Sullivan University, Louisville, KY

A.S., Information Technology (expected Summer, 2022)

2020 - Present

Sullivan University, Louisville, KY

B.S., Business Administration

2010 - 2015

University of Louisville, Louisville, KY

B.S., Accounting (didn't complete)

1990 - 1993

Consultant, Humana, Inc.

Data and reporting consultant for Retail Claims Organization

• Provide ad hoc reports via SQl, TOAD, and Netezza based on various parameters for entire Retail Claims Organization leadership team
• Ensure VIP claims (politicians, high-level retired executives) are processed correctly
• Design and maintain several database for departments across the organization
• Administrator/Trainer for a production monitoring tool that gathers production data for 700+ associates
• Administrator and creator of several SharePoint sites for the Retail Claims Organization

2019 - Present

Business Consultant, Humana

• Worked with Claims Process Organization to ensure that claims processes functioned in the manner intended
• Identified impacts to the claims organization for new or updated processes
• Identified areas of improvement within the claims process for multiple teams
• Identified cost savings related to productivity or quality improvements

2014 - 2019

Supervisor, Humana

Supervisor for multiple production teams with as many as 38 direct reports at one time

• Ensured appropriate staffing levels were achieved to ensure resources are managed effectively
• Identified and analyzed variation in individual performance metrics and proactively worked to remove barriers and improve performance
• Built several inventory tools to increase efficiency of pend aging reporting for peers.
• Designed and maintained a peer review database that has saved more than $9,000,000 in under- and overpayments since its inception in 2010
• Designed and maintained multiple database for several teams across the organization including databases for work from acquired companies
• Lead several projects that reduced administrative costs by hundreds of thousands of dollars

2004 - 2014

Administrative Assistant, New Covenant Baptist Church

Served as administrative assistant to two pastors for a congregation of over 500 people

• Managed accounts receivables by entering member contributions into a software program for an accurate accounting of funds
• Managed accounts payables by organizing bills for timely payment and writing checks
• Creator, designer and former webmaster of Newcovenantbc.org, the church’s official website
• Designed and operated audio/visual enhancements on multiple plasma screens throughout the facility during weekly worship experience using Sunday Plus software

2002 - 2015

Production Lead, Humana

• Responsible for assisting adjusters with complex claims issues and helping them resolve them appropriately
• Coordinated unit huddles and disseminated processing information through huddle documents and quick reference guides that I create
• Performed root cause analysis coupled with tracking and trending of various claims issues
• Responded to market requests for claims reprocessing and investigation

2002 - 2004

Benefit Analyst/Claims Adjuster, Humana

• Completed accurate and timely adjudication of complex claims
• Handled customer service duties (answered calls from members and providers, ordered id cards, resolving claims issues, etc.)
• Carried out accurate and timely completion of numerous complex special projects
• Acted as team lead for one year in the absence of official team lead

1999 - 2002

Data Entry Specialist, Humana

•  Keyed claims into data entry system with high degree of accuracy while maintaining quantitative standards
•  Trained new associates on the data entry system

1997 - 1999

Multiple STAR Award recipient, Humana

STAR Awards are granted to associates who significantly reduce administrative cost by improving productivity, quality, etc.

2004, 2009, 2011, 2012, 2014, 2015, 2016, 2018

Dean's List, Sullivan University

I received this after my first semester for making all As while carrying a full course load. .

2010