Alan Zarruk Email & Phone Number

Miami, FL, US

• Reviewed ICD-9 & ICD-10 codes, CPT codes and medical documents to determine potential causation of injuries and assess whether injuries were reasonably related to an accident or other incident.
• Collaborated with cross-functional teams to analyze complex medical data and identify potential cases for recovery under the Medicaid Secondary Payer Act.
• Conducted in-depth research on medical claims, including reviewing billing, and reimbursement data.
• Utilized advanced data analysis tools and software, such as SQL, Excel, and Tableau, to extract, clean, and analyze large datasets.
• Produced detailed reports and presentations summarizing findings and presenting actionable insights to management.
• Develop and optimize systems to determine data validity and relevance.

Puerto Rico

• Contributed to the successful enrollment of over 22,000 providers to the Puerto Rico Medicaid Program.
• Used MMIS and PEP daily to efficiently perform provider record maintenance.
• Documented all communication with applicants and inputted information into system using PEP.
• Maintained strict confidentiality with all personal data as per company guidelines.
• Suggested strategies for process improvement that were implemented successfully.

Puerto Rico

• Oversaw and approved over 150 job posts daily published in ATS MightyRecruiter.com
• Provided software demonstration and training for customers or group of customers over Zoom meetings, including product walk-through and best practices.
• Utilized analytics and site metrics to determine several areas of improvement.
• Facilitate feedback on products usage and capabilities, as well as product functions and accessibility.
• Produced and submitted weekly reports outlining progress against KPI objectives.
• Proofread, edited, and evaluated final copy to verify content aligned with established guidelines.

Puerto Rico

• Handled fraud prevention inbound calls for Direct Express debit card services.
• Used fraud management tools such as Accurint and Nexis to validate account information.
• Analyzed large amounts of data to find patterns of fraud and anomalies.
• Became an expert at navigating Siebel CRM.
• Provided exemplary level of customer service to all individuals, including clients and company personnel.
• Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.

Guaynabo, Puerto Rico

• Inspected more than 100 houses affected by hurricane Maria according to FEMA guidelines.
• Validated the ownership and occupancy information on damaged dwellings.
• Recorded, photographed and described in detail all damages caused by hurricane Mari using inspection review software ACE 4.
• Used coordination and planning skills to schedule and complete the daily inspection goal.

Puerto Rico

Welcome and acknowledged all guest, provide information to guest about available recreation facilities and activities, distribute lockers towels and water to guest stock mini-fridge and snack bar, maintain fitness center machines and areas presentable and clean at all times.