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risk management systems administrator resume example with 17 years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Professional Summary
  • Dedicated administrative professional that thrives in providing exceptional support. Well versed in being organized, detail oriented and highly skilled in risk management, healthcare compliance, records management, document preparation, and communications with a diverse professional background. I successfully perform assigned duties independently and without supervision by leveraging my decisive decision-making skills, problem solving skills and an ability to take solid direction and manage complex assignments.
  • Custom Service
  • Time Management
  • Problem-Solving
  • Law & Ethics
  • Data Entry
Skills
  • PROFESSIONAL SKILLS
  • Application Management
  • Risk & Insurance Management
  • Healthcare Compliance
  • Human Resource
  • Training Development
  • Compliance 360
  • Kronos
  • Lawson
  • Lotus Note
  • MS Office
  • Outlook
  • PeopleSoft
  • Remedy
  • RL Solutions
  • Administrative, Meetings
  • Administrative support, MS Office
  • Agency, Outlook
  • Billing, Organizational
  • Business operations, Payroll
  • Business processes, PeopleSoft
  • CMS, Policies
  • Contracts, Processes
  • Clients, Recruitment
  • Data analysis, Reporting
  • Data entry, Scheduling
  • Database, System documentation
  • Email, Phone
  • Executive management, Employee development
  • Hiring, Training Development
  • Human Resource, Travel arrangements
  • HR, Troubleshoot
  • Insurance, Upgrades
  • Kronos
  • Lawson
  • Litigation
  • Logic
  • Logistics
  • Lotus
  • Materials
Work History
Risk Management Systems Administrator, 01/2015 to 01/2019
Salvation Army UsaWaukesha, WI,
  • Implemented a system-wide electronic incident reporting/policy management application.
  • Monitored the software application, documented and analyzed problems.
  • Collaborated with vendor to ensure proper integration of the application.
  • Worked closely with IT and the vendor to troubleshoot problems.
  • Developed test plans to verified logic of new or modified applications.
  • Maintained system documentation; planned, coordinated, test and communicated changes, upgrades/maintenance schedules and new services with vendor to ensure business operations will operate correctly in current & future environments.
  • Created profile accounts for administrators and end-users.
  • Facilitated staff education and roles within a database.
  • Produced monthly reports and conduct data analysis through reports and query for accuracy.
  • Maintained current knowledge of relevant technologies and business processes.
  • Reviewed agency regulations (CMS, Joint Commission, DHH, OSHA, OIG).
Risk Management Claims Specialist/Legal Assistant, 01/2008 to 01/2015
Five Star Quality Care, Inc.Cheyenne, WY,
  • Compiled, analyzed and summarized documents, medical records, polices, billing and evidence to investigate claims pre-litigation.
  • Assisted VP, Directors and outside counsels with discovery, witnesses and depositions.
  • Identified applicable insurance policies and/or contractual status of relevant parties including physician.
  • Ensured compliance with company policies, including HIPAA and applicable state & federal regulations.
  • Assessed and set indemnity reserves and produced loss run reports.
  • Coordinated claim payments with Third Party Administrator and designated authority level.
  • Entered claim payments, reserves and new claims in computer system for accurate aggregate reports.
Human Resources Coordinator, 01/2006 to 01/2008
Delta Dental Plan Of ArkansasSherwood, AR,
  • Coordinated and supported recruitment processes; formatted and posted open positions to relevant sources; screened & routed resumes; responded to recruitment-related email & phone inquiries.
  • Performed data entry, tracked applicant status and updated the resume/hiring database.
  • Worked with recruiters and hiring managers to coordinate interviews as requested.
  • Helped manage and facilitate new hire orientation and related activities.
  • Provided administrative support to the HR Generalist with employee and organizational changes, i.e., processing and tracking job and compensation changes, immigration and work authorization efforts, leaves of absence, employee terminations, promotions, reporting changes, and other employee/organizational actions.
  • Partnered with the HR Generalist to support employee development efforts and feedback processes.
  • Assembled and maintained employee materials (i.e., leave of absence packets, termination packets, new hire materials).
  • Assisted with the maintenance of department files and create and maintained reports.
  • Special projects and other administrative duties as required.
Executive Administrative Assistant, 01/2002 to 01/2006
Emory HealthcareCity, STATE,
  • Provided administrative support including scheduling meetings, appointments, and conference calls.
  • Processed payroll for all staff members and corrected discrepancies.
  • Arranged all travel arrangements for executive management and staff.
  • Coordinated offshore Executive board meeting logistics.
  • Prepared Certificates of Insurance for internal and external clients.
  • Maintained departmental files – correspondence files, insurance policies and contracts.
  • Reviewed and processed all invoices, purchase orders, travel expenses, and P-card charges.
Education
Bachelor of Arts: Business Education, Expected in to Lehman College - Bronx, New York
GPA:
Affiliations
Member, ABWA (American Business Women’s Association) Member, AAPC (American Academy of Professional Coders) Member, AAPC Cumming, GA Chapter

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Resume Overview

School Attended

  • Lehman College

Job Titles Held:

  • Risk Management Systems Administrator
  • Risk Management Claims Specialist/Legal Assistant
  • Human Resources Coordinator
  • Executive Administrative Assistant

Degrees

  • Bachelor of Arts

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