Quality Representative Resume Sample

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Rusty Johns
106 Hermiston Junction,  Boston, MA
+1 (555) 927 5553

Work Experience

Senior Quality Representative
04/2018 - PRESENT
Los Angeles, CA
  • Champion the quality culture at ABC Atlantic through challenging production teammates in their responsibilities and commitment to the FOCUS statement
  • Lead the weekly quality meetings
  • Provide metal building erection support to builders
  • Provide detailed month-end reports to the leadership team documenting the quality occurrences and outlining the problem areas to focus on
  • Coordinates others’ activities when appropriate for team work efforts
  • Works closely with Care Coordination RN assigned to the Quality Performance Representatives territory to ensure providers are aware of and effectively utilize ACN’s care coordination resources
  • Interprets and reviews blueprints, wiring lists, quality standards, manufacturers’ catalogs, customer specifications, reference manuals, and purchase order (PO) requirements to determine hardware quality and inspects status of electronic hardware, parts and assemblies for acceptance
  • Support the Change Control Management System in Vienna
  • Own Change Controls as Change Owner
Advanced Quality & Technical Port Representative
04/2013 - 01/2018
Los Angeles, CA
  • Support the Exception Management System
  • Support Out-Of-Specification (OOS) Events
  • Support the Quality Risk Management System
  • Support Inspections and Audits in respect of Change Control Management System
  • Experience with Quality Systems and Change Control Management in a FDA regulated manufacturing setting
  • Thorough knowledge of applicable procedures, specifications, regulations and standards, including ISO 9001, ISO 13485, FDA 21 CFR Parts 210, 211, 600, 820 and International GXPs
  • Strong interpersonal, communication, influencing, and negotiation skills
Service Center Quality Representative
03/2009 - 12/2012
New York, NY
  • Strong computer skills, excellent writing, organization, and presentation skills
  • Strong German and English skills in speaking and writing
  • Reviewing completed batch records and releasing or rejecting final products
  • Reviewing and approving validation protocols and reports written by others
  • Establishing a system to release or reject raw materials, intermediates, packaging and labeling materials
  • Making sure that critical deviations are documented, investigated, and resolved
  • Approving all specifications, procedures, and test methods
  • Making sure that effective systems are in place for maintenance and calibration


Upper Iowa University
2004 - 2008
Bachelor's Degree in Management

Professional Skills

  • Demonstrate strong interpersonal communication and written skills, proactive problem-solving skills, and the ability to multitask effectively
  • Effective time management skills, including organizational, planning and prioritization skills
  • Excellent listening and telephone communication skills
  • Excellent blue print reading skills and knowledge of GD&T concepts / applications required
  • Intermediate to advanced Microsoft Office skills, including Microsoft Excel (manipulating data, vLookups, analyzing trends, presenting reports/ charts, etc.)
  • Prior experience in detailing and/or steel erection and jobsite conditions
  • Experience with medical claims auditing or experience in a special investigations role

How to write Quality Representative Resume

Quality Representative role is responsible for design, microsoft, print, planning, credit, training, database, auditing, printing, security.
To write great resume for quality representative job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Quality Representative Resume

The section contact information is important in your quality representative resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Quality Representative Resume

The section work experience is an essential part of your quality representative resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous quality representative responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular quality representative position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Quality Representative resume experience can include:

  • Prior customer service, detailing, or construction site experience
  • Lead and support analytical method transfer projects including developing validation and transfer strategies
  • Experience using NICE Claims Processing Screens
  • Highly motivated and organized, with attention to prioritizing incoming tasks
  • Excellent Career Opportunities & award winning training programmes
  • Validate, research, and analyze claims payment problems and trends referred by Health Plan, bringing claim issues to resolution

Education on a Quality Representative Resume

Make sure to make education a priority on your quality representative resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your quality representative experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Quality Representative Resume

When listing skills on your quality representative resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical quality representative skills:

  • Good analytical, planning, and program design skills
  • Making sure that personnel are effectively trained in cGMP
  • Intermediate to advanced Microsoft Office skills, including Microsoft Excel (manipulating data, vLookups, analyzing trends, preparing reports and charts, etc.)
  • Experience in current Good Manufacturing Practices (desired)
  • Retain self-proficiency (e.g. maintain / increase skills) of competencies related to quality review areas and claims processing systems
  • Interpersonal skills to allow work in a team environment internal and external to Global Quality

