Passionate professional with a solid background in internal and external auditing. Known for strong attention to detail and effective multitasking, facilitating enhanced audit processes and timely corrective actions to drive organizational success.
Overview
31
31
years of professional experience
Work History
Auditor, Compliance
Molina Healthcare
Long Beach
11.2020 - Current
Facilitate comprehensive audits to ensure compliance with regulatory standards and internal policies
Collaborate with cross-functional teams to identify process improvements and mitigate risks
Document audit findings to support corrective actions
Interpret state and federal regulations to assess materials and data for non-compliance
Working closely with external auditors, providing requested documentation as requested
Streamlined audit documentation to enhance accuracy and accessibility
Internal Auditor
UnitedHealthcare (UMR) Formerly POMCO
SYRACUSE
03.2012 - 10.2020
Collaborated with teams to resolve discrepancies in claims processing.
Analyzed and evaluated claims data to ensure compliance with company policies, procedures, and industry standards.
Presented audit results to management for decision-making.
Assisted management with external auditors during scheduled audits by providing necessary information.
Claims Team Leader
POMCO
SYRACUSE
03.1995 - 03.2012
Identified areas where processes could be improved or streamlined.
Provided guidance, support and mentoring to junior staff members.
Coordinated with other departments within the organization to ensure smooth running of operations.
Analyzed and evaluated claims data to ensure compliance with company policies, procedures, and industry standards.
Handled and processed a variety of claims.
Evaluated finalized plan builds prior to implementation to ensure accuracy.