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Compliance Administrator Resume Example

Resume Score: 80%

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AN
COMPLIANCE ADMINISTRATOR
Professional Summary

Qualified Customer Relations Expert with 10 PLUS years of experience in Customer Relations. Expert in compliance regulations with training in investigation and interview tactics. Skilled at litigation support and keeping detailed records. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements. Consistently saved costs while increasing profits.

Skills
  • MS Office
  • Team management
  • Business operations
  • Budgets
  • Organization
  • Team building
  • Operational improvement
  • Project organization
  • Vulnerability examination
  • Investigation tactics
  • Data presentation skills
  • Relationship development
  • Communications
  • Process improvement
  • Customer service
  • Regulatory Compliance
  • First Aid/CPR
  • Problem resolution
  • Supervision
  • Auditing experience
  • Performance review
  • Data verification
Work History
11/2019 - CurrentCompliance Administrator | Lee Company - Franklin, TN

Develops, initiates, maintains, and revises policies and procedures for the general operation of the compliance program and its related activities to prevent illegal or improper conduct.

  • Managed quality programs to reduce overdue compliance activities.
  • Performed scheduled and unannounced investigations of workplaces to check compliance and regulation conformance.
  • Reviewed State of Tennessee laws and updated investigation strategies to reflect current information.
  • Collected detailed notes on investigations and other communication to adhere to legal requirements and enhance record-keeping.
  • Advised clients on compliance fraud and investigations, as well as potential remedies and required actions.
  • Confirmed data and licensing information through investigations and notified violators of required changes to bring operations into compliance.
  • Maintained composure in stressful situations, including confrontations, interviews and records searches.
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
  • Monitored social media and online sources for industry trends.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Drove operational improvements which resulted in savings and improved profit margins.
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys.
11/2017 - 11/2019Senior Revenue Specialist | Enablecomp - Franklin, TN

Process Workers Compensation Claims in their entirety.

  • Create Appeal Packets Management.
  • Call and obtain Bill Status.
  • Work closely with 100+ Insurance Companies and Adjusters, to obtain Moderate Maximum Reimbursement Marketing.
  • Work closely with hospital facilities to obtain Workers Compensation Claim information Excellent.
  • Request and acquire all necessary documentation from Hospital Recruiting facilities(clients).
  • Validate all information provided from client to create Claim packet and Advanced send to payer for processing Training.
  • Review and apply PPO Contracts.
  • Review and apply State Fee Schedules(Utah, Texas, Arizona, and Advanced Missouri).
  • Follow State guidelines for Timely Filing(If applicable) Medical Billing.
  • Mentoring fellow team members and training when necessary.
  • Conducting timely and thorough phone calls to Insurance Companies to Advanced ensure bill has been received and obtains all necessary supporting documentation.
  • Add Rev Codes and CPT codes to accounts, when needed.
  • Generate Total Billed Charges for claims according to REV Codes and their billed charges.
  • Create an expected amount according to the states Fee Schedule and the billed amount from hospital.
  • Multi-Level Phone Calls.
  • Working closely with a small team to process bills in a timely manner,.
  • Contacting clients and setting up meetings, either within an office environment or in clients' homes or business premises.
  • Conducting in-depth reviews of clients' financial circumstances, current provision and future aims.
  • Analyzing information and preparing plans best suited to individual clients' requirements.
  • Completing risk analyses.
  • Researching the marketplace and providing clients with information on new and existing products and services.
  • Designing financial strategies.
  • Assisting clients to make informed decisions.
  • Researching information from various sources, including providers of financial products.
  • Reviewing and responding to clients changing needs and financial circumstances.
  • Promoting and selling financial products to meet given or negotiated sales targets.
  • Negotiating with product suppliers for the best possible rates.
  • Liaising with head office and financial services providers.
  • Communicating with other professionals, such as 3rd Party Vendors.
  • Keeping up to date with financial products and legislation.
  • Producing financial reports.
  • Contacting clients with news of new financial products or changes to legislation that may affect their savings and investments.
05/2015 - 11/2017Dealer Financial Analyst | Ford Motor Credit Company - Franklin, TN
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys.
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Drove operational improvements which resulted in savings and improved profit margins.
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
08/2013 - 05/2015Customer Relations and Facility Manager | Ford Lincoln Of Franklin - Franklin, TN
  • Oversaw all aspects of equipment installation, maintenance, and repair for both internal and external services.
  • Led facility management staff and consultants in producing business plan that focused on all aspects of facility operations, including setting priorities and job assignments.
  • Skillfully managed facility operations.
  • Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
  • Managed supervisor itinerary and appointments and streamlined scheduling procedures.
  • Tracked and recorded expenses and reconciled accounts to maintain accurate, current and compliant financial records.
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Education
08/2012Spain Park High School, Birmingham, ALHigh School Diploma:
  • Graduated with 4.0 GPA
  • Member of D.E.C.A.
  • Member of National Honors Society
08/2017Columbia State Community College, Columbia, TNAssociate of Science: Business Administration And Management
  • Member of S.T.E.M.
  • Dean's List Spring 2016
  • Graduated with 4.0 GPA
  • Member of Presidential Leaders Society
  • Received Multiple Scholarships for Leadership and GPA
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Resume Overview

Companies Worked For:

  • Lee Company
  • Enablecomp
  • Ford Motor Credit Company
  • Ford Lincoln Of Franklin

School Attended

  • Spain Park High School
  • Columbia State Community College

Job Titles Held:

  • Compliance Administrator
  • Senior Revenue Specialist
  • Dealer Financial Analyst
  • Customer Relations and Facility Manager

Degrees

  • High School Diploma :
    Associate of Science : Business Administration And Management

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