Motivated examiner leveraging several years in career within the field market. Offering talents in data gathering and analysis.
Overview
23
23
years of professional experience
1989
1989
years of post-secondary education
Work History
Licensing Examiner
Ohio Department of Insurance
Columbus, Ohio
08.2021 - Current
Conducted thorough examinations of insurance company practices and compliance.
Reviewed financial records to ensure adherence to state regulations.
Analyzed consumer complaints to identify trends and issues in the industry.
Collaborated with stakeholders to develop regulatory guidelines and improvements.
Prepared detailed reports summarizing examination findings and recommendations.
Assisted in training new examiners on policies and procedures.
Communicated findings effectively with insurance companies and regulatory bodies.
Reviewed and analyzed claims to ensure accuracy of information, completeness of medical records, and compliance with policy terms.
Monitored progress throughout the life cycle of each claim ensuring timely resolution.
Investigated inconsistencies in documentation or reports obtained from third parties.
Evaluated eligibility for benefits based on analysis of case facts and application of applicable laws.
Held interviews with witnesses and resorted to looking up hospital and police records when needed.
Carefully analyzed and collected evidence to support contested claims in court.
Maintained accurate files containing all relevant documents pertaining to each claim.
Ensured that all required notifications were sent out promptly following decisions on claims.
Resolved customer inquiries regarding claims status in a timely manner.
Conducted interviews with claimants, employers, physicians and other healthcare providers to obtain additional information relevant to the claim.
Provided technical guidance and advice to management concerning claim adjudication processes and procedures.
Recommended appropriate actions based on review findings including denial or approval of benefits payments.
Compiled evidence from various sources such as medical records, employment histories, and legal documents.
Adhered strictly to company standards when evaluating cases for payment authorization.
Determined if claims were valid according to established rules and regulations.
Processed completed and signed title documents through electronic vehicle registration program and maintained expert knowledge of computerized systems.
Managed and filed paperwork to transfer vehicle ownership title from dealer to purchaser for new, used and wholesale sales.
Maintained current DMV title regulations knowledge for each state and processed compliant paperwork regardless of states involved.
Assisted new vehicle owners to understand title transfer process and steps required of owners to finish process.
Collected purchase funds and verified confirmed lienholder payoff before processing title.
Issued public notification of official activities or meetings to public.
Issued permits and licenses for marriages, fishing, hunting and dogs.
Prepared ordinances, resolutions and proclamations to be executed, recorded, archived and distributed.
Prepared lists of overdue accounts, license suspensions and issuances.
Received and submitted payments for fees and fines, accurately tracking amounts, issuing receipts and updating computer systems.
Assembled photographs with printed license information to produce completed documents.
Tracked exhibits admitted during court hearings and updated documentation.
Stocked counters with forms, film and license supplies to maintain inventory levels.
Recorded meeting minutes for distribution to officials and staff members.
Wrote error-free and professional correspondence on behalf of court system.
Investigated past and current licensees to perform record checks.
Updated municipal codes and city charter documents.
Regulatory Specialist
State Auto Insurance Company
03.2003 - 04.2020
Reviewed regulatory submissions for compliance with industry standards.
Collaborated with cross-functional teams to interpret regulatory requirements.
Maintained up-to-date knowledge of relevant regulations and guidelines.
Trained team members on regulatory processes and best practices.
Managed communication with regulatory agencies to facilitate approvals.
Represented the company at hearings, conferences, and meetings with regulators as needed.
Drafted responses to inquiries from government agencies regarding ongoing investigations or enforcement proceedings.
Identified areas where existing policies need improvement or updating due to changing legislation or regulation.
Drafted policies and procedures for ensuring adherence to relevant legal standards.
Collaborated with legal counsel on matters relating to corporate governance and regulatory compliance.
Provided advice on how best to manage risks associated with possible violations of applicable laws or regulations.
Participated in internal audits to assess compliance with applicable laws and regulations.
Addressed non-conformances and change controls to offer regulatory affairs updates to QA metrics.
Oversaw impact assessments and wrote reports outlining findings.
Updated in-depth trackers of approvals and submissions.
Gathered and analyzed scientific data to formulate explanations and arguments for regulatory authorities.
Liaised with contacts such as pharmaceutical companies.
Supported diverse areas of regulatory responsibility.
Established and oversaw and regulatory procedures.
Oversaw and coordinated development of annual reports.
Obtained and distributed updated information regarding domestic or international laws, guidelines and standards.
Determined requirements applying to treatment, storage, shipment and disposal of hazardous production-related waste.
Education
Nome - Hospitality Management
Columbus State Community College
Columbus, Ohio, OH
05.1988 - 12.1989
Pickerington High School
Pickerongton , Oh
Skills
Processes agents application for an insurance license
Answer phone calls and research complicated issues
Health Licensing Specialist at District of Columbia Government Department of HealthHealth Licensing Specialist at District of Columbia Government Department of Health