Brianna Turner

• Project Lead for Federal & State Approvals, ensuring accurate and timely completion of regulatory reviews
• Developed and managed approval processes for Veterans Employment Through Technology Education Courses (VET TEC), aligning them with federal regulations
• Assisted in strategic planning, process improvement, and operational oversight for education and training programs
• Spearheaded cross-functional collaboration with Chief Education Liaison Officers, State Approving Agencies (SAAs), and higher education institutions to ensure program compliance
• Designed and implemented performance tracking systems, optimizing workflow efficiencies and reducing approval processing times
• Conducted policy research and regulatory analysis, providing expert recommendations for institutional compliance
• Provided stakeholder training and guidance on federal education benefit programs, improving institutional engagement
• Identified opportunities for system automation, streamlining reporting and data collection for compliance audits

• Analyzed program efficiency, productivity, and budgetary impact, delivering data-driven recommendations for management decisions
• Provided project management support for strategic initiatives, including workflow automation and process optimization
• Developed performance metrics and monitored operational effectiveness, ensuring alignment with organizational goals
• Led process improvement initiatives, reducing inefficiencies in compliance and benefit delivery operations
• Created and maintained confidential reports, dashboards, and tracking systems for leadership decision-making
• Conducted trend analysis to forecast staffing, budget, and resource allocation needs

• Processed and reviewed complex education claims for veterans, ensuring timely benefit disbursement
• Advised claimants, institutions, and stakeholders on VA education programs and compliance requirements
• Led training sessions for new employees and school officials, improving understanding of VA education benefits
• Investigated claims discrepancies and fraud indicators, collaborating with oversight agencies for resolution

• Managed education claims adjudication, ensuring accuracy and regulatory compliance
• Conducted policy assessments to interpret federal regulations for education programs
• Maintained strong relationships with educational institutions, facilitating accurate reporting and claim resolution

Monitored and reported on activities related to projects.

• Worked with the team to determine customer requirements and translated them into operational plans.

• Collaborated with cross-functional teams to accomplish projects, meet deadlines, and resolve technical/operational issues.

• Maintained knowledge of the health insurance industry, company policies, and organizational structures to provide informed recommendations.

• Conducted analyses of reports and processes.

• Gathered information and consolidated it into reports.

• Made recommendations to management for process and procedural improvements based on analytical results.

• standard quality reviews and audits to measure compliance with published policies, procedures, customer, and regulatory guidelines.

• Identified and distributed errors to business partners for corrective action.

• Served as a subject matter expert on workflows, policies, system requirements/enhancements, daily operations, and programs.

• Performed root cause analysis and analyzed data to identify and communicate trends in quality and efficiency.

• Conducted specialized audits as requested to monitor and track customer and regulatory requirements.

• Provided support to workgroups and projects.

• Assisted less experienced quality analysts by offering guidance and expertise.

• Supported the day-to-day maintenance and operations of the assigned functional unit.

• Conducted analyses of reports and processes.

• Gathered information and consolidated it into reports.

• Made recommendations to management for process and procedural improvements based on analytical results.

• Provided general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims.

• Authorized appropriate payments or referred claims to investigators for further review.

• Conducted data entry and rework while analyzing and identifying trends, providing necessary reports.

• Recognized claims by determining claim type (HCFA, Hospital, U.B., R.X.), and identifying relevant ICD-9/10 codes.

• Calculated other insurance and re-pricing benefits.

• Ensured proper eligibility and provider records were matched to claims.

• Updated and maintained the claims tracking database.

• Consistently met established productivity, schedule adherence, and quality standards.