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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
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.

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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.