Risk Management Executive Secretary
Resume:
TRACIE
SAUNDERS
Charleston WV 304-***-****
*******************@*****.***
Motivated specializing in personal, property and casualty loss and damage. Negotiates
claims with an emphasis on fairness and thoroughness. Trustworthy and dependable. Service-oriented
WORK EXPERIENCE
Aetna /CVS
5/2021 – present
Professional who assesses, plans, implements,
coordinates, monitors, and evaluates the options and services required to meet an individual’s health and human service needs. They act as patient advocates, guiding and coordinating care for individuals, families and caregivers as they navigate their healthcare journey Grievance Analyst /Aetna
August 20XX – July 20XX
Responsible for investigating and resolving oral
and written grievances received for all products. Grievance may contain multiple issues and may require coordination of responses from multiple business units. Must ensure a timely, customer focused response to complaints, both oral and written. Identify trends and emerging issues and report and recommend solutions issues and report and recommend solutions.
Executive Secretary / Workforce WV
04/2016 to 2019
Performs a variety of administrative tasks for the supervisor including organizing an
appointment calendar,
screening visitors and telephone calls, making travel arrangements, answering routine
correspondence,
accumulating information for reply to requests by
correspondence and/or telephone.
Takes dictation of a confidential and technical nature from the supervisor or transcribes dictation from a
transcribing machine.
Types correspondence, reports, forms, contracts, bulletins, EDUCATION
Marshall University
Business Administration
CONTACT
Phone
*******************@*****.***
SKILLS
Advanced oral and written
communication skills
Risk management
Insurance policy coverage knowledge
Administrative background
Policy investigations
Underwriting knowledge
Risk management
Data analysis
Skilled multi-tasker
Highly motivated
Advanced oral and written
communication skills
manuals, narratives and other
documents and related
office material which may require familiarity with specialized terminology such as medical
and/or legal terms.
Senior Employer Policy Representative/ Brickstreet Mutual Insurance Company
03/2001 to 01/2016
Maintained suspicious claims database and prepared reports on a quarterly basis for
supervisors.
Reviewed and analyzed suspicious and potentially
fraudulent insurance claims.
Compared data from surveillance footage to data on medical reports.
premium and provider fraud.
Reviewed and analyzed suspicious and potentially
fraudulent insurance claims.
Compared data from surveillance footage to data on medical reports.
goal of creating positive outcomes for client's claims. Successfully eliminated claimant, premium and provider fraud.
written reports for management.
Followed up on potentially fraudulent claims initiated by claims representatives.
Directed and coordinated various investigations conducted by field investigation team.
Drafted investigative reports covering all phases of the investigation in each case.
Trained new staff members in the detection of external and internal fraud.
Organized
Customer service-oriented
MS Office
Advanced computer skills
experience in the use of Excel and
Microsoft Word,
including ability to create detailed
spreadsheets, formulas
and pivot tables Claims
Special Skills and Boards
Completed Advanced Customer Service
training
Notary for the State of WV
Board of Directors New Covenant
Missionary Development Board
Member of Charleston Woman Alliance
Reference available upon request
Contact this candidate