DANICA VELTRI-GLASS

**** ******** ******, *** **********, PA 15068

(C) 724-***-****

adwjcq@r.postjobfree.com

Objective:

To enter into a new career field and into a more stable future for my family. Experience:

March 2015 – Present

● Support cross-functional team members to meet or exceed quality and production standards

● Manage weekly inventory of approximately 3,000 – 5,000 adjustments

● Manage daily assignments of working claims inventory that average $10 million

● Implemented workflows/workarounds for claims processing that increase productivity

● Created training manuals implemented for training new team members

● Identify and participate in the training needs of team members

● Participate in the development/refinement of policies and procedures

● Process claims and/or adjustments in accordance with provider contracts

● Research and respond to both external and internal inquiries within 24 business hours

● Assume supervisory responsibility for extended periods of time in the absence of the supervisor

● Perform system demonstrations for prospective/existing clients

● Complete special projects as assigned

● Provide technical support to team members

● Assisted in CMS Audit sessions analyzing issues and corrective actions with Claims Directors TECHNICAL CLAIMS SPECIALIST, EVOLENT TEAM, UPMC

July 2014 – March 2015

● Managed multiple priorities according to designated standards

● Processed standard to complex adjustments (project reports, claim adjustment pends, corrected claims, CUT logs) according to designated standards, while meeting or exceeding production and quality goals

● Interacted with internal and external customers to resolve claim adjudication/adjustment issues

● Mentored new team members, training and reviewing guidelines of claims adjustment and processing

● Openly participated in team meetings, offering ideas and suggestions to ensure client satisfaction and promote teamwork

● Participated in and conducted training programs

● Processed standard to complex claims in accordance with company policy and procedures in a timely manner while meeting or exceeding production and quality goals

● Resolved outstanding items in accordance with designated standards

● Successfully completed special projects within designateddiscretion when serving guests alcoholic beverages to ensure their safety

BARTENDER, THE MEADOWS HARMAR

January 2000 – March 2009

● Interacted with customers and built lifelong

● Maintained a balanced cash drawer

● Worked closely with others as a team

● Helped organize banquets and parties

● Maintained the work area and kept it clean and organized Education:

DUQUESNE UNIVERSITY – Pittsburgh, PA

Forensic Science & Law

September 2006 – October 2007

ITT TECH- Pittsburgh, PA

Criminal Justice

August 2010 - June 2011

COMMUNITY COLLEGE OF ALLEGHENY COUNTY – Pittsburgh, PA General Studies

August 2001 – May 2002

VALLEY HIGH SCHOOL – New Kensington, PA

Graduation: June 2000

References available upon request

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