavertu-94694340
ADMINISTRATIVE ASSISTANT/CLERICAL
Proactive and customer-centric professional with extensive experience providing direct support to senior leadership and teams to optimize operational efficiencies. Recognized for prioritizing tasks and accurate completion with a focus on the details. Actively builds and strengthen relationships with customers, senior management, and cross-functional teams. Core competencies include:
Customer Service Calendar Management Meeting Preparation Marketing and Communications
Data Analysis Policies and Procedures Process Improvement Complex Problem Solving
EXPERIENCE
AETNA, INC., Hartford, CT
Aetna Employee Temporary Staff to Special Investigations Unit (SIU) full-time 2003 – March 2015
Analyst – Triage Team, Special Investigations Unit (SIU), 2016 – November 2020
Retrieved field mail, scanned each item and forwarded via e-mail to appropriate field personnel. Routinely demonstrated the ability to effectively and promptly handle incoming healthcare fraud referrals while working independently. Maintained clear, concise, and accurate Case Tracker/SharePoint set up and documentation while doing so. Ran ad hoc reports using various Aetna systems, i.e. Crystal reports, IOP Claims, Aetna Session Manager.
Generated and mailed correspondence verifying services rendered to members and/or providers to obtain clarification of facts and/or background information on existing cases.
Diligently maintained the Request for Information (RFI Requests) mailbox for e-mails received from various sources (OPM/OIG, NHCAA, FBI, and DOI).
Ran appropriate required system reports regarding providers/members and add/assign new request in Case Tracker per information supplied in the request.
Uploaded reports into case and notify Senior Investigator of the case number and due date within
24-hour timeframe.
Maintained the MEDIC RFI mailbox to assure RFI's were assigned to Investigators promptly to maintain CMS requirement compliance.
Supported State DOI reporting by accurately completing Case Tracker Screen entries and recording all TINs/NABPs found.
Participated in internal and external training opportunities as required for SIU Investigators in accordance with State, Federal and Industry mandates.
Administrative Assistant – Pharmacy Team, Special Investigations Unit (SIU), 2003 – 2015
Worked with Aetna and Special Investigation (SIU) systems to pull relevant case information and create/log new fraud files. Set up Investigator’s case assignments using Aetna SIU's databases.
Generated and mailed correspondence verifying services rendered to members and/or providers to obtain clarification of facts and/or background information on existing cases.
Ran ad hoc reports using Aetna systems, i.e. Crystal reports, IOP Claims, Aetna Session Manager.
Flagged and reinstated suspended providers using Aetna's Enterprise Provider Database.
Ensured SIU's closed case files are properly logged and sent to off-site storage facility.
Created and maintained SIU's library of documents for consistency and adherence to Aetna's
Brand standards.
Completed Department of Insurance PDF Referral Forms using Adobe Acrobat Professional.
Scanned documents and placed output files (jpg, bmp, and tiff) into MS Word for distribution via e-mail.
CIGNA HEALTHCARE, Bloomfield, CT April – December 2002
Graphics / Desktop Specialist – Marketing Print Management (Contract)
Developed and updated printed materials, i.e., brochures, flyers, and Patient Charge Schedules using desktop publishing applications such as QuarkXPress, PageMaker, Adobe Illustrator, and Photoshop for CIGNA HealthCare’s various audiences.
Prepared mail merge letters and attachments for print ensuring consistent, professional appearance of member/provider mailings using Microsoft Word.
Created PDF files of QuarkXPress, PageMaker and Word documents which expedited proofreading/approval of documents. PDF files were also used to post documents to the corporate internet site.
Managed CIGNA HealthCare Print Management’s on- and off-site filing system of printed samples.
ADDITIONAL EXPERIENCE
AELTUS INVESTMENT MANAGEMENT, INC., Hartford, CT
Sales Support Specialist – Aetna Mutual Funds
Communications Technician – Retail Marketing and Sales
Communications Technician – Institutional Marketing and Sales
AETNA CAPITAL MANAGEMENT, INC., Hartford, CT
Graphics/Desktop Publisher – Communications, Employee Benefits Division
EDUCATION
High School Diploma – Bristol Eastern High School
ADDITIONAL INFORMATION
Technical Skills: Macintosh OS, QuarkXPress, PageMaker, Case Tracker, Adobe: Photoshop, Illustrator, SharePoint, Microsoft Office – Word, Excel, and PowerPoint
Professional Development: Desktop Design seminar, Empowerment training, How to Deal with Difficult People seminar, Quality/Customer Service seminar, and SEC Series 6 Designation
REFERENCES
Elise Bibeault,
Sr. Administrative Assistant
Aetna, Inc. (Retired)
*********@*********.***
Phoebe Deegan
Sr. Analyst
Aetna, Inc.
********@*****.***
Sandra Miller
Sr. Investigator
Aetna, Inc.
********@*****.***
Yolanda Stalega
Triage Supervisor
Aetna, Inc.
********@*****.***
Contact this candidate