LiveCareer-Resume

manager compliance resume example with 9+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Professional Summary

Talented Manager with expert team leadership, planning, and organizational skills built during a successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and a results-driven approach.

Accomplishments
  • Achieved optimization by completing and resolving Provider payout issues with accuracy and efficiency.
  • Collaborated with a team of 12 in the development of new departments.
  • Achieved implementation in operations by introducing Microstrategy for claims projects tasks.
  • Documented and resolved Compliance issues that led to the avoidance of costly fines.
  • Supervised team of 8 staff members.
Skills
  • Risk Assessment
  • Compliance Reporting
  • Insurance /Licensing Regulations
  • Business Operations
  • OSHA Regulations
  • Data Analysis
  • Human Resources Support
  • Operations Management
  • Business Intelligence
  • Legal Compliance
  • License Verification
  • Policy Development
  • Policy Enforcement
Work History
Manager, Compliance , 07/2020 to Current
American ExpressCleveland, OH,
  • Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals.
  • Managed practical action plans to respond to audit discoveries and compliance violations.
  • Liaised with risk management, internal audit and employee services departments to direct compliance issues to appropriate channels for investigation and resolution.
  • Controlled costs and optimized spending via restructuring of budgets for labor, capital assets, inventory purchasing and technology upgrades.
  • Oversaw and monitored violation tracking system for accuracy, reducing issues.
  • Propelled continuous improvements and strategically capitalized on current market trends.
  • Promoted top data accuracy by partnering with businesses, internal specialists and vendors.
  • Managed quality programs to reduce overdue compliance activities.
  • Created reports to keep senior management informed of operations and progress of compliance efforts.
  • Reviewed company forms, marketing materials and communication procedures for compliance with applicable laws and guidelines.
  • Collaborated with sales and marketing departments and other business units to address indications of improper sales practices and market conduct violations.
  • Created policies and programs to encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation.
  • Improved company policies and standards to outline ethical, safe and efficient procedures.
  • Raised performance in areas of sales, management and operations by identifying and targeting areas in need of improvement.
  • Enhanced regulatory, strategic and operational performance to keep in alignment with deadlines.
Independent Insurance Agent, 03/2018 to 12/2020
Amphenol SensorsMorgan Hill, CA,
  • Cultivated new business by offering presentations on financial well-being to individuals and groups on term and whole life insurance.
  • Approached potential clients by using direct marketing mailings and phone contacts.
  • Determined client needs and financial situations by listening and scheduling fact-finding appointments.
  • Worked to accommodate new and different insurance requests and explored new value opportunities to optimize insurance agency reputation.
  • Responded to customer calls swiftly to resolve issues and answer questions.
  • Scheduled fact-finding appointments and consultations to determine client needs and overall financial situations.
  • Maintained high standards of customer service by building relationships with clients.
  • Enhanced insurance agency reputation by accommodating new and different requests and by exploring opportunities to add value.
  • Built relationships with clients using active listening and issue resolution to provide excellent service.
  • Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.
  • Conducted annual reviews of existing policies to update information.
  • Remained impartial in order to advise clients based on circumstances.
  • Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
  • Met with customers to provide information about available products and policies.
  • Created sources for continuous client referrals within community and with businesses using extensive networking skills.
Regulatory Compliance Specialist, 04/2014 to 01/2017
Hachette Book Group UsaNorth Adams, MA,
  • Developed or tracked quality metrics.
  • Received, researched and resolved consumer inquiries.
  • Reviewed complaints & data to assess compliance with AHCA regulations.
  • Completed and reported on the HUB portal the impact assessments.
  • Wrote or updated standard operating procedures, work instructions or policies.
  • Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
  • Created plans and communicated deadlines to ensure projects were completed on time.
  • Developed team communications and information for meetings.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Interpreted regulatory rules or rule changes and communicated with others through corporate policies and procedures.
  • Prepared and submitted regulatory file applications and supporting documentation.
Claims Analyst, 09/2011 to 03/2014
Centene CorporationCity, STATE,
  • Collected and tracked evidence in support of legal processes.
  • Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
  • Conducted thorough property investigations to identify and classify damages for customer claims.
  • Synthesized data into comprehensive quarterly written reports for management.
  • Viewed reports regularly to make sure processing was conducted efficiently.
  • Interacted with clients and employees, which helped cultivate positive working relationships.
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Analyzed information gathered by investigation and report findings and recommendations.
  • Resolved complex, severe exposure claims using high service-oriented file handling.
  • Maintained claims data in reporting systems.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Identified key areas not performing well and implemented effective, new processes.
Education
BBA: Business Administration And Management, Expected in 12/2023 to California Intercontinental University - Irvine, CA
GPA:
  • Completed professional development in Leadership


Certificate: Medical Insurance Billing, Expected in 06/2005 to Concorde Career Institute - Hollywood, FL
GPA:
Associate of Science: Medical Informatics, Expected in 06/1996 to Pleasantville Senior Comprehensive School - Pleasantville, Trinidad ,
GPA:
Certifications
  • Certified Professional Compliance Officer, AAPC - 05/21
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Resume Overview

School Attended

  • California Intercontinental University
  • Concorde Career Institute
  • Pleasantville Senior Comprehensive School

Job Titles Held:

  • Manager, Compliance
  • Independent Insurance Agent
  • Regulatory Compliance Specialist
  • Claims Analyst

Degrees

  • BBA
  • Certificate
  • Associate of Science

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