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Jennifer L. Jezorwski-Skurka
(570) 703-3984 jennifer4107@gmail.com
Profile: Broad range of experiences in the health care, quality/audit, management, facilitation, and instructional
design/development. Exceptional communication, interpersonal, problem solving and leadership skills. Effective
translation of work experience to the classroom. Outstanding ability to develop strong positive partnerships with
difficult customers.
Computer Skills: High/Moderate proficiency in MS Office including Excel, Word, SharePoint, SQL
Management Studio, and PowerPoint as well as company sponsored applications including: Facets, ProClaim,
WebStrat, Imageviewer, and e-learning programs/tools including Adobe Presenter, Captivate and Photoshop;
Familiarity with Learning Management Systems including SumTotal Systems.
WORK EXPERIENCE
TMG Health, Inc. 25 Lake View Drive, Jessup, PA Jan. 2008– Current
Current Supervisor: Michelle Troy, 570-344-9237 x71244
Department: Human Resources Talent Management and Organizational Department (HRTMD)
Current: HR Trainer (September 2013 – Present)
Previous: Remote Claims Processor, Claims Processor A&G, SR. Technical Claims
Analyst, Operations Claims Trainer, Customer Service Representative
 Assigned to high-profile assignments
o Conversion of Operational Claims New Hire Program to a Virtual Blended Program
o Implementation Team for TMG Health University Learn.Com platform
o Utilization Management Business Lead/Client Trainer
 Conversion of 16-week Operational New Hire in-house instructor-led program to a
virtual/blended program format
o In collaboration with Instructional Design Team Lead, provided draft of the future program
structure, including details on transitioning claims processors from training to at-home
positions, and outlined the number of required development hours needed to convert the
program
o Developed claims processing content outlines, story boards, narration for 30 of the 42 online
modules
o Personally designed/developed 15 of the 42 courses/assessments launched to date
o In collaboration with the Instructional Design Team Lead, developed Facilitator Guide with
instructor-led activities that are conducted the first 2 days of Operational Training to
reinforce and build on the knowledge and skills gained from the web-based courses
o As the lead SME, provide coaching/consultation and approval on all design projects
 LMS Administration including: reporting, troubleshooting course/system issues, building
instructor led course offerings, assigning audiences to training sessions, and managing rosters
 Partnering with business units to design a comprehensive, standardized template to
encompass all client directives. Unique templates designed for the Claims and Enrollment
departments.
 Previous positions - responsibilities included:
1
o Design/Development and facilitation of several Operational new hire training programs for
the Claims Department and UM departments which also included new systems
implementations to existing staff
o Perform quality/audit review on adjudicated claims
o UM Business Lead, responsible for implementing new client reports by writing Business
Requirement Documents (BRDs) and submitting requests to the Change Request System, and
validating test report output
o Per the request of the Claims Management team, created unique SQL claims reports
o Claims Management Inventory system (Proclaim) Administrator: responsible for the
addition, removal of user ids, creating goals and task assignments
o Updated departmental policies and procedures for Claims, UM, and HRTMD
o Claims Processor specialized in processing Facility and Medical claims, handling appeals
and grievances, and performing provider outreach calls while adhering to a 98% quality
average
o Provided excellent customer service to members and providers by answering questions on
eligibility, benefits, and claims while adhering to average call time and quality
AT&T Inc. 401 Lackawanna Avenue, Scranton, PA 18508 March 1998-September 2006
Supervisor: Joseph Pail
Office Administrator – National Relay Team | Relay Operator | Information Services Agent
 Promoted to supervisory position in July 2001, managing 50 customer service representatives
daily in Pennsylvania and New Jersey. Maintained a service level agreement of 97% on a
quarterly hour basis by controlling overhead
 Assisted hearing or speech-impaired customers with local, long distance, and international
calls
 Coached and trained new hires on difficult and confusing calls for both the National Relay
Team and Information Services team
Education:
Pursuing M.S. degree in Instructional Design and Technology, Walden University, Minneapolis MN
B.S. degree in Liberal Studies (Concentration: Education and Business), The University of Scranton,
Scranton PA
A.A. degree in Business Administration/Human Resources, Keystone College, La Plume PA
References available upon request
2

