Jim Gundy

10592 Brooks St
Indianapolis In, 46234
Home Phone 317-418-8134
Email address jg6644ac@westpost.net

PROFESSIONAL SUMMARY

An Insurance professional with a strong background in analysis, specifications

documentation along with project management and team leadership Experience in
Customer Service, Claims Processing, and Claims Investigation. Partnering with b
usiness
users one-on-one and in Joint Application Development Sessions. Years of experie
nce in
delivering effectively and efficiently.
TECHNICAL EXPERIENCE
Programming
Cobol, Cobol II, DB2, Microsoft Cobol Workbench, TSO
Applications
Lotus Notes, Microsoft Office 2000, Internet Explorer, XDB Server, SQL, CM Mouse
,
Blue Chip, System 80, Case Tracker, Turbo Track, Sharepoint, Turbo Cap
Platforms
TSO/MVS, ISP/SPF, Windows
Technical Training
Basic SQL, Application Programming For DB2, Cobol, Cobol II
INSURANCE EXPERIENCE
Over twenty years experience in the Insurance industry, five years in Health ins
urance
and Property and Casualty. Experienced with Customer Services, Claims processing
,
Claims adjustments, Claims benefits, medical records review. Project management,
and
team leader experience.

PROFESSIONAL EXPERIENCE
Well point Precision Specialty Solutions
Pharmacist Customer Advocate (October 2009)
Responsibilities include answering customer questions on specialty prescriptions
,
Placing orders for specialty prescription refills,
Scheduling orders for delivery in a timely manner,
Creating new patient accounts
Hallmark Services
CLAIMS EXAMINER (2004- 2009)
Responsibilities include Risk Management, reviewing incoming claims for pre-exis
ting
diagnosis, processing claims, initiating investigations involving possible pre-e
xisting
conditions, interpreting medical records.
Hallmark Services
Customer Insurance Professional (2002 - 2004)
Responsibilities include answering customer questions on individual Health insur
ance for
the states of Illinois, Texas and New Mexico. Servicing providers over the phone
with
basic policy information and providing benefit information on all policies.
Allstate Insurance Professional (2001 - 2002)
Responsibilities include changing and updating Property and Casualty insurance p
olicies,
Selling new Property and Casualty insurance policies. Servicing policyholders ov
er the
phone, investigating and resolving billing problems and addressing an array of c
oncerns.
Prudential Insurance
Programmer, Jacksonville Florida (1997 - 2001)
Responsibilities include Basic SQL, SQL Application Programming for DB2 for
Prudential's Enterprise Tax Reporting System essential for employee tax reportin
g
compliance. Project Manger for the release of all Enterprise Tax Reporting Syste
m
Programming changes.
? Created program specifications
? Created test plans for unit and programming testing
? Wrote new code and performed maintenance programming
? Accomplished all tasks within time allotted and with minimal issues
? Maintained scheduling and coordination of all updated programs for a timely
release
Business Delivery Analyst, Jacksonville Florida (1995 - 1997)
Responsible for liaison functions, coordinating and communicating Prudential's n
eeds
and request with IBM Global Services, scheduled Prudential projects through IBM
Global Services.
? Prepared, maintained, organized and controlled all Prudential service request
? Worked with Prudential management to prioritize projects
? Team leader, Organized all system changes for the Prudential's intermediate
Weekly Premium programs including programmers and testers

Systems Analyst, Minneapolis, Minnesota (1994 - 1995)

Responsible for writing system specifications for installation of the newly purc
hased
Vantage System.
? Coordinated with Vantage consulting staff to assure proper integration between
the Vantage System and Prudential's Advanced Ordinary System (AOS). AOS is
Prudential's mainframe system sorting all policyholder information, processing
all policyholder requests and updating all policyholder records
? Attended, contributed to and facilitated Joint Application Development session
s
to determine the best ways to integrate the two systems
? Partnered with business users to ensure applications were developed to meet us
er
needs

MAINFRAME MAINTENANCE PROGRAMMER/SYSTEMS ANALYST

Minneapolis Minnesota (1987 - 1994)
Responsible for the development, maintenance and implementation of Prudential's
AOS
System. Controlled all problem detection, problem solving, problem correction an
d
enhancement programming.
? System Analyst for the AOS Loan Function
? Detected system problems
? Created test cases for unit and programmer testing
? Wrote enhancement code
MAINFRAME MAINTENANCE PROGRAMMER
Newark New Jersey (1985 - 1987)
Responsible for the development, maintenance and implementation of the AOS Chang
e
and Actuarial functions. Responsibilities include problem detection, problem sol
ving
problem correction and enhancement programming
Change Analyst, Minneapolis Minnesota (1984 - 1985)
Responsibilities included changing and updating individual insurance policies as
requested by the policy owners.
EDUCATION
Associate of Arts Degree in General Business
Vincennes University, Vincennes Indiana