Eric C. Durant Email & Phone Number

Pittsburgh, Pennsylvania, United States

Pittsburgh, Pennsylvania

Greater Pittsburgh Area

• Test Data Management
• Analyze front end GUI and backend customer information database to support project testing.
• Build or utilize existing SQL queries to research and update data for testing needs as well as analyze systems processes.
• Collaborate with business analysts to tailor data requests to project needs, while ensuring all requests are within business rules and completed before release deadlines.

Greater Pittsburgh Area

The point of contact for SDLC Benefit Platform Associates assigned to a major health insurance client. Support performance standards by conducting quarterly performance reviews and career development meetings. Ensure team understanding of company policies and initiatives. Provide administrative support including time sheet approval. Provide human resources.

Greater Pittsburgh Area

• Claims Rapid Response Team
• Investigate production claim system errors and provide root cause analysis for issues submitted by customers via ticket system.
• Retrace all input of claims in test environment, contact membership and provider teams to verify information in their systems. Compare medical policy against claim system business rules.
• Utilize full suite of applications for processing claims and analyzing client information.

Greater Pittsburgh Area

• Summary of Benefits and Coverage (SBC) Initiative
• Generate and edit Affordable Care Act mandated SBC documents via the interpretation of benefit templates, demographics from the customer information system, and data provided by Client Service Managers.
• Quality control SBC documents from colleagues before being submitted directly to clients. Meet a monthly federally regulated deadline for the creation of small group documents.
• Query client information database to verify data corresponds with client contracts. Use document management system web application to organize documents for upload to the client’s public web page.

Greater Pittsburgh Area

Provide quality control for production client demographics and health insurance benefits. Investigate and resolve any discrepancies in data. Participate in the conversion of a partner corporation’s products to client database, product template, and benefit coding systems. Quality control customer information system and associated web application, claims.