self insured external auditor resume example with 16 years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary
Self-Insured External Auditor with over 30 + years of successful experience in medical only and lost time claims and employer services. Recognized consistently for performance excellence and contributions to success in the Insurance industry. Strengths in critical thinking and problem solving backed by training and course work in business communication, critical thinking and general psychology.
Skills
Organization and Time Management
Problem-Solving
Analytical and Critical Thinking
Interpersonal Communication
Planning and Coordination
Teamwork and Collaboration
Dependable and Responsible
Computer Skills
Decision Making
Attention to Detail
Excellent Communication
Education
Columbia Southern UniversityOrange Beach, ALExpected in 05/2011 ā āAssociate of Science:Business Administration - GPA:
Work History
Bureau Of Workers' Compensation - State Of Ohio - Self Insured External Auditor City, STATE, 02/2019 - Current
Liaised between clients and internal audit staff to address concerns with procedures, scheduling or results.
Audit auditing processes and procedures for over 200 employers
Audit reported compensation paid to claimant for lost wages to ensure accuracy based on wage calculation
Conveyed complex audit information to clients of diverse backgrounds.
Developed presentations of audit findings for company leadership.
Created and delivered training for junior auditors on correct procedures.
Assessed company controls and potential risks against benchmarks.
Recommended strategies for improving compliance and success of internal controls.
Responsible for prioritizing and completing multiple tasks in timely manner, utilizes
Strong analytical/critical thinking skills to accomplish task and or determine best course of action.
Conducted orientations for newly approved Self-Insured applicants, provide guidance on claims and administrative requirements for self-insurance and review and verify employerās administrative plans to meet requirements.
Make recommendations by implementing cost savings initiatives that address long standing problems
Prioritized projects based on periodic schedules and immediate need.
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity
Used coordination and planning skills to achieve results according to schedule
Used critical thinking to break down problems, evaluate solutions and make decisions
Created plans and communicated deadlines to ensure projects were completed on time
Delivered exceptional level of service to each customer by listening to concerns and answering questions
Sweet's Office Cleaning Services - Manager/Supervisor of Operations City, STATE, 06/2011 - 02/2019
Supervise and manage cleaning crew
Responsible for interviewing, hiring and training new crew members.
Responsible for scheduling shifts and designate cleaning location each week, assign replacement during absences,
Maintain and order monthly cleaning supplies and equipment, track and process payroll,
Address absences/tardiness. Ensure all cleaning crew staff are aware of and adhere to health and safety policies and procedures.
Ensure first class cleaning service is delivered to all areas of facilities, prioritize responsibilities, address employee's complaints and or issues.
Schedule specific services to ensure all areas and equipment are clean and properly maintained and stored.
Communicate and conduct monthly meeting with owner to ensure all cleaning requirements are being accommodated and met.
Continuously oversee work activities of cleaning crew and discipline and terminate when necessary, etc.
Assessed supplier quality to maintain tight cost controls and maximize business operational performance.
Cross-trained existing employees to maximize team agility and performance.
Maintain monthly standard of keeping medical offices 99% germ and bacteria free.
Bureau Of Workers' Compensation - State Of Ohio - Claims Service Specialist City, STATE, 12/2005 - 02/2019
Worked productively in fast-moving work environment to process large volumes of claims.
Evaluated accuracy and quality of data entered into agency management system.
Managed over 30 customer calls, as well as reply to and address 60 ā 100 emails per day.
Examined reports, accounts and evidence to determine integrity and accuracy of information.
Followed up with customers on unresolved issues.
Oversaw claim recoveries, subrogation and salvage.
Make appropriate referrals to Industrial Commission of Ohio, perfect hearing orders and court decisions.
Partner with managed care organization regarding researching, authorizing and negotiating.
Proposed settlements for uncomplicated issues to resolve claims.
Verified client information by analyzing existing evidence on file.
Calculated adjustments, premiums, refunds and overpayments.
Communicated effectively with staff members of operations, legal, policy, finance, employer services departments, etc.
Maintained confidentiality of claimants finances, records and health statuses.
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