Accurately process and maintain employee eligibility in alignment with policyholder contracts, EDI standards, and legal requirements, consistently exceeding quality and productivity goals.
Act as a primary resource for resolving complex EDI-related issues, communicating effectively with clients, brokers, and internal departments to ensure timely and accurate data correction.
Review and validate eligibility documentation; initiate follow-up for missing or incomplete information, and provide clear guidance to policyholders and brokers.
Analyze benefit contracts and apply policy guidelines to ensure accurate enrollment and compliance with client-specific requirements
Support team development by mentoring new hires, delivering training, and fostering understanding of systems, procedures, and best practices.
Utilize a variety of internal systems and tools to manage eligibility workflows, troubleshoot data issues, and support customer inquiries, including: GIFIS, MMP UI, Employer Access, GSAP, Compass, Salesforce, JIRA, Microsoft Office Suite, and Employee Navigator.
EDI Technician
Mutual Of Omaha
10.2023 - 05.2025
Accurately process and maintain employee eligibility in alignment with policyholder contracts, EDI standards, and legal requirements, consistently exceeding quality and productivity goals.
Act as a primary resource for resolving complex EDI-related issues, communicating effectively with clients, brokers, and internal departments to ensure timely and accurate data correction.
Review and validate eligibility documentation; initiate follow-up for missing or incomplete information, and provide clear guidance to policyholders and brokers.
Analyze benefit contracts and apply policy guidelines to ensure accurate enrollment and compliance with client-specific requirements.
Support team development by mentoring new hires, delivering training, and fostering understanding of systems, procedures, and best practice.
Utilize a variety of internal systems and tools to manage eligibility workflows, troubleshoot data issues, and support customer inquiries, including: GIFIS, MMP UI, Employer Access, GSAP, Compass, Salesforce, JIRA, Microsoft Office Suite, and Employee Navigator.
Network Operations Center Technician
State Of Nebraska
09.2023 - 10.2023
Provide Tier 1 level service desk support to State Of Nebraska agencies
Manage the phone queue, responded to support tickets
Monitor state wide network system
Working with main frame and JCL
Identifying and resolving system issues that have been generated automatically through troubleshooting processes
Office Specialist
Nebraska State Patrol
05.2023 - 09.2023
Customer Service
Proficient in Microsoft Office Suite
Skilled in Data Entry and Typing
Experienced in Managing Fingerprint Identification Processes
Effective Communication through Telephone Correspondence
Responsible for Inputting Information into State Databases for Record Management
Security Guard
Nebraska State Patrol
01.2022 - 04.2023
Regularly patrol premises to maintain order and establish presence
Monitor and authorize entrance of people in the property
Secure all exits, doors, and windows after end of operations
Check surveillance cameras periodically to identify disruptions or unlawful acts
Respond to alarms by investigating and assessing the situation
Provide assistance to people in need
Logistics Specialist
Midwest Door &Hardware
07.2022 - 12.2022
Warehouse Loader, Package Inception
Provided customers with status updates for tracked packages
Handled high-volume paperwork and collaborated with administrators to resolve invoicing and shipping problems
Farm Hand
Lubbey Family Farms
08.2020 - 05.2021
Providing comprehensive support to agricultural operations through the execution of daily farm management tasks.
Responsibilities include cultivating, harvesting and ensuring the proper care and nutrition of livestock; maintaining and repairing farming equipment and infrastructure; operating machinery such as tractors, plows, and combines; preparing soil for planting.
Medicare Supplemental Agent (Case Mgt Pilot) at Mutual Of Omaha Insurance CompanyMedicare Supplemental Agent (Case Mgt Pilot) at Mutual Of Omaha Insurance Company