Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rulene Moffitt

Las Vegas,NV

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

23
23
years of professional experience

Work History

Claims/QA Specialist

Bank Of America
11.2022 - Current

Answer incoming calls from BOA prepaid call holders, authenticate caller with first and last name, SS# or card#, ask security question and dob or address for second token. Xfer cardholder to risk/fraud department if cardholder fails any security question or has an open fraud case or fraud block. Assist cardholders with filing new claims for fraud on account, lost/stolen cards, check claim status approved or denied. Process reconsiderations of denied claims. Cardholders filing new claims or check request must get authenticated utilizing lexus nexus. Working in Quality Assurance department to verify claims agent didn’t miss any transactions on filed claims. Listen to call, Create and utilize excel sheet to compare transactions and dates. File new claim and back date if new claim needs to be filed for missed transactions.

Claims/Appeals Adjudication/Team Leader

Nevada Unemployment
10.2020 - 05.2022

Assist claimants with processing Unemployment claims. Utilizing UI/NV to look up claimants' files to include resolving any issues with claim. Contact claimant/employer for verification to resolve any issues. Reviewed application to be resolved and close open issues. Utilize Employ NV, UINV to look up claimants claim, to verify if claimant’s documents are eligible for PUA ID, SS Card. Checking UINV for wages, payments, IBIQ for out of state payments or wages other than Nevada. Lead morning meetings in absents of supervisor, take attendance, answer any questions or concerns from adjudicators, utilize smart sheet of completed claims from adjudicators for accuracy of completed claims. Review approves or deny and sends back to adjudicators for feedback to agree/disagree. Appeal department, responsible to validate/Invalidate appeals. Received incoming from appeals department from claimants wanting to file appeals that was expired beyond the 11 days. Process appeal with board of review if first appeal was denied/invalidated. Documented statements from claimant because they disagree with disqualification, overpayment monetary, non-monetary decision. Monitor teams for questions and report to HR in reference to attendance.

Student Accounts Representative

Palm Beach State College
06.2012 - 06.2016

Assist Students with paying tuition, library fines, student ID, via panther net computer system. Assist students on live chat with questions concerning fees, holds, financial aid. Cashier, meter mail. Prepare packages for UPS pick up, balance cash, credit cards, checks at end of day. prepare deposit slip for Brink pick up. Accounts payable, receivables. Answer phones and transfer calls as needed to correct department.

Supervisor/Billing Payroll Clerk

J & L Enterprises
09.2000 - 04.2013

Monitored multi-phone line system, processed calls from home builders and customers in reference to scheduling homes to be opened, cleaned, viewed and processed necessary billing information. Utilized payroll and billing software to input all billing and employee W2 and pay information, including hours worked, hourly wages, overtime hours, deductions and garnishments. Processed all work orders for home construction, maintenance and billing information, prioritized assignments and workload to meet the needs of the company.

Education

Associate of Arts - Business Administration

Colorado College
Colorado Springs, CO
05.2000

Skills

  • Documentation and Reporting
  • Risk Management
  • Performance Monitoring
  • Team Leadership
  • Customer Service
  • Quality Assurance
  • Problem-Solving Skills

Timeline

Claims/QA Specialist

Bank Of America
11.2022 - Current

Claims/Appeals Adjudication/Team Leader

Nevada Unemployment
10.2020 - 05.2022

Student Accounts Representative

Palm Beach State College
06.2012 - 06.2016

Supervisor/Billing Payroll Clerk

J & L Enterprises
09.2000 - 04.2013

Associate of Arts - Business Administration

Colorado College
Rulene Moffitt