List of Typical Experience For a Quality Representative Resume


Experience For Advanced Quality & Technical Port Representative Resume

  • Experience working in an HMO environment
  • Claims Processing or Customer Service experience answering claims inquires
  • Support new plant initiatives for teaming (Whole Systems Business Model, Lean Manufacturing, and Six Sigma)
  • Participate in remediation meetings by recommending and supporting actionable items related to remediation activities
  • Performs complex multi-site investigations and problem solving using DMAIC mainly related to analytcal test methods
  • Develop and Maintain work instructions using HMSCapp System
  • Identify, document, and resolve conformance issues utilizing the TipQA database

Experience For PPM Quality Representative Fixed Duration Employee Resume

  • Assist define task requirements for section personnel and provide on-the-job training to ensure capability to meet performance requirements
  • Provide production support with day-to-day Quality / Test engineering activities
  • Performs quality related tasks at customer production and final assembly lines, including inspection, documentation and implementation of corrective actions
  • Determine if the dispute warrants additional payment, was overpaid or if the case was handled correctly the first time
  • Make outbound calls to providers as necessary to clarify, request additional information or discuss resolution of case
  • Research and resolve written Department of Insurance complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers
  • Analyzes and identify trends for provider issues
  • Completes special projects, as assigned, on a timely basis
  • Exhibits regular and predictable attendance and punctuality

Experience For Senior Quality Representative Resume

  • Adhere to standards of professional conduct and dress code
  • Identify and implement continuous improvement initiatives into the production process to increase efficiency, reduce cycle time, reduce defects, and eliminate waste
  • Develop and implement mistake proofing solutions into the production process
  • Review, analyze, and audit examiners, supervisors, and claims to ensure compliance with company procedures and quality standards
  • Analyze the source of quality problems and refer to the appropriate parties for follow-up or training; identify specific training needs and make recommendations to the Claims Trainer

Experience For Senior Claims Quality Audit Representative Resume

  • Maintain auditor production and quality standards
  • Review overpayment files to reduce total claims overpayments
  • Provide technical support to claims examiners and others as required
  • Identify and investigate possible fraudulent or questionable claims practices
  • Administer the Quality Review Program to determine the accurate and appropriate application of policy, including eligibility, investigation, and payment practices
  • Evaluate examiner quality statistics and make recommendations to management for authority levels and focused audits as necessary
  • Provide written and oral summaries of audit analyses as required
  • Request, monitor, and analyze utilization, quality and vendor reports as required
  • Assist Claims Department as needed

Experience For Quality Service Representative Resume

  • Process claims as needed
  • Assist with special claims projects as required
  • Coordinate designated claim processing adjustment activities and provide non-adjusted claims follow-up, ensuring closure with provider, member and / or health plan
  • Ensure complete and appropriate documentation for all requested claim adjustments
  • Facilitate and coordinate necessary adjustments and process improvements working with cross-functional teams including Customer / Provider Service, Claims, Network Management, Sales Administration, Care Coordination, Billing and Enrollment, and Group Entry

Experience For Service Center Quality Representative Resume

  • Objectively review defects assigned to processors through various audit programs (i.e. Processor Review (IPR) and End to End audit programs)
  • Ensure defects are assigned accurately and calculate the miss-paid dollar amount of financial defects
  • Identify root cause of errors and opportunities for defect reduction
  • Attend Business Level Meetings to present defects for discussion with Operations managers
  • Develop and maintain QA work instructions, check sheets, final inspection records
  • Provide assistance to Material Acquisition, SQA and supplier base as required

Experience For Claims Quality Review Representative Resume

  • Participate and lead various cross-functional teams to support product lines
  • Provide input to interdepartmental procedures and work instructions
  • Identify corrective and preventive actions and lead implementation of short term and long term corrective action
  • Perform root cause analysis and provide solutions to problems
  • Perform Continuous Improvement related tasks
  • Coordinate QA efforts related to new production lines and components; quality improvement; and cost reduction

Experience For DRS Quality Representative Resume

  • Read and interpret drawings, Product Specifications and Military Specifications
  • Some overtime and travel required
  • Get security clearance required
  • Performance and accuracy is essential in this role
  • Responsible to troubleshoot transmission acceptance test incidents, including determining direct cause; leading a team to identify root cause and corrective action
  • Support the development of QA (Quality Assurance) work instructions, check sheets, final inspection records and provide approval
  • Provide assistance to Material Acquisition, SQA (Supplier Quality Assurance) and supplier base as required

Experience For Quality Representative San Antonio Resume

  • Process service request complaints from customers and internal partners
  • Process customer returns and arrange for carrier pick-ups where necessary
  • Investigate and correct unauthorized returns
  • Process credits and/or replacements for Product Quality issues
  • Respond to customer complaints/ inquiries and resolve issues quickly, competently and professionally

