carol chen

* QA test system development by other analysts; create QA test plans with SQL/Excel for large scale deliverables. * Troubleshoot and resolve escalated ongoing issues and develop process improvement. * Facilitate different products help sessions. * Continue as a resource for ongoing and implementation teams.

* Trained and acted as subject matter resource for other team members. * Setup and updated benefit amount calculation/eligibility with matrices and scripts, life event automation, crystal reports, emails, forms, etc. * Built process with import and python scripts. * Improved ongoing processes with system automation. * Attended training sessions to improve overall business knowledge. * Coordinated with Client Service Manager in communication with client and vendors on as needed basis. * Created ongoing processing guide for processing team, maintain ongoing processing guide for * Performed data and file processing for ongoing activities. * Resolved daily Salesforce/CRM cases, while determining trends for issues. Determined and resolved root cause for trend issues. * Worked with Implementation and System Managers to compare requirements and test results to determine for updates on system vs. requirement. * Analyzed and understood client’s health benefit requirements for the execution of positive, negative, and regression test plans with SQL, Excel, etc.

* Leverage knowledge of object-oriented programming to help validate, communicate and resolve web application issues through careful testing. * Preform regression, integration and performance testing(using HipTest) to verify the usability. * Demonstrate detail-oriented testing and thorough approach to all assignment while adhering to compressed timeline. * Work in an Agile environment. * Document and report deficiencies to team using Jira.

Monitored and managed suspense items to ensure they were cleared in accordance with established procedures and processes. Been accountable for clearing suspense items related to assigned companies. Processed client claims in accordance with established procedures and processed in accordance with applicable client treaties. Demonstrated awareness of SCOR’s customers by developing and maintaining contact relationships - maintain a high commitment to quality client servicing Worked cooperatively and collaboratively with a team of analysts to ensure processing was completed accurately and in accordance with established timelines. Participated fully in operations and organizational training classes to increase process and industry knowledge. Communicated to appropriate parties timely

Conducted research and maintained dashboards for metrics as needed in Actuarial Department. Provided support in documentation process and maintain department’s Share Point site. Analyzed, generated and maintained records and preparing summary reports for actuarial department. Conducted studies in special projects, analyzed data and made recommendation base upon studies.

Adhered to CVS Pharmacy procedures and ensured implementation of quality assurance standards. Processed instructions and maintained prescription and resolved rejection issues and filled claim forms. Maintained records on computer of prescriptions and drug interactions. Conducted medication room audit and maintain computerized inventory control.

Prepared the first draft of deliverable including data reconciliation, benefit statements, and benefit calculations and more for review by the consultant. Worked with colleagues and clients regarding data collection, analyses, and project execution. Contributed to special projects such as plan design, asset/liability modeling, retirement plan risk assessment and mitigation. Completed Government filings in accordance with ERISA, FASB, GASB, Department of Labor, Pension Protection Act and other Government regulations

American Family Remodeling Inc. is a small company of responsible, courteous, quality-oriented craftspeople who enjoy their work. We are full service home remodeling specialists who take great pride not only in the work we do, but also in our relationship with the homeowners we serve. We are committed to creating for you the home or environment that best fits your needs and desires, with as little disruption to your life as possible. Our goal is to remain a small company so that we can provide the personal service and high level of quality that our customer have known us for.