Jay Davis	
905 Bent Lane
Erdenheim, PA 19038
 [Send email to request phone number] 39-1192  [Send email using form at bottom]

 
Objective

To obtain a position that will effectively utilize my acquired expertise,
creative talents, and commitment to excellence.  I desire a position with career
growth potential.

Qualifications

Innovative Professional with an eagerness to contribute and put into application
the extensive knowledge and expertise acquired in the field of Health
Administration.

Proactive leader with refined business acumen and exceptional people skills.

Highly skilled in benefits administration, strategic planning, organization,
needs assessment, program management, regulatory compliance, quality assurance,
grant writing, budgeting, cost analysis, financial reporting, staff supervision,
and policy/procedure development.  

Proven ability to effectively handle multi-task and changing levels of
responsibilities.

Superior communication, intuitive, interpersonal, customer service,
organizational and leadership skills.

Thrive in both independent and collaborative work environments.

Quick study with an ability to easily grasp and implement new ideas, concepts,
methods, and technologies. 

Energetic and self-motivated team player/builder.	

Member of the American College of Healthcare Executives.

Proficient in the use of various computer programs and software applications
including Lotus Notes, GroupWise, WordPerfect, Microsoft Word, Access, Excel and
PowerPoint. 


Professional Experience
Pennsylvania’s Manufactures Association (PMA) – Blue Bell, PA 
Senior Account Claims Representative, 6/04-present
Conduct thorough investigation of all assigned disability claims to determine
compensability. Manage claims caseload by determining plans of action associated
with disability medical management expectations and developing/coordinating
return to work strategies. Initiate and maintain prompt three point contact with
injured/disabled worker, insured and medical provider(s).Coordinate communication
with a variety of clientele, both internal and external, by preparing written
and/or oral communication areas such as potential reserve exposure on claims.
Coordinate appeals to discover pertinent facts bearing on claim in accord with
federal and state laws and procedures. Renders decisions affirming or denying
previous ruling, based on testimony, claim records, applicable provisions of law,
and established precedents. Writes decision explaining ruling and informs
interested parties of results. Confers with personnel of employer or agency
involved to obtain additional information bearing on appeal, and to clarify
future implications of decisions.  Participate in court proceedings against
claimants attempting to obtain benefits through fraud. Render informal opinions
on points of law in questionable cases to facilitate initial determination of
benefit eligibility or imposition of penalties. 

Reliance Standard Life Insurance Company – Philadelphia, PA 
Disability Case Manager, 5/00-6/04
Coordinate and manage disability benefit administration for average caseload of
150-200 claimants. Analyze disability requirements based on individual state
regulations, verify eligibility and interpret contract provisions for proper
benefit contributions. Communicate with claimants, agents, brokers, employers and
medical providers to research/analyze complex claim situations and provide
effective claim service. Identify potential rehabilitation candidates and make
recommendations for outside technical services. Enter claim payment into system
following initial evaluation; perform monthly reconciliation of distributed
funds, and administer financial database for premium billing, benefit enrollment,
COBRA, unemployment and other functions. Develop a disability absence management
program, track benefits costs, and prepare ad hoc reports for management review.
Train and mentor junior analysts; serve as liaison between in-house departments
and outside vendors, and participate in unit meetings to recommend improvement in
productivity standards, service levels, and work quality cases. 

Prudential Insurance Company of America – Dresher, PA
Retirement Plan Analyst, 8/98-5/00
Managed daily cash flow activity, scheduled annuity payouts, and implemented
effective internal control procedures when processing client fund withdrawal
requests. Prepared and analyzed monthly cash flow/trend reports. Created ad hoc
reports to monitor daily activity of accounts for outside vendors. Calculated and
distributed agent/broker commissions. Trained/supervised 12 staff members in
effective techniques for managing accounts and maintaining quality control.
Devised new control standards to track and reduce outstanding debits and credits
by 34% in three months. 

Claims Examiner / Auditor, 8/96-8/98
Performed in-depth audits of activities associated with life insurance policies
to monitor compliance with all regulations. Processed inter-agency transfers and
managed accounts for various agents/brokers. Investigated and quickly resolved
complex issues and customer complaints related to life insurance, annuity and
registered products. Ensured complete customer satisfaction and prepared written
reports to inform management of complaint outcomes. Decreased customer complaints
by 29%. 

Education

Eastern University – St. David’s, PA
M.B.A., Health Care Administration Minor: Finance 5/02
Chestnut Hill College – Philadelphia, PA
B.A., Human Resources Minor: Law 8/98