Ms. Audrey Randall-Jefferson

Audrey Randall Jefferson

**** ********** **.

Lanham MD 20706

H 301-***-****

C 240-***-****

Email: ******@*****.***

PROFESSIONAL SUMMARY: A seasoned and versatile professional with in-depth experience in administrative duties, with emphasis on providing outstanding customer service. Strong work ethics, organizational and problem solving skills.

QUALIFICATIONS: Microsoft Word, Excel, Outlook, Lotus Notes, Spectrum, DIAMOND, FACETS, ERISA, Fax Machine, 10 Key Adding Machine, Copier, Multiple-Lined Phones and other employer specific software.

EXPERIENCE: 07/2008 - Present : Pension Analyst; GEMGroup, Oxon Hill, MD. 20706. Review and process pension applications, manually calculate monthly pension benefits and lump sum death benefits, review confidential documents, interact with members in person, via phones, emails and faxes. Generate individualized letters for members, generate reports using Excel spreadsheets according to specific needs and responsibilities. Perform all other duties as required.

8/2004-7/2008-Sr. (Temporary Assignment)Program Support Analyst; Randstad Staffing, Washington, D.C. Pension Benefit Guaranty Corporation (PBGC) Duties: Review and approve all confidential documentation prior to processing pension applications; process pension applications and calculate benefit statements; create letters templates for unit, using Microsoft Word; provide excellent customer service while interacting with members by phones, emails and faxes; Perform all other duties as required.

6/2003-6/2004 (Temporary Assignment)Configuration Analyst II, Benefits, Mentor 4, Fairfax, Virginia Duties: Created new benefit rules using medical definitions for office visits, x-rays, hospital visits, etc, using EXCEL spreadsheets; attached medical rules to various insurance benefit packages using the DIAMOND System; used expert knowledge of benefit administration and interpretation; used expert knowledge of ICD-9, CPT codes and medical terminology; all other duties completed as required.

3/2000-5/2003 Health Benefits Officer, American Foreign Service Protective Association; Washington, D.C. Duties: Respond to high volumes of incoming telephone calls, faxes, letters and emails from members and providers of medical, dental and psychiatric services; interpret and explain plan policies and benefits to members. Explained explanation of benefits and medicare explanation of benefits; conduct in-office interviews with members; reviewed members' files, and update as required; applied expert knowledge of medical codes and terminology; all other duties completed as required.

6/1996-3/2000 Customer Service Representative and Claims Analyst, Insurance Overload Systems, Alexandria, Virginia Duties: A. Responded to incoming phone calls, letters and faxes from medical providers and members regarding benefits and the interpretation of benefits; update clients' and providers' files; reviewed, interpreted and advised of benefits and eligibility status for union members; other duties completed as required.

B. Processed and reviewed medical, dental and psychiatric claims based on benefit eligibility; coding and billing from documented information; applied expert knowledge of ICD-9, CPT codes and medical terminology, data gathering, review and correct department's disputed claims list; other duties completed as required.

REFERENCES: Available upon request