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1074 W. Lake Drive
Toms River, NJ 08753
H: 732-270-5636 C: 732-814-0558

Highly motivated results oriented individual with extensive experience in the healthcare
insurance claim industry. Excellent organizational, collaborative, planning and communication
skills. Managed multiple projects concurrently, leading small to large multi-functional teams in
complex project environments.

• Experience in identifying process improvement efforts through root cause analysis
• Strong collaborative efforts / building long term business relationships
• Expert in issue identification and escalation process with problem solving skills
• Utilization of performance tracking tools (pre and post project)
• Creating detailed project plans
• Extensive experience in training and delivery
• Superior communication skills (written and verbal)
• Outstanding planning and organizational skills


AETNA, Albany, NY
Project Manager 2005 - 2008
• Organized, led and motivated a project team of 15 individuals to identify claim intake
problems (incoming volume 23m/year) and created solutions to resolve those problems.
Carefully tracked and analyzed the progress to promote continuous improvement for all
internal staff (920) and external constituents (13m members and 126k providers)

• Participated as an instrumental team member on several Explanation of Benefit

Statement Redesign Projects to improve the statements and ensure they were more
meaningful to the 13m member community and the 126k provider community

• Represented Aetna during the NJ State Health Benefits Commission Hearings in


• Participated on several e.Commerce teams to increase electronic transactions from

providers, (i.e. on line EOB tool, EOB Paper Suppression, electronic claims and
electronic attachments) Reached 53% electronic incoming volume rate

• Recipient of the 2008 National Electronic Attachment Award (NEA) for outstanding
efforts to increase electronic claim and attachment volumes for Aetna

• Recipient of Silver Aetna Way Excellence Award, 2006

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H: 732-270-5636 C: 732-814-0558

AETNA, Bluebell, PA
Business Info Specialist 2001 - 2004

• Owned and drafted changes to the standard Aetna claim forms utilized by customers to
submit their charges for reimbursement

• Acted as the operations liaison for two external vendors who supplied electronic claim
attachments to Aetna

AETNA, Bluebell, PA
Business Systems User Specialist 1998 - 2001
• Led a National Dental Training effort (100 trainees) in anticipation of work and staff
transferring to a new claim office

• Participated on several branding design teams to alter Aetna’s legal entity name due to
recent business acquisitions

Prudential Healthcare 1978 – 1998

Held various positions including claim processing, supervision, technical responsibilities and
training activities. Responded to complaints addressed to the “Office of the President”.


Business Conduct and Integrity, Aetna, 2008
Project Management, Ocean County College, 2007
Fraud Awareness, Aetna, 2007
Project Leadership Course, Aetna, 2003
Diversity Training, Aetna, 2003
Knowledgeable in MS Word, Excel

Volunteer Work for the “Blood Services of NJ”, 2007 – Present
Ocean County Library Volunteer, 2010


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