Experienced Claims Analyst Seeking New Opportunities
1. KEVIN RUSSELL
316 CHASE PLANTATION CIRCLE, HOOVER, AL 35244, 205-222-2760, KEVRUS25@HOTMAIL.COM
OBJECTIVE
To become involved in a new environment that would allow me to continue to use my experience and
commitment to serve the community, along with allowing me the opportunity to continue with the development
of my business skills, experience and professional growth.
EXPERIENCE
1/1/2006 TO 7/1/2015 Blue Cross Blue Shield of AL Birmingham, AL
INQUIRY ANALYST
Investigate inquiries concerning contract benefits and determine if benefits were applied correctly
Worked proficiently with the ability to meet goals in a timely manner using organizational and time
management skills
Reviewed inquiries and claims for specialized areas
Telephone development to resolve data entry or benefit correction issues
Reviewed first pass claims for potential systematic benefit issues
Precertification review to manually process high dollar claims per approved and non-certified dates
Assist with audits and benefit analysis issues to improve claims processing and benefit administering
practices
Ensure payments and settlements are made in accordance to contract specifications and corporate
compliance
Provide quality analysis to Customer Service or internal sources
Communicate with ITS Home and Host plans
Problem solving
12/1/2001 TO 1/1/2006 AmSouth Bank Birmingham, AL
PRODUCT SUPPORT SPECIALIST
Manage individual collection efforts and calls for revolving credit accounts (bankcard, HELOC, and PLC) in
compliance with the FDCPA
Utilize interpersonal communication skills to encourage resolution of delinquent accounts and maintain
customer loyalty
Collected over $2 million on indirect loans and assisted in preventing over $4 million from charge -off in
2004
Consistently exceeded goals through the use of product knowledge and negotiation skills
Utilized a phone dialer system effectively to meet the needs of the customer and the company
10/1/2003 TO 4/1/2004 Banana Republic Hoover, AL
SALES REPRESENTATIVE
Interacted with the public and addressed individual needs of customers
Handled cash and credit transactions on a daily basis
Completed inventory as needed to replenish merchandise
2/1/1999 TO 12/1/2001 AccuChek Tuscaloosa, AL
PRODUCT SUPPORT SPECIALIST
Daily maintenance on the AS400 and the Magellan
Collections on delinquent debts (NSF Checks)
Responded to customer complaints through oral correspondence
EDUCATION
08-23/2015 - PRESENT UNIVERSITY OF MONTEVALLO MONTEVALLO, AL
08/15/2015 – 05/18/2014 TROY UNIVERSITY Troy, AL
2. BUSINESS/HUMAN RESOURCES
Ten-key, Data entry, Microsoft Word and Microsoft Excel, PowerPoint, Lotus, Total Systems and Tracker,
Mainframes, Magellan, Navigator, Blue2, WDMS
REFERENCES
References are available on request.