Jennifer Moorman
Canton,MI
Summary
Professional, result-driven, claims analyst with experience in pharmacy benefit manager, processing claims, data analysis and resolving claim discrepancies in a fast-paced production environment. I am capable of working independently or as a team. Prepared to bring a willingness to learn and long-term commitment to any new role.
Overview
10
10
years of professional experience
Work History
Claims Analyst
Optum RX/United Healthcare
, MI
12.2021 - Current
- Manages incoming prescriptions from medical doctors' offices
- Reviews patient prescriptions for accuracy of correct specialty department and correct medication, including dosing and strength
- Analyzes/compares patient benefits for possible discrepancies
- Utilize various databases and software programs such as: IRIS, Navigator, Card Finder, Microsoft Office
- Volunteers for new projects
Accounts Payable
Bektrom Foods
Monroe, MI
06.2020 - 04.2021
- Processed and managed vendor invoices and statements daily, ensuring timely and accurate financial transactions
- Initiated month-end reporting by utilizing Excel and VLookup functions.
- Entered invoices and credit card receipts into QuickBooks, ensuring accuracy and completeness before seeking management approval
- Demonstrated exceptional organizational skills and time management, contributing to departmental success, and receiving recognition from upper management and satisfied vendors
Staff Scheduler and Central Supply Clerk
Heartland Nursing Home
Livonia, MI
09.2019 - 06.2020
- Managed scheduling to ensure adequate staffing levels, minimizing burnout and ensuring residents' needs were met effectively
- Implemented inventory management protocols to stock resident rooms with hygiene products, briefs, and hand sanitizer, contributing to resident comfort and well-being
- Stocked medication and supplies at nurse stations based on medication lists, ensuring timely access to necessary medications for resident care
- Generated and maintained detailed reports tracking invoice data, providing itemized summaries to the Business Manager on a weekly basis
US Customs Entry Writer
CH Robinson
Southfield, Michigan
08.2018 - 08.2019
- Managed client accounts and provided support to other queues as required, ensuring seamless workflow continuity
- Demonstrated a commitment to timely filing of customer entries, effectively preventing late fees
- Implemented strategies to reduce delays and enhance transaction efficiency, fostering smooth interactions with border patrol authorities
Importer Security Filer
Expeditors Intl
Romulus, Michigan
06.2017 - 03.2018
- Implemented strategies to reduce delays in late filings, to prevent late fees and clearance delays
- Managed process in effort to Efficiently managed my designated customer queue while providing support to other queues as required, ensuring seamless workflow continuity
- Processed over 25 entries daily within the importer security filing queue, maintaining high productivity and accuracy standards
- Prioritized and managed ISF email correspondence, responding promptly to inquiries from customers
Trade Analyst
Livingston Trade Management
Dearborn, Michigan
12.2014 - 06.2017
- Experienced in US Customs Clearance of border and sea operations, with a focus on optimizing processes for the client, Ford Motor Company
- Led implementation of new processes and reporting systems, including surveys to identify and address issues with VIN reporting and filing delays
- Developed and maintained monthly metric reports to track performance and drive process improvements for freight forwarders. Utilized Excel analysis and Vlookup for proper data analysis.
Education
Master of Science - Health Management
University of Michigan, Flint
Flint, MI12-2025
Bachelor of Science - Health Administration
University of Phoenix
Tempe, AZ06.2024
Skills
- Data Visualization- charting and graphing
- Proficient in Microsoft Excel including Vlookup and Pivot Tables
- Attention to detail and quality
- Regression Analysis
- Clustering Analysis
- SAS JMP PRO
- Basic Understanding of SQL
- Organizational Skills
- Account/Project Management
Timeline
Claims Analyst
Optum RX/United Healthcare
12.2021 - Current
Accounts Payable
Bektrom Foods
06.2020 - 04.2021
Staff Scheduler and Central Supply Clerk
Heartland Nursing Home
09.2019 - 06.2020
US Customs Entry Writer
CH Robinson
08.2018 - 08.2019
Importer Security Filer
Expeditors Intl
06.2017 - 03.2018
Trade Analyst
Livingston Trade Management
12.2014 - 06.2017
Master of Science - Health Management
University of Michigan, Flint
Bachelor of Science - Health Administration
University of Phoenix