Talented Compliance Specialist with a strong track record of uncovering issues and finding innovative solutions. A true leader boasting a wealth of expertise in Technology. Ready to take on the challenges for [Company] in a challenging position.
Skills
Compliance oversight
Service reviews
Interdepartmental relationships
Reporting requirements
Compliance reviews
Risk management strategies
Investigative reporting
Records management expert
Trend monitoring
Experience
07/2020 to Current
Compliance SpecialistFirst United Bank & Trust Co – Maysville, OK,
Monitored compliance risk controls to identify deviations and offer recommendations.
Analyzed data from multiple sources to systematically document work and results.
Performed fact-finding research by investigating, collecting and analyzing data and compiling in report format.
Established internal controls and processes to support compliance through project management and engagement of key stakeholders.
Monitored regulatory developments to communicate risks or opportunities to relevant groups.
Maintained compliance frameworks, policies and documentation to support audits.
Analyzed data to provide insights and recommendations for mitigating conduct risk.
Conducted reviews of flagged transactions and reports that showed potential suspicious activity.
Input information regarding fraud investigations into detailed reports for submission to clients.
Monitored real-time queues and analyzed high-risk transactions from specified points of sale within business portfolio.
Determined existing fraud trends by analyzing accounts and transaction patterns.
09/2018 to 08/2020
Mychart Technical Support RepresentativeChristus Health – Flint, TX,
Assisted patients with various types of technical issues via email, live chat and telephone.
Reviewed support cases for technical and troubleshooting accuracy and identified needed process improvements.
Developed and maintained strong relations with patients to meet quality expectations.
Delivered remote assistance for technical issues using screen sharing, mouse and keyboard control and other tools.
Walked patients through common phone hardware and software configurations to maximize service functionality.
Assisted patients in understanding the portal, components and medical records using technical demonstration.
Demonstrated advanced product knowledge to solve patients' issues.
Used remote login tools to assist clients with technical and product questions.
Served as first point of contact for incoming technical service calls and emails.
Maintained up-to-date case documentation for future reference.
Handled customer service issues by providing guidance or escalating for advanced support.
Dispatched vendors to perform onsite service to mitigate problems beyond scope of telephone troubleshooting.
Worked with internal teams to deliver accurate information to the patients and providers
Resolved record-breaking backlog of support tickets following major system malfunction.
Documented patients' complaints and inquiries for use in technical documentation and bug tracking.
Monitored support activity trends to create problem resolution and solution reports.
09/2017 to 07/2018
Provider Enrollment SpecialistTriZetto Provider Solutions, A Cognizant – City, STATE,
Maintained provider enrollments in Medicare and Medicaid across the different states.
Accurately inputted provider effective dates into enrollment system.
Utilized effective active listening, interpersonal and communication skills in collaborating with different individuals on daily basis.
Kept watchful eye on physician expiration dates and contacted practitioners to inform when such dates were near.
Followed up with insurance carriers to address and rectify denied claims.
Supported members through navigation of enrollment process to facilitate optimal decisions.
Gained competitive advantage in market by helping develop exceptional network of care providers.
Maintained positive working relationship with fellow staff and management.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
08/2015 to 08/2017
Associate, Order Entry ManagementServiceLink – City, STATE,
Verified accuracy of information and executed clarification of orders.
Provided order tracking information and resolved issues when needed.
Reviewed files, recordings and other documents to obtain information to respond to requests.
Processed and documented transactions in company database.
Answered customer account inquiries and provided resolution.
Supported management team to facilitate task completion and meet performance goals.
Communicated clearly with customers in person and via telephone, driving positive experiences.
Investigated and resolved issues to drive better service for customers and employees.
Gathered data to incorporate into reports and presentations.
Education and Training
Expected in 05/2023 to to
Associate of Science: Health Information Management Southern New Hampshire University - Hooksett, NH GPA:
Expected in 05/2021 to to
Associate of Applied Science: Health Information Technology Saint Louis Community College - St Louis, MO GPA:
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