SONORA SMITH (918) 261-2755 * ss.smith773@gmail.

com Results-driven professional eager to offer proven Healthcare and Financial Servi ces industries' experience, including strong talents in Medical Claims Processing, Strategic Analysis / Plan ning, Quality Assurance, Regulatory Compliance, and Client Relations, toward max imizing an employer's success within a key role. PROFILE OF QUALIFICATIONS * Out-of-the-box thinker who demonstrates knowledge of medical claims processing , financial services, and investment planning, including offering talents in str ategically analyzing a high-volume of data to meet and / or exceed objectives. * Ambitious self-starter who contributes superior attention-to-detail and strong problem-solving skills while working among HMOs, PPOs, and Medicare, and liaisi ng between countless providers and members in alignment with healthcare goals. * Conversationally proficient in Spanish and Italian languages; able to clear ri gorous background checks. PROFESSIONAL SYNOPSIS 100% TRAVEL CONTRACT JOB HISTORY (2008-PRESENT) Customer Service Representative (Contract Position) BROADPATH HEALTHCARE SOLUTIONS (TUFTS HEALTH PLAN), BOSTON, MA 2010 - PRESENT * Utilized broad scope of medical industry knowledge and dynamic business acumen toward serving as a forward-thinking Medicare HMO and Medical Supplement Repres entative, including providing wide-ranging benefits, pharmacy, and plan informat ion to individuals, as well as upholding solid customer service which is instrum ental in driving operations success. Quality Assurance Auditor (Contract Position) BROADPATH HEALTHCARE SOLUTIONS (CIGNA HEALTHCARE), NASHVILLE, TN / DENISON, TX 2 009 - 2010 * Contributed sharp analytical abilities toward performing face-to-face audits, including auditing Customer Service Representatives for Medicare-based quality, handling benefits and pharmacy efforts, and serving as a PFFS back up. Medical Claims Specialist and Customer Service Representative (Contract Position ) DELL PEROT SYSTEMS, INC. (BLUE CROSS BLUE SHIELD), PLANO, TX 2008 - 2009 * Demonstrated comprehensive medical claims processing knowledge, strong custome r service, and proven technical proficiencies toward providing claim and eligibi lity information while handling national accounts among several regions. * Liaised among HMOs, PPOs, POS, and Medicare to handle contract issues, claims correspondence, and problem resolutions, along with communicating claims status, updates, resolutions, and payments to hundreds of providers daily. * Facilitated detailed documentation for each account with AIMS, WGS, Imaging, C allCare, Mainframe, and other systems. * Recognized for job performance as the only employee to receive two consecutive accolades from a special recognition board. ________________________________________ NON-CONTRACT JOB HISTORY

Medical Insurance Claims Processor and Customer Service Representative (promoted ) WISCONSIN PHYSICIAN SERVICES, MADISON, WI 2004 - 2007 * Applied excellent communication and interpersonal relations talents toward ass isting callers and providers with questions regarding health benefits as contrac ted by the government, along with supporting operations with a third party liabi lity area whereas responsibilities included reviewing, researching, approving, a nd processing legitimate third party liability claims. SONORA SMITH (918) 261-2755 * Page Two * ss.smith773@gmail.com PROFESSIONAL SYNOPSIS (CONTINUED) Trust & Estate Planning Specialist ROBERT W. BAIRD, INC., MILWAUKEE, WI 2001 - 2002 * Strategically steered trust and estate planning for high net worth clientele w ithin a Wealth Management Division, including preparing and entering all financi al and personal data into complex systems; calculating net worth, assets, and di verse other information to create effective estate plans; and assisting attorney s with trust documentation as required. Retirement Plan Coordinator and Administrative Assistant (promoted) STRONG CAPITAL MANAGEMENT, INC., MENOMONEE FALLS, WI 1998 - 2001 * Coordinated 401(k) plans within a Retirement Plan Services Division, including working among 15 varying technical systems to extract, process, and reconcile 4 01(k) payroll data, as well as maintaining large-scale recordkeeping systems. * Ensured seamless processes and regulatory compliance by assisting a Director o f Client Services, three Relationship Managers, and Compliance and Conversion Sp ecialists in drafting correspondence, creating spreadsheets and presentations, u pdating sales and marketing databases, organizing expense reports, and composing kits for client visits. Additional Professional Roles Held Prior to 1998. HR Staff Assistant for Compan y HDQ (1994-1997) EDUCATION & TECHNICAL SUMMARY Bachelor of Arts in International Studies, Communications, & Political Science ~ Triple Major, Projected Fall 2011 ~ UNIVERSITY OF WISCONSIN-MADISON Microsoft Office Suite * Microsoft FrontPage * Avaya CMS Supervisor * CMS Websit e * CallCare * WGS * FISS Argus Pharmacy System * Medicare-Specific Systems * IBM Lotus Sametime Connect * PADS * eTalk * Access Online ORT * WebChannel * Diamond * Mainframe * Macess * Caremark Pharmacy * CCMS * Ful fillment * Lotus Notes * Modems Epitome * Notepad * QNXT * FileNet * CenterView * Silent Observe * IEX * Blue Sq uare * PeopleSafe * Metavante * TAPS