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Claims Analyst Resume


Somnuck J Nouanephongsy
Virginia Ave
Springfield, Oregon
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Career:

May -Present A&I Benefits Plan Admin, Inc
Portland, OR
Claims Analyst I
- Automatic and manual adjudicating claims into system
-Repricing PPO claims via internet and using Excel spreadsheet
-Preparing claims for return to provider/subscriber if additional information is needed
-Other duties: Processing RX batch drug, filing and mail sort

August – February Wells Fargo Bank, Card Services
Beaverton, OR
Operations Clerk
-Effectively able to support operations analyst, backing up Access databases and trouble shooting when analyst is unavailable
-Proficient at extracting and importing data from SQL server, generating reports and preparing files to be sent for batch processing
-Responsible for formatting and dispersing extracted data for management reports
-Accountable for sorting and logging incoming probate correspondence for processing
-Knowledgeable in Probate policies and procedures, as well as being responsible for completion of Probate correspondence and account research

March - August CTDI c/o Northwest Staffing
Portland, OR
Quality Assurance
-Gained experience working in fast paced production environment, confirming cellular product information with system records, including verification of customer billing information
-Responsible for programming cellular phones according to customer plan specifications
-Accurately audited over work-orders daily, meeting department expectations

Sept. - January EDS c/o Kelly Services
Portland, OR
Proofread Operator
-Responsible for processing of Washington Mutual checks, including running check batches through encoding machine and manual entry of check amounts.
-Reviewed batches for accuracy, reconciling batch balances if keying errors occurred

Education:
Heald College Portland, OR
•Associates of Applied Science degree in Computer Technology

Mt. Hood Community College Gresham, OR
•Basic studies coursework, completed + hours

Technology Skills:
Proficient using Windows -, XP, Microsoft Suite (Excel, Word, Access, Outlook), familiar with medical terminology and icd- code, strong keyboarding and -key skills, multi-line telephone systems. PHI and HIPAA compliance.