Experience For Global Quality Representative Resume

  • Solve situations related to orders, shipments, complaints or other customer-related matters
  • Educate customers on correct processes to prevent future errors, when appropriate
  • Highlight frequent errors for Quality Supervisor
  • Reviews daily output for key quality attributes. Confirms product meets established specifications
  • Position is limited untl 31.07.2018
  • Position is limited until 31.03.2019
  • Writes corrective actions and follow up until closure
  • Records quality findings and update quality metrics

List of Typical Skills For a Quality Representative Resume


Skills For Advanced Quality & Technical Port Representative Resume

  • Experience with validations and/or qualifications (desired)
  • 3 – 5 years' relevant experience; VW & Audi port experience
  • Valid Colorado Driver’s license with MVR clear of incidents for 3 years prior to hire/transfer is required
  • Background in computer use with skills in Microsoft Office
  • Experience working in Quality, Supply Chain, Operations or related field
  • Experience processing medical claims

Skills For PPM Quality Representative Fixed Duration Employee Resume

  • Experience working with the Division of Financial Responsibility
  • Experience processing United Healthcare Medicare & Retirement claims
  • Experience processing claims on the COSMOS
  • Rework processing experience (i.e. claim adjustment)
  • First Pass / New day claim processing experience
  • Able to meet the challenges of a fast-paced, high-energy environment, while maintaining a strong level of professionalism

Skills For Senior Quality Representative Resume

  • Experience with Microsoft Windows and Office programs
  • Experience in Medical Claims environment
  • Experience with Employer & Individual and Medicare & Retirement lines of business
  • Experience with student medical claims
  • Experience in a medical background or medical billing
  • Intermediate experience with Microsoft Excel (create / edit / read spreadsheets) and Microsoft PowerPoint (create / edit / read slides)
  • Analytical thinker who is able to easily identify root cause and come up with solid resolution for those issues
  • Customer service experience is required

Skills For Senior Claims Quality Audit Representative Resume

  • Experience in claims
  • Validate information, review history on the case, and interpret the contract benefits
  • Be flexible, demonstrate reliable attendance and adhere to scheduled work hours to meet the needs of the organization as required
  • Use sound judgment, take initiative and make good decisions
  • Developing, documenting, performing and/or approving equipment installation, operational, and performance qualifications
  • Writing, organizing, and creating DCS Communications
  • Working inter-departmentally with colleagues to provide feedback on errors, and process enhancements required by the client or GBT reporting
  • Interacting with customers including complaint investigation and customer audits
  • Participating in and performing audits at any Eastman site that produces pharmaceutical, food, and other cGMP products

Skills For Quality Service Representative Resume

  • Working knowledge of medical terminology, CPT Codes and ICD-10 Codes
  • Approving all changes that potentially affect intermediate or final product quality
  • Coordinating stability programs and annual product reviews
  • Ensuring escalation of discrepancies to relevant departments for resolution
  • Sharing best practice with team member
  • Provide expertise in reviewing, researching, investigating and resolving all provider disputes, including complex issues

Skills For Service Center Quality Representative Resume

  • Provide expertise and support by reviewing, researching, investigating and auditing problematic claims
  • Product knowledge and understanding of metal building and roofing systems
  • Seek and obtain quotes for tooling / fixturing design, build, and timely delivery of tooling
  • Act as COSMOS processing SME sharing knowledge of current state claims processing
  • Provide technical support, including training, to floor inspection personnel including new methods that improve detection/ergonomics/efficiency
  • Work a flexible schedule, including nights, weekends, and holidays; 12-hour rotating shift
  • Identify tooling needs working with production personnel to procure and implement
  • Disposition non-conforming material, including local and off-site government interface when required

Skills For Claims Quality Review Representative Resume

  • GD & T (Geometric Dimensioning & Tolerancing) knowledge required
  • Interface with supporting departments including Credit & Collections Technical Service, Finance, Distribution and Sales
  • Flexibility during actions and market introductions, which could require weekend work and/or overtime
  • Travel to other Ports, Railheads, Auburn Hills, MI, or Herndon, VA for training purposes and/or coordination of any action, as needed
  • Understand manufacturing processes, supply chain processes, and quality systems
  • Work a schedule which consists of 12 hour shifts including nights, weekends, and holidays
  • Process exchanges and Phase IV using SABRE & Knowledge of Travel Expert
  • Provide quality control analysis and PNR documentation requirement review to ensure customer reporting and PNR accuracy
  • Reconcile eReq approvals, refund and void processing

