Linda L. Lesniak

** ******** ******

Crafton, PA. 15205

Home: 412-***-****

Cell 412-***-****

adu5hb@r.postjobfree.com

Objective: Seeking an Administrative position using my combination of excellent organizational skills, advanced technical knowledge with a strong work ethic.

Education:

1984 1991 Carlynton High School received diploma

1989 1991 Parkway Technical School received diploma in Secretarial/Office

procedures

2010 Present Kaplan University Bachelor’s degree in Human Resource

Management Associates degree in Business Management

Employment:

2015- Present – Aetna, Claims processor and Mentor, Processed electronic

forms, adjudicates for provision of deductibles, co pay, co insurance maximums and provider settlements, entered claims data into system and resolved problems resulting from claim settlement. Weekly reviews of audited randomly selected claims to ensure quality processing. Researched claim overpayments and requested funds, followed adjudication policies and procedures to make sure proper payment of claims and provides timely customer service to providers, billing departments and other insurance companies.

2016 – Present – Amazon – Part Time Sortation Associate - Sorting packages based on size and destination, includes envelopes; and place all scanned packages on to the correct pallets, wrapping pallets when time allows, splitting packages on the belt and picking off packages and placing them in the correct location.

2013 – 2014 UPMC, Ebenefits/Evolent Member Services, Temporary Assignment. Provide exemplary customer service for commercial and medicare clients. Assisting members with eligibility benefit changes, new hire enrollments, status changes, retirement questions, and applying a step by step process through multiple open enrollments based on plan designs. Assisted in prompt responses to numerous benefits payments (co pay/co insurance) via phone and/or email. Also, the ability to understand and effectively communicate basic claim information and terminology.

2009 2013 – United Lenders Services, Title Representative, Provide customers with an accurate title product according to established timeframes. Verify legal, vesting, scanning packages, audit closing packages, and regular searches that have been entered into the system, add additional comments as needed. Proofread legal, vesting, and regular searches by reviewing information entered into the system and comparing to abstractor provided information to ensure accuracy of final product. Respond to emails and phone calls from customers, abstractors and associates to ensure resolution of issues and proper communication occurs. Accurately enter legal, vesting and regular searches into the system and review to ensure accuracy of final product.

2007 2009 – Aliquant, USNH University, Benefits Administrator, duties included: Provides administrative support to client team by handling ongoing benefit processes such as electronic eligibility files to insurance carriers and incoming files from client. Developed a high-level understanding of the client’s benefit plans by testing through access system. Ability to identify benefit discrepancies in data and clearly communicate to other team members the nature of the issue from testing and producing excel spreadsheets and provide resolution. Involved in handling standard and complex membership reports using Excel spreadsheets, MS Access queries, and MS Word documents. Communicates on a regular basis with supervisor regarding any exception processes or outstanding issues/inquiries. Answers and evaluates incoming correspondence from client base. Understands the importance of exception processing and its relation / integration to the overall client directives. Accurately logs issues and manual updates using internal case

management system using Lotus Notes.

2004 2007 – Pressley Ridge Schools, Human Resource Department, Benefits Assistant, duties include: cobra notifications, criminal background checks, entering new hire benefit selections, terminations, and retirement information into HRIS system through Beneffiency, and ADP. Completed monthly bills, such as, medical, dental, and vision, and FSA through Report Smith. Updated retirees in a timely manner, pension files, and new hire packets, tracking of online enrollment, tracking of salary increases, and preparing Open Enrollment in a timely manner.

1999 2004 National Real Estate, Title Policy Representative, duties include faxing, removing bankruptcies and liens, exceptions and requirements for loans and second loans, typing reports, telephone communication, proofreading, and issuing the final policy.

Skills:

Proficient in MS Office (Word, Access, ADP, Enterprise, Outlook, Excel,

PowerPoint, and Lotus notes)

HRIS system

Excellent Organizational and interpersonal skills

Excellent written and verbal skills

Ability to multi task

Advanced administrative and clerical duties

Analytical and problem-solving skills

Effective research skills

Highly motivated

Detail orientated

Ability to work independently and with a team

Contact this candidate