FATIMA LLAHSRAM
Dallas,TX
Summary
Detail-oriented security and compliance professional with extensive experience evaluating sensitive records, verifying documentation, resolving discrepancies, and supporting adjudication-related workflows. Strong background in healthcare operations, insurance claims, and investigative documentation, including reviewing medical records, police reports, and recorded statements. Adept at applying regulatory guidelines, maintaining chain-of-custody standards, and ensuring accuracy in high-volume, deadline-driven environments. Recognized for integrity, analytical judgment, and the ability to communicate complex findings clearly and professionally.
Overview
20
20
years of professional experience
Work History
Clinical Administrator Coordinator
UnitedHealthcare
Dallas, TX
05.2019 - 09.2025
- Reviewed and validated medical records, claims documentation, and investigative materials for completeness, accuracy, and compliance-directly aligning with personnel security requirements for document review and discrepancy resolution.
- Identified missing or inconsistent information and initiated follow-up with providers, members, and internal teams to obtain required documentation.
- Analyzed sensitive case information, including clinical histories and eligibility factors, ensuring adherence to federal and organizational guidelines.
- Maintained detailed case notes and audit-ready records, supporting high-volume workflows with strict confidentiality and precision.
- Collaborated with multidisciplinary teams to resolve escalated issues requiring judgment, interpretation of policy, and risk assessment.
- Improved documentation accuracy by implementing a structured verification checklist.
- Recognized for exceptional attention to detail and reliability in handling sensitive information.
Resolution Specialist
UnitedHealthcare
Dallas, TX
07.2016 - 05.2019
- Investigated discrepancies in claims, eligibility, and member records, compiling summaries of findings similar to suitability/security issue write-ups.
- Responded to internal and external requests for information, ensuring accuracy, clarity, and compliance with privacy regulations.
- Researched policies and procedural guidelines to support decision-making and ensure consistent application of standards.
- Managed confidential case files and maintained secure documentation systems.
- Successfully resolved complex cases requiring cross-departmental coordination and detailed investigative review.
- Known for producing clear, concise summaries used by leadership for final determinations.
Benefits Specialist
One Source Virtual
Dallas, TX
02.2015 - 07.2016
- Reviewed employee benefits documentation, verifying identity, eligibility, and supporting records-mirroring personnel security verification processes.
- Resolved discrepancies by contacting employees and HR partners to obtain missing or corrected information.
- Ensured compliance with federal and organizational standards for documentation integrity and confidentiality.
Retirement Initiation/Survivor Support Analyst
Mercer HR Services
Dallas, TX
05.2010 - 02.2015
- Evaluated sensitive financial, employment, and personal records to determine eligibility for retirement and survivor benefits.
- Conducted detailed reviews of supporting documentation, identifying inconsistencies and requesting additional information as needed.
- Prepared case summaries and determinations for final review by senior analysts.
Dealer Concierge
Autotrader.com
Atlanta, GA
05.2005 - 06.2009
- Supported verification of dealer credentials, business legitimacy, and compliance documentation.
- Provided customer service and issue resolution requiring discretion and accuracy.
Education
Massage Therapy Certification -
Rising Spirit Institute of Natural Health
Atlanta, GA01-2001
General Studies Coursework -
El Centro Community College
Dallas, TX01-1993
Skills
- Personnel Security Processes
- Suitability/Fitness Determinations
- Investigative Documentation Review
- Records Management & Compliance
- Policy & Regulatory Interpretation
- High-Volume Case Processing
- Customer Service & Communication
- Data Entry & Quality Assurance
- Workflow Optimization
- Confidential Information Handling
Series
0080
Additional Information
Strong ability to train and guide peers; frequently selected to mentor new staff., Experienced in structured workflows, checklists, and documentation standards., Demonstrated integrity, accountability, and sound judgment-competencies required for DHS OPR roles.
Grade
GS-09/11 Target
Summary Of Qualifications
Detail-oriented security and compliance professional with extensive experience evaluating sensitive records, verifying documentation, resolving discrepancies, and supporting adjudication-related workflows. Strong background in healthcare operations, insurance claims, and investigative documentation, including reviewing medical records, police reports, and recorded statements. Adept at applying regulatory guidelines, maintaining chain-of-custody standards, and ensuring accuracy in high-volume, deadline-driven environments. Recognized for integrity, analytical judgment, and the ability to communicate complex findings clearly and professionally., Personnel Security, Suitability/Fitness Review, Documentation Verification, Case File Management, Records Accuracy, Investigative Support, Customer Service, Decision Support, Policy Interpretation, Data Integrity, High-Risk/Sensitive Information Handling, Workflow Optimization
Veterans Preference
No
Federal Employment Status
Not currently a federal employee
Clearance
Eligible; prior experience supporting sensitive information handling
Department
Department of Homeland Security - Office of Professional Responsibility (OPR)
Personal Information
- Available: Immediate
- Relocation: Yes/Negotiable
- Citizenship: United States
- Title: Personnel Security Specialist
Timeline
Clinical Administrator Coordinator
UnitedHealthcare
05.2019 - 09.2025
Resolution Specialist
UnitedHealthcare
07.2016 - 05.2019
Benefits Specialist
One Source Virtual
02.2015 - 07.2016
Retirement Initiation/Survivor Support Analyst
Mercer HR Services
05.2010 - 02.2015
Dealer Concierge
Autotrader.com
05.2005 - 06.2009
Massage Therapy Certification -
Rising Spirit Institute of Natural Health
General Studies Coursework -
El Centro Community College