Gracia Moore Email & Phone Number

Long Beach, Ca, Us

Long Beach, Ca

• Served as a point of contact between Vendors and Production Team (more than 50 associates)• Facilitated claims operations and quality meetings between production team and vendors. • Scheduled and hosted meetings with trainers and internal staff to educate and discuss new process of claims.• Analyzed inventory for all Line of Business such as MMP, Medicare, COB, Marketplace, and Medicaid for all States. Daily Inventory 50K claims.• Responsible for multiple emails on a daily… Show more • Served as a point of contact between Vendors and Production Team (more than 50 associates)• Facilitated claims operations and quality meetings between production team and vendors. • Scheduled and hosted meetings with trainers and internal staff to educate and discuss new process of claims.• Analyzed inventory for all Line of Business such as MMP, Medicare, COB, Marketplace, and Medicaid for all States. Daily Inventory 50K claims.• Responsible for multiple emails on a daily basis between Vendors and Production Team. Between 200-250 emails daily.• Followed up on any action items pending.• Analyzed and researched the daily error tickets for all examiners (approx. 260 examiners)• Communicated with system support for any system issues the Vendors could have during the day.• Responsible for new hired access.• Researched, analyzed and facilitated Rebuttals Meetings for clarification of errors.• Analyzed the reconciliation report to review the discrepancies for claim errors that are not removed. • Ensured appropriate allocations for vendors by analyzing claims history reports and new membership data.• Tracked and trended system issues that result in a work stoppage as well as production lost and length of the issue. • Conducted analysis on the data to identify repeat issues.• Ran and analyzed daily, weekly and monthly inventory reports.• Identified claims history reports to review discrepancies.• Updated internal inventory logs for all system issues, new hires, and new training Show less

•Reported directly to the AVP of Claims Operations. •Contributed with the completion of recruiting of new associates for the new facility in Puerto Rico•Logged, organized, and readied for consideration name and position of more than 200 candidates using excel•Completed a report of the new hired candidates in a timely manner.•Gained experience by working closely with different areas within the Claims Operations facility.

Torrance, Ca

• Organized and oversaw the process of recruiting and hiring employees.• Screened suitable candidates for a position.• Conducted screening interviews by phone.• Scheduled an interview to the prospective employees with the Manager.

North Hollywood, Ca

• Delivered outstanding customer service by phone to over 20 customers daily.• Executed data entry.• Performed general clerical functions.• Filed documents into appropriate employees’ files.• Entrusted to track and deposit $5000 per day.

Lima, Peru

• Fulfilled general accounting tasks, payroll, and bookkeeping.• Supervised 15 staff members to ensure each was accomplished their daily tasks and weekly goals.• Ordered medical supplies for import and distribution to hospitals.• Verified quality assessment of imported merchandise.• Attended meetings and conventions related to the medical supplies field.