1. Lisa M Remington
13 Cabot Way • Clifton Park • New York • 12065
(518) 389-5262
Lisaremington67@yahoo.com
PROFILE
Business/ Technical Analyst
Extensive experience in the Health Insurance Industry with superior Training/ Analytical skills. Impeccable organization,
attention to detail, prioritization, focus, and ability to complete high stress deadlines. Expertise in Quality Management,
Quality Review, Quality Control and Risk Management while working amongst multiple operating units/ cross- functional
teams. My work improves the overall efficiency, quality and service of ongoing work.
WORK EXPERIENCE
Dell, Inc. Process & Communication Training, Senior Analyst 2015- Present
• Develop and maintain continual education support materials/ project documentation. Ensures these materials are
kept accurate, up to date and communicated to relevant stakeholders on a timely basis. Works with operations
and cross functional teams to identify changes, update knowledge base articles, and to gain technical information
on the products necessary for proficient course delivery. Manage multiple projects, within given constraints of
time. Ensures the scope and schedule, are reasonable and achievable.
• Maintain own professional development; including continuous learning of new Dell/ Harvard Pilgrim
products/technologies, and communicates experiences and solutions to fellow colleagues.
• Coordinates class arrangements, delivers in class- trainings (including entry-level professional training, active/
existing clients, new hire, change, service improvement and virtual training), and evaluates the delivery of training.
Provides support and classroom facilitation during new account transitions (assists other sr. trainers), change or
service improvement efforts.
• Works with minimal direction. Completes complex tasks in a creative way requiring considerable independent
judgment and a high degree of initiative. Improves efficiency, quality and service of ongoing work
• Monitoring, tracking, and reporting (track against the project plans; review completed activities; identify milestones
reached; identify problems or issues; update project plan as needed; produce weekly status reports; schedule and
conduct regular team meetings, set agenda, document action items and provide updates). Documentation
process includes Macess database systems, Microsoft Excel spreadsheets, Skype for Business etc.
• Working knowledge of multiple project content to accurately assess delivery status and to identify and elevate
immediate issues while keeping delivery standards in mind.
Value Options Level I & II Auditor / Claims/ Customer Service Liaison/ 1994 – 2015
Data Analyst / Coordination of Benefits Specialist /
Overpayment Recovery Auditor / Claims Processor
• Supervised efficiently run Audit Department, leading staff of 18 employees.
• Represented ValueOptions with External Claims Audits for the Latham Service Center. Provided an overview of
Service Connect and worked directly with the External Staff as a claims/ customer service subject matter expert
• Acted as Liaison between the Claims Department and Customer Service areas, as well as all Internal/ External
areas to resolve complex claim disputes
• Personally responsible for collecting over $400,000 in overpayments within the first year of the newly initiated
Recovery Department through quality management of identified risk factors.
• Responsible for ‘Second level’ quality review of claims paying in excess of $10,000
• Performance management with level I staff to provide feedback, QA and mentoring to ensure full understanding of
their roles and responsibilities within the department
• Maintain a thorough attention to detail – for mechanical, financial and procedural accuracy applying plan
guidelines, policies and procedures and contractual benefits
• Extremely organized and was successful in maintaining responsibility for auditing over one hundred distinct
contracts

2. • Conducted system testing of new enhancements for functionality to identify potential risks & to ensure ongoing
efficiency and productivity
• Worked with multiple internal operating departments including the Legal Department to initiate all Coordination of
Benefits related Policies and Procedures which directly impacted 75 staff
Education
High School Diploma • Ballston Spa High School •220 Ballston Avenue •Ballston Spa •New York •12020