Eileen Molloy E-Mail: Cityisback@msn.com• ObjectiveI am a Customer Service professional with 19 years of experience in the dental health care insurance industry. My particular expertise is related to the timely and accurate processing of claims, UM decisions, NJ Health pre authorizations and addition to other customer service related matters. • ExperienceHorizon Blue Cross Blue Shield of New Jersey 1994 – March 1, 2013Supervisor III Horizon Dental Operations (Claims/Pend Team and PST Team) (2003-2013)• Accountable for the timely processing of dental claims and UM decisions • Actively participated in the dental appeals committee as a committee member. To ensure appealed decisions were based on contract, policies and any information based on exceptions.• Accountable for timely and accurate processing of the monthly Key indicator reports, PG timeliness reports, First pass rate report and EDI first pass report.• Supervise a claims adjudication team of 16 full time union employees• Responsible for creating and implementing the 4 step orthodontic processing Supervisor III Horizon Dental Operations (Customer Service unit) (1997-2003)• Supervised customer service and telephone units ensuring timely processing of all service requests and ASA Goals• Supervised 40 full time union employees Quality Analyst (1996-1997) • Responsible for reviewing quality and providing monthly results for 40 full time union employeesDental Claims Specialist (1995-1996)• Resolve complex customer inquiries received by phone or though written correspondence. Dental Claims Processor (1994-1995)• Responsible for daily processing of timely and accurate dental claimsLicensesNew Jersey Licensed Dental X-Ray TechnicianSkills and Work Related Programs NMS, Latron, Websearch, Microsoft word, Excel