Krashenda Adule

• Exercise critical thinking to resolve migration errors on member reconciliation reports.
• Create detailed progress reports and business requirements from product research for review by development teams.
• Engage with participants from various departments to address concerns regarding business requirements, design solutions, and test strategies.
• Assist in developing strategies and execution of business processes to ensure members are migrated from one system to another.

The goal of the Child Restraint System capstone project was to analyze data to determine the devices' effectiveness in reducing child mortality involved in vehicular accidents. UnityPoint Health utilized the results to request additional funds from state and government agencies to supply car and booster seats to the community.

• Demonstrated a high level of initiative and creativity while tackling difficult tasks.
• Analyzed and interpreted test data and prepared technical reports.
• Developed comprehensive project plans, ensuring timely completion of milestones and deliverables.
• Presented results to teacher as well as preceptor.
• Skilled at working independently and collaboratively in a team environment

• Provided subject matter expert and operational support to internal business partners.
• Produced documentation outlining process improvement solutions.
• Resolved benefit claim errors by configuring new or modifying existing service codes.
• Coordinated and facilitated meetings for analysis and audits of benefit claim configuration errors.
• Delegated work to staff members to assist with large projects.
  

• Plan lead for two configuration teams.
• Applied critical thinking skills to analyze and resolve issues impacting business operations and goal achievement.
• Identified, reviewed, and resolved issues regarding the setup and configuration of providers, contracts, benefits, fee schedules, service groups, attributes, rules, and codes.
• Prepared test strategies and plans for system configuration changes based on business requirements.

• Reviewed outstanding requests and redirected workloads to complete projects on time.
• Provided training to new and current employees on products, policies, and procedures.
• Upheld company reputation by adhering strictly to ethical guidelines when managing sensitive cases, ensuring fair and impartial treatment for all parties involved.
• Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.