Customer Service Data Entry

Edward C. Robertson

*** **** ****

Newington CT, 06111

Phone: 860-***-****

**************@*****.***

I am an insurance and Health Care professional with over 30 years of experience in Customer Service, Plan Sponsor services and Provider electronic banking and explanation of benefits implementation.

Ricoh-USA (Pratt Whitney)

(9/12/2022) – (9/5/2025)

Sr. Onsite Specialist:

Provided mail and transportation services for Pratt Whitney in East Hartford and Middletown. Shipping and receiving, assorting and distributing items throughout both campuses. Managed and operated the Pratt Whitney Middletown mail facility. Prepared company invoices for domestic and international mailing according to specific Carrier service protocols. Scanned in items and added customers to internal package and tracking system. Data entry: Maintained daily logs and assisted customers online in the tracking and receiving of items.

Pascoe Work Force Solutions LLC

Catic

(9/8/2020 -4/22/2022)

Data Entry Specialist:

Selected and processed policy and property information from title policies in Catic workflow queue. Verified that auto-populated fields matched policy information.

Searched property database for prior policies to calculate refinance premiums.

Identified premiums for various States according to specific State rules and premium structure.

Performed quality control to ensure that policy information is complete.

Scanned policies into the Catic workflow queue.

Rose International

Aetna, Inc.

(5/2017 – 08/2020)

Implementation Consultant:

Retrieved and processed Provider Electronic Funds Transfer and Electronic Remittance Advise enrollment requests. Updated EFT and ERA submission counts daily report log.

Performed fraud mitigation protocols on incoming EFT enrollments.

Participated in and facilitated weekly team meetings.

Collaborated in the resolution of issues pertaining to provider or vendor EFT/ERA implementation requests.

MindLance

Anthem Blue Cross, Blue Shield

(12/2016 – 1/2017)

Customer Service Call Center:

Processed Primary Care Physicians enrollments and assisted Anthem BC/BS members with provider and plan benefit inquiries.

Managed Staffing

Aetna, Inc.

Enrollment Consultant:

(6/2014 – 3/2016)

ERA/EFT Enrollment.

Processed Electronic Banking Applications for Aetna providers.

Transferred provider ERA/EFT documentation into the data storage repository.

Aetna, Inc.

(2011 – 5/2013)

Eligibility and ID card Consultant National Accounts:

Enrolled Plan Sponsor employees into their health benefit plans.

Maintained enrollment, ID card, benefit and network databases. Coordinated electronic transfer of eligibility data. Produced and released plan sponsor ID cards. Migrated plan sponsor health plans from HMO to HNO platform.

Eligibility Consultant:

(2005 – 2011)

Processed Plan Sponsor member enrollments.

Maintained enrollment and benefit database.

Mentor for the Health Maintenance Organization eligibility platform.

Transitioned paper accounts to electronic. Set up employee disability files.

Eligibility Consultant Small Business Unit:

(2000 - 2005)

Accurately processed Plan Sponsor member enrollments.

Maintained enrollment and benefit database.

Customer Service Representative

(1996-2000)

Call Center: provided information to members and providers on Indemnity and HMO plans.

Instructed members regarding their medical, dental, and vision and pharmacy benefits.

Resolved claims and benefit related issues. Processed subscriber and dependent specialist referrals.

Processed claims and maintained subscriber and dependent databases. Processed ID card requests and pharmacy coverage updates.

Print Operator:

(1989 – 1995)

Printed Gateway reports and Id cards.

Print Operations:

(1985 -1989)

Produce, package and distribution of companywide reports.

Computer Operator: Hartford Data Center and C&T Room

(1981 – 1985)

Operated EAM equipment (Decollaters, Collaters) Card Reader Punch machines. IBM Printers and IBM MODEL 30 and 1620 Computers. Operated Aetna disk drive and tape drive systems.

Aetna Inc.

Mail and Transportation Services:

(11/79-1981)

Sorted, packaged and delivered interoffice mail. Loaded and unloaded mail trucks.

Education:

Greater Hartford Community College: Associates Degree Liberal Arts.

(9/75 – 9/79)

New Britain High School: Graduate Diploma.

(9/73 – 6/75)

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