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Jskurka Resume

  • 1. Jennifer L. Jezorwski-Skurka (570) 703-3984 jennifer4107@gmail.com Profile: Broad range of experiences in the health care, quality/audit, management, facilitation, and instructional design/development. Exceptional communication, interpersonal, problem solving and leadership skills. Effective translation of work experience to the classroom. Outstanding ability to develop strong positive partnerships with difficult customers. Computer Skills: High/Moderate proficiency in MS Office including Excel, Word, SharePoint, SQL Management Studio, and PowerPoint as well as company sponsored applications including: Facets, ProClaim, WebStrat, Imageviewer, and e-learning programs/tools including Adobe Presenter, Captivate and Photoshop; Familiarity with Learning Management Systems including SumTotal Systems. WORK EXPERIENCE TMG Health, Inc. 25 Lake View Drive, Jessup, PA Jan. 2008– Current Current Supervisor: Michelle Troy, 570-344-9237 x71244 Department: Human Resources Talent Management and Organizational Department (HRTMD) Current: HR Trainer (September 2013 – Present) Previous: Remote Claims Processor, Claims Processor A&G, SR. Technical Claims Analyst, Operations Claims Trainer, Customer Service Representative  Assigned to high-profile assignments o Conversion of Operational Claims New Hire Program to a Virtual Blended Program o Implementation Team for TMG Health University Learn.Com platform o Utilization Management Business Lead/Client Trainer  Conversion of 16-week Operational New Hire in-house instructor-led program to a virtual/blended program format o In collaboration with Instructional Design Team Lead, provided draft of the future program structure, including details on transitioning claims processors from training to at-home positions, and outlined the number of required development hours needed to convert the program o Developed claims processing content outlines, story boards, narration for 30 of the 42 online modules o Personally designed/developed 15 of the 42 courses/assessments launched to date o In collaboration with the Instructional Design Team Lead, developed Facilitator Guide with instructor-led activities that are conducted the first 2 days of Operational Training to reinforce and build on the knowledge and skills gained from the web-based courses o As the lead SME, provide coaching/consultation and approval on all design projects  LMS Administration including: reporting, troubleshooting course/system issues, building instructor led course offerings, assigning audiences to training sessions, and managing rosters  Partnering with business units to design a comprehensive, standardized template to encompass all client directives. Unique templates designed for the Claims and Enrollment departments.  Previous positions - responsibilities included: 1
  • 2. o Design/Development and facilitation of several Operational new hire training programs for the Claims Department and UM departments which also included new systems implementations to existing staff o Perform quality/audit review on adjudicated claims o UM Business Lead, responsible for implementing new client reports by writing Business Requirement Documents (BRDs) and submitting requests to the Change Request System, and validating test report output o Per the request of the Claims Management team, created unique SQL claims reports o Claims Management Inventory system (Proclaim) Administrator: responsible for the addition, removal of user ids, creating goals and task assignments o Updated departmental policies and procedures for Claims, UM, and HRTMD o Claims Processor specialized in processing Facility and Medical claims, handling appeals and grievances, and performing provider outreach calls while adhering to a 98% quality average o Provided excellent customer service to members and providers by answering questions on eligibility, benefits, and claims while adhering to average call time and quality AT&T Inc. 401 Lackawanna Avenue, Scranton, PA 18508 March 1998-September 2006 Supervisor: Joseph Pail Office Administrator – National Relay Team | Relay Operator | Information Services Agent  Promoted to supervisory position in July 2001, managing 50 customer service representatives daily in Pennsylvania and New Jersey. Maintained a service level agreement of 97% on a quarterly hour basis by controlling overhead  Assisted hearing or speech-impaired customers with local, long distance, and international calls  Coached and trained new hires on difficult and confusing calls for both the National Relay Team and Information Services team Education: Pursuing M.S. degree in Instructional Design and Technology, Walden University, Minneapolis MN B.S. degree in Liberal Studies (Concentration: Education and Business), The University of Scranton, Scranton PA A.A. degree in Business Administration/Human Resources, Keystone College, La Plume PA References available upon request 2