Skills For DRS Quality Representative Resume

  • Q card - offers discounts for various companies including retail, travel & hospitality
  • Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse
  • Communicate with appropriate internal business partners and providers regarding dispute issues, implications and decisions
  • Detail oriented, able to thoroughly document the issue and provide clear, concise written communication regarding the outcome
  • Conduct special audits to track claims accumulating over large dollar limits
  • Make recommendations to management regarding changes to policies, procedures, and systems
  • Prepare performance charts on various quality indicators, coordinate efforts to improve product quality and resulting indicators
  • Support metrology related activities, including risk assessments

Skills For Quality Representative San Antonio Resume

  • Administration of tasks on multiple back office systems while maintaining service levels and accuracy
  • Represent L3 Combat Propulsion Systems when interfacing with DCMA on product presentation and quality metrics and failure investigations
  • Adapt quickly to frequently changing applications and departmental and divisional policies and procedures
  • Position is located at the Lilly Technology Center - South
  • Willingness to spend extra effort as needed to meet project schedules
  • Willingness to travel as needed (typically less than 15% of the time)

Skills For Global Quality Representative Resume

  • Audits claim data to determine claim adjudicator and system accuracy, and completes statistical reports on findings to record audit activity and recommendations made to the Manager in a timely and informative manner
  • Develops practical recommendations to management to improve control processes to safeguard and improve the efficiency and effectiveness of operations
  • Prepares and submits detailed audit reports to management to aid in the training/education of staff in a timely manner
  • Ensure 100% compliance with all company SOP’s
  • Attain 100% customer satisfaction through order fulfilment
  • Attain zero recordable lost time injuries (ZERO HARM)
  • Meet established quality Metrics
  • Identify and drive process and procedure enhancements to ensure the highest quality of service is achieved and risks are properly mitigated
  • Write and analyze procedures for potential gaps in processes, work with related subject matter experts and/ or product managers for updates and approvals

List of Typical Responsibilities For a Quality Representative Resume


Responsibilities For Advanced Quality & Technical Port Representative Resume

  • Implements Quality expecations from authorities, engine manufacturers and customers
  • Implements the corrective actions from audits OSAC / Airbus / GE/ Safran Aircraft Engines
  • Takes part in internal audit process
  • Experience with MS Office - Word (creating documents / templates / lists), Excel (data entry, sorting / filtering), & Outlook (send / receive email, create tasks, update calendar, set out of office)
  • Read and interpret health insurance policies and answer coverage questions
  • Perform activities requiring mental acuity, including but not limited to, some decision making, following procedures, use of visual and written sources of information and other activities requiring sustained concentration while sitting
  • Intermediate proficiency with a computer and Windows PC applications (this includes the ability to learn new and complex computer system applications)

Responsibilities For PPM Quality Representative Fixed Duration Employee Resume

  • Track daily inventory, sort, and retrieve data with Microsoft Excel
  • Send, receive, and manage emails within Microsoft Outlook
  • Thorough knowledge of DCS procedures and practices, or the ability to utilize resources to ‘find the answer&#8217
  • Proven customer service/ relations skills including the ability to deal effectively, tactfully, and knowledgably with internal and external customers in handling complaints, problems and general inquiries
  • Manage multiple tasks/ projects and deadlines simultaneously
  • Capacity to identify and resolve complex problems
  • Travel to jobsites when required

Responsibilities For Senior Quality Representative Resume

  • Knowledge of Oracle/SAP systems and PC applications required
  • Moderate proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
  • Coach, develop and mentor more junior Travel Counselors in the team
  • Act as a quality analyst for the problems surrounding the non-quality of products from Ville Saint-Laurent delivered to his Dorval customer to ensure conformity with the next units delivered
  • Ensure the follow on Ville Saint-Laurent's non-conformity with liability affecting the Dorval plant by carrying out daily data extracts from various sources such as; HMS, request via email and telephone to ensure a follow with the customer

Responsibilities For Senior Claims Quality Audit Representative Resume

  • Support parts tracking activities and capture/communicate differences
  • Act as "Chairman" during an investigation with the different departments to correct an anomaly/non-compliance
  • Participate and provide visibility on corrective actions to the client
  • Communicate gaps and risks with stakeholders and Ville Saint-Laurent management
  • Develop the client correction plan related to anomalies
  • Together with department manager, create quality control practices that support Rankin and all of DCS
  • Responsible for audit coordination and offer assistance as the onsite contact for internal parties related to audits

Responsibilities For Quality Service Representative Resume

  • Develop and execute strategic initiatives
  • Manage internal and external meetings, participate and contribute to team and leadership meetings
  • Free NVQ’s onsite
  • Reduced Gym Membership

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