Jeffery HARDIN
Spring,TX
Summary
Dedicated and detail-oriented Claims Specialist with a strong background in analyzing and processing insurance claims, seeking a challenging position as a Desktop Support Analyst. Adept at troubleshooting hardware and software issues, providing technical support, and ensuring optimal functionality of desktop systems
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Specialist
Aetna, a CVS Health
New Albany, OH
06.2017 - Current
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.
- Facilitated communication between claimants, providers, attorneys, adjusters, employers, and other parties involved in a claim.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
- Compiled data from multiple sources for reporting purposes.
- Provided customer service by promptly responding to claimants' inquiries regarding their benefits or coverage.
- Utilized analytical skills to identify trends and patterns in claims data, contributing to process improvements and risk mitigation
Desktop Support Analyst Intern
Columbus Recreation And Parks Department
Columbus, OH
07.2017 - 01.2018
- Responded to requests for technical assistance in person, via phone, and electronically.
- Managed user profiles using roaming profiles through Group Policy Objects.
- Resolved user problems with various applications such as MS Office Suite, Adobe Acrobat Reader, and other commonly used programs.
- Answered user inquiries to resolve computer software or hardware operation problems.
- Collected, analyzed, and reported on data for use in operational planning.
- Maintained inventory of all equipment, software, and software licenses associated with a desktop computing environment.
- Diagnosed and resolved technical hardware and software issues reported by users.
Education
Master of Science - Information Technology
Capella University
Minneapolis, MN05.2025
Master of Science - Sports Management
Georgetown University
Washington, DC12.2020
Bachelor of Science - Sports Management
Bowling Green State University
Bowling Green, OH12.2017
Skills
- Documentation Review
- Compliance Management
- Settlement Determinations
- Accident Investigations
- Troubleshooting
- Microsoft Office 365
- Database Management
- Critical Thinking
- Attention to Detail
- Policy Analysis
- Google Suite
- Business Correspondence
- Procedure Manuals
Certification
Certified Scrum Master- January 2021
CompTIA A+- December 2023
ISC2 Certified in Cybersecurity- December 2023
Timeline
Desktop Support Analyst Intern
Columbus Recreation And Parks Department
07.2017 - 01.2018
Claims Specialist
Aetna, a CVS Health
06.2017 - Current
Master of Science - Information Technology
Capella University
Master of Science - Sports Management
Georgetown University
Bachelor of Science - Sports Management
Bowling Green State University
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