Summary
Overview
Work History
Education
Skills
Timeline
Generic

Greg Hardesty

Pittsburgh,PA

Summary

 Proven track record of multi-tasking and taking initiative on project management.
 Wide range of Quality Assurance experience, including auditing claims for correctness
and accuracy.
 Coordinated and led trainings for new system developments and new hires.
 Received promotions and advancement opportunities while working with insurance
claims and products.
 Recognized by supervisors and management for strong work ethic and positive attitude.
 Advanced proficiency and technologically savvy with MS Office Suite Products,
Sharepoint, DOS-based systems, Aetna proprietary - ECHS.

Overview

8
8
years of professional experience

Work History

Shipper/Brake Press Operator/Account Associate

Beaver Steel Services
Carnegie, PA
09.2022 - Current
  • Shipping -

Pulled orders for customer needs. Created and provided all administrative work for daily shipments. Received all purchase orders, and helped manage inventory.

  • Brake Press Operator -

Daily calibration of the brake press.

Read and interpreted blueprints.

Changed tooling to match the inside radius and angle.

Adjusted the machine to meet the low tolerances of OEM customers.

  • Account Manager Associate

Provided customer support and collaborated with production management to ensure that parts are being produced in a timely manner.

Quoted new parts and revenues to ensure it fit our company portfolio before accepting.

Chose pricing and minimum order quantities to ensure efficiency and reduce waste of steel sheets.

Met with customers on-site to gather new business and address any of the customers concerns on a high level.

Quality Assurance Specialist

ConnectiveRx
Pittsburgh, PA
09.2021 - 02.2022
  • Utilized a specific set of parameters to audit the verification of benefits and patient support calls to ensure accuracy for patients and providers.
  • Audited calls for any HIPAA concerns or adverse events.
  • Created spreadsheets to score patient support, and provide feedback and training.
  • Conducted meetings with management to show error trends, and provided root cause problem-solving solutions.

Rework Reconciliation/Claims Benefit Specialist

Aetna/CVS
Pittsburgh, PA
07.2017 - 09.2021
  • Adjusted inpatient, outpatient, and specialist claims to ensure financial and statistical accuracy.
  • After the first three months of employment, I became a mentor for new training classes. Audited claims from new hires, provided support, and constructive critiques.
  • BETA tested and trained the new system software (SUE) for all new and current processors.
  • Promoted to rework, to adjust claims paid or denied in error. Found trends to provide quality.
  • Worked with inside consultants (ABX) to streamline policies into a standardized workflow.
  • Led daily huddles to address team needs and the inventory of past-due claims.

Education

High School Diploma -

Seton La Salle High School
Pittsburgh
06-2010

Skills

  • Forklift certification
  • Some CAD software knowledge

Timeline

Shipper/Brake Press Operator/Account Associate

Beaver Steel Services
09.2022 - Current

Quality Assurance Specialist

ConnectiveRx
09.2021 - 02.2022

Rework Reconciliation/Claims Benefit Specialist

Aetna/CVS
07.2017 - 09.2021

High School Diploma -

Seton La Salle High School
Greg Hardesty