Summary
Overview
Work History
Education
Skills
Timeline
Generic
Nia Andalia

Nia Andalia

Lake Stevens,WA

Summary

10+ years’ experience in a health insurance operation setting. Attention to detail and ability to maintain a high level of accuracy during high volume of production Fast learner in a multi-tasking production environment. Ability to manage time effectively while working on variety tasks, know how to prioritize urgent issues and consistently meets deadlines on assigned projects. Excellent analytical and problem-solving skills to resolve complex issues and making decisions Demonstrates ability to work both independently and as a team member. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude.

Overview

15
15
years of professional experience

Work History

Technical Support

Premera Blue Cross
Mountlake Terrace, WA
06.2017 - Current
  • Implemented idea to eliminate audit process on standard contracts, saved 400 hours of auditing time annually.
  • Streamlined automation of contact/address update for standard groups from EDGE to Facets, estimated saving about 200 hours annually.
  • Served as primary contact for external group load project which allowed vendor to take over Group Setup process and successfully transferred over 300+ groups’ contracts to the vendor. Saved the company about 300 hours annually.
  • Successfully perform regression testing when a new enhancement being implemented to Facets and user interface system.
  • Provide first level of technical support for Group Set-up team.
  • Develop system processes and coding procedures to support mandated, standard and non-standard group structure changes.
  • Respond to inquiries from external partners such as Sales, Claims, Configuration, Customer Service, M&B to troubleshoot complex issues related to Group Set-Up
  • Identify, research, and resolve issues among multiple systems in Facets, EDGE and XGL (external group load)
  • Monitor workload, assign priority works in timely manner and make sure works are distributed evenly among analysts.
  • Help administer and troubleshoot issues to Corporate Quality inquires as well as external auditors in timely manner.
  • Provide training to ensure staff is performing to needed skill for the position.
  • Serve as a primary contact for system, or procedure changes that require technical user analysis, including input and support for business requirements and data base development.
  • Represent the team on cross-functional teams and meets with external partners as required.
  • Prepare monthly reports for analyst quality score card and provide feedback as needed.
  • Update procedure regularly and proactively recommend improvement.
  • Involved in new system implementation and responsible for testing planning, review requirements and user stories creation.
  • Write and execute test cases as well as defect tracking using tools such as Azure.
  • Perform and executes testing such as functional, regression, system integration testing and provide test report.

Group Setup Analyst 1 and 2

Premera Blue Cross Of Washington
Mountlake Terrace, WA
01.2008 - 06.2017
  • Research, reviews, and collects data information from internal partners such as Sales, Underwriting, Product Configuration and Membership & Billing to be entered into the Facets system.
  • Analyze, process and configure plan year updates for revise benefit provisions for new and renewing groups.
  • Conduct 100% peer audit to ensure the Group set up in Facets system matches Sales contract and all completed documents comply with federal regulations as well as Premera guidelines.
  • Maintain system data management to ensure all requests from upstream partners are tracked and accounted for in contract documentation.
  • Perform other duties and projects as assigned such as billing discrepancy research, product correction, monthly billing suspend report, BSI association, Edge testing and other special projects.
  • Ability to process and audit all type of groups such as Small, Large, associations, Individual line of business with high accuracy.
  • Finalize a high volume of work efficiently to support timely member enrollment and ID cards generation.
  • Recipients of Quality awards for 99% accuracy for 5 years in a row
  • Nominated for Spirit of Excellence awards for 3 years in a row
  • Always exceeded individual and team accuracy goal of 99% or higher

Education

High School Diploma -

Kamiak High School
Mukilteo, WA
06.2003

General Study

Everett Community College
Everett, WA

No Degree - Global Studies

University of Washington
Bothell, WA

Certification - Software Tester

Test Pro
Irvine, CA

Skills

  • Analytical and Methodical
  • Organizational Skills
  • Staff Training
  • MS Office Proficiency
  • Tracking and Documentation
  • Quality Improvement
  • Operational Efficiency
  • User Acceptance Testing (UAT)
  • Agile and Scrum Environments
  • Project Management
  • Sales and Marketing Support
  • Critical Thinking Proficiency

Timeline

Technical Support

Premera Blue Cross
06.2017 - Current

Group Setup Analyst 1 and 2

Premera Blue Cross Of Washington
01.2008 - 06.2017

High School Diploma -

Kamiak High School

General Study

Everett Community College

No Degree - Global Studies

University of Washington

Certification - Software Tester

Test Pro
Nia Andalia