Kimalee Jones
Port Saint Lucie,FL
Summary
Resourceful Internal Auditor offering 6-year background conducting managed care and DME audits and thoroughly reviewing records to verify compliance to state and federal regulations. Systematic and moral professional with expertise identifying and documenting internal strengths and weaknesses and developing recommendations and corrective action plans. Strong communicator possessing clear, concise writing skills, and proficiency in Microsoft Office.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Internal Compliance Auditor
ABC Home Medical
08.2022 - Current
- Promote transparency between departments by sharing audit results regularly with relevant stakeholders, fostering collaboration around organizational goals related to compliance.
- Ensure consistency in internal controls by updating policies, procedures, and training materials as needed.
- Streamline audit processes by implementing efficient auditing tools and methodologies, resulting in improved accuracy and reduced time spent on each audit.
- Strengthen internal control systems by conducting regular reviews of existing procedures, making recommendations for enhancements where necessary.
- Align audit objectives with broader company goals through active participation in strategic planning sessions led by executive leadership.
- Continuously improve audit efficiency through ongoing evaluation of processes, tools, and resources, identifying opportunities for optimization or innovation as needed.
Internal Auditor
Premier Eye Care
03.2018 - 03.2022
- Assisted in the preparation of audit reports that clearly communicated findings and recommendations to key stakeholders.
- Performed internal audits of financial and departmental operations, developing risk assessments and conducting process walkthroughs for compliance with documented processes.
- Contributed to a positive work environment by collaborating effectively with colleagues across all levels of the organization.
- Supported management in developing action plans to address identified issues, promoting timely resolution of audit findings.
- Enhanced internal control systems by conducting thorough risk assessments and implementing effective audit recommendations.
- Provided valuable insights to management by presenting clear and concise audit findings, contributing to informed decision-making processes.
Senior Claims Analyst
Premier Eye Care
03.2013 - 03.2022
- Reduced claim processing time by streamlining workflow and implementing efficient case management strategies.
- Enhanced overall team performance by providing mentorship, guidance, and training to junior claims analysts.
- Served as a subject matter expert on complex claim cases, offering consultation and guidance to colleagues in need of assistance.
- Played a critical role in interdepartmental initiatives aimed at improving overall organizational performance within the context of claims handling operations.
- Streamlined communication channels between departments for expedited information sharing during the claims process.
- Increased accuracy in claims assessment through thorough investigation and diligent documentation of claim details.
Education
Bachelor of Arts - Finance
Indian River State College
Ft. Pierce, FL05.2027
Skills
- Data Analytics
- Audit Planning
- Internal Controls
- Policy compliance
- Claims Processing Efficiency
- Critical thinking abilities
- Microsoft Office
- Oral and written communications
- Professionalism and Integrity
- Claims Investigation
- Claims Processing
Certification
- Licensed Independent Insurance Adjuster – Florida Department of Financial Services
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Career advancementFlexible work hoursHealthcare benefitsWork from home optionPaid time offPaid sick leave401k matchStock Options / Equity / Profit Sharing4-day work weekTeam Building / Company RetreatsPersonal development programsWork-life balanceCompany CultureTimeline
Internal Compliance Auditor
ABC Home Medical
08.2022 - Current
Internal Auditor
Premier Eye Care
03.2018 - 03.2022
Senior Claims Analyst
Premier Eye Care
03.2013 - 03.2022
Bachelor of Arts - Finance
Indian River State College
Similar Profiles
Maryanruun HassanMaryanruun Hassan
RN at ABC Home HealthcareRN at ABC Home Healthcare
Mark RiggsMark Riggs
Senior Sales Account Manager at ABC Home and Commercial ServicesSenior Sales Account Manager at ABC Home and Commercial Services
Jonathon HernandezJonathon Hernandez
Drain Technician at ABC Home and Commercial ServiceDrain Technician at ABC Home and Commercial Service