David Moore Email & Phone Number

Weymouth, Ma, Us

Quincy, Ma

- Service all aspects of Harvard Pilgrim’s multifunctional online portal for our provider organizations known as HPHConnect, including initial setup and maintenance of user accounts, over-the-phone training as needed, as well as submitting, tracking and resolving problem tickets for technical issues. - Analyze EDI claim files and track rejections to identify and research data trends that can be addressed by the provider.- Evaluate the HPHConnect portal to pinpoint opportunities for system enhancements, submitting them for development and implementation as full-fledged projects.- Conduct internal and external trainings on using the HPHConnect portal, including when new functionality is added. - Manage code releases to Harvard Pilgrim’s databases, including end to end testing for fixes and system updates.- Develop and maintain relationships with external vendors who are integral to e-Business’s online offerings.

Quincy, Ma

Fielded member phone inquiries encompassing numerous aspects of the health insurance business including benefits, health and wellness programs, eligibility, provider networks, and member reimbursements with a focus on handling claims, Medicare, and prospective member calls. Worked hand in hand with internal and external subject matter experts and resources to provide timely resolution to escalated or complex issues.

Shelton, Ct

Successfully completed over 100 circulation audits of print and digital publications for BPA member publishing companies. Worked directly with Circulation Managers over the phone and via e-mail in order to verify each publication’s circulation claims and their subscribers’ demographics through a multi-tiered evaluation process. Audit reports, results, and other materials supplied to clients were used to enhance advertising sales for their publications.

Wallingford, Ct

Pursued and followed-up with leads from various sources, taking loan applications over the phone with prospective customers in order to generate new loan sales. Assessed the needs of qualified applicants, pulled credit reports, and constructed loan proposals that would provide potential borrowers with tangible benefits.

Trumbull, Ct

Served as a liaison between key business users and application developers, translating user requirements into functional specifications for company-wide project deploying upgrades across internal customer-service interface. Created, updated, and published hundreds of pieces of content to Oxford's internal customer service website using the Vignette Content Management System. Created and updated user training and technical documents.Ran small group training sessions with specific business users prior to deployment. Executed testing protocols to ensure system upgrades were functioning according to specifications.

Bs, Health Care Management, School Of Business, Magna Cum Laude

Activities and Societies: National Society of Collegiate Scholars

Master Of Science (Ms), Video Game Production Management

Graduate Level Coursework; Production Leadership, Research Design, Production Methodologies, and Project Management Principles