Andrew P. Email & Phone Number

Pittsburgh, Pa, Us

Pittsburgh, Pennsylvania, United States

• Delivered new Accident and Reinsurance line of business which in first year produced over $20M in Premium• Lead migration of another acquired insurance product onto the HM Insurance Group Platform• Managed all project financial and status reporting for the Project Management Office (PMO) .• Utilized Agile Methodology to lead cross functional teams on varying sized projects• Managed the enhancement intake process for the PMO

Ellwood City, Pa

• Instruct up to 30 students from ages 5-65• Develop curriculum to help students develop skills from white belt to black belt • Responsible for all bookkeeping of business• Plan for guest instructors to come in for grading's or special seminars, involves setting up travel and facility arrangements

Pittsburgh, Pennsylvania, United States

• Acted as Solution Lead solely responsible for the Blue Cross Blue Shield Association National Program Release Mandate.• Leveraged people, processes and technology competencies to support large scale, complex customer engagements across all client accounts• Represented the operations team in large, multi-system projects that ranged from $100K to $4.5M in value.• Collaborated with client team to gather business requirements and create solutions that delivered the best value for our customers• Managed cross functional product areas/teams to create the best cross platform solutions in the operations area

Pittsburgh, Pennsylvania, United States

• Performed quality analysis on multiple Highmark platforms for both Individual and Small Group. • Develop DLP (Desk Level Procedures) for processes used in department.• Created a performance measurement process for claims.• Reviewed the quality of records being done through clash analysis and assign defects as needed.

Pittsburgh, Pennsylvania, United States

• Created and processed test claims to ensure quality of coded benefits and initiate defects when identified.• Performed quality checks on the ICIS and OSCAR coding to ensure claims were processed correctly when benefits were in production.• Gained an understanding of different products such as HMO/PPO/POS/PHO, as well as the multiple Highmark Regions (WV, IBC/AHNJ, Regional, National, NEPA, Delaware and MN).• Piloted the WV rapid fire testing and keyword testing in CST• Implemented solutions to help improve efficiency and timeliness.

Pittsburgh, Pennsylvania, United States

•Assessed clients needs and provide solutions for better efficiency and accuracy.•Maintained database of items in different phases of quality control.•Utilized many client specific software systems to perform QC work (ICIS, ICIS Web, OSCAR)•Maintained high standard in regards to production, efficiency and quality of work•Received GEM award for completing online courses offered by the company on own time.

Associates, Business Management

Bachelors, Biology