Summary
Overview
Work History
Education
Skills
Timeline
Generic

Adrian DuBose

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

34
34
years of professional experience

Work History

Associate Claims Implementation Analyst

Highmark Inc
04.1996 - 03.2024

As an Analyst in the Benefits Area I implemented healthcare benefits for IBC clients. Additionally, I had the following responsibilities:

  • Participated in high profile projects, such as Keywords which was to increase efficiencies for Benefit Coders and to improve quality by reducing duplicative entries and to decrease the number of Claims Processing Business (CPBRs) and Customer Product Codes (CPCs)
  • Analyze, design and code new clients/groups
  • Maintenance of existing groups, corporate project, benefit enhancements and medical policy application
  • Provide product support via defect fixes, CRs or any other related issue
  • Perform root cause analysis and coding implementation including testing, adhoc reports and data clean up
  • Accountable for identification, documentation, and escalation of risks, defects, and issues.


Some of my previous held job positions were:


  • Managed multiple projects simultaneously, prioritizing tasks effectively to meet deadlines and exceed expectations.
  • Provider Unit Customer Service Representative
  • Claims Processor
  • Technical Support Specialist in the Claims Area

Claims Processor

PHEAA (Abel Temps)
03.1990 - 08.1996

In te student loan processing center I was responsible for answering member inquires as well as reviewing deferment/forbearance requests to temporarily suspend student loan delinquency. I also resolved member phone calls in the Customer Service Unit

Education

High School Diploma -

Susquehanna Twp High School
Harrisburg, PA

Skills

  • Technical Analysis
  • Business Analysis
  • Flexible and Adaptable
  • Research
  • MS Office
  • Multitasking
  • Quality Assurance
  • Remote Office Availability

Timeline

Associate Claims Implementation Analyst

Highmark Inc
04.1996 - 03.2024

Claims Processor

PHEAA (Abel Temps)
03.1990 - 08.1996

High School Diploma -

Susquehanna Twp High School
Adrian DuBose