Leia Shrout
OneAmerica Financial
INDIANAPOLIS,IN
17
years of professional experience
Results-driven Forensics Consultant with a strong focus on problem-solving, business operations, and stakeholder engagement. Utilizes in-depth industry knowledge and analytical skills to identify and implement effective solutions. Track record of building strong relationships and driving measurable results.
Work History
Forensics Consultant
10 Years 2 Months- Directed technology assessments to ensure alignment of IT strategies with business objectives.
- Designed and launched innovative technology initiatives aimed at improving operational workflows.
- Facilitated collaboration among cross-functional teams to advance system integration initiatives.
- Delivered comprehensive assistance during each phase of the transition from legacy systems to modernized infrastructure, focusing on seamless integration.
- Assessed vendor solutions to ensure alignment with organizational objectives.
- Developed and maintained strategic partnerships with stakeholders, ensuring streamlined communication and collaboration across project lifecycles.
- Analyzed end-user incidents to schedule necessary system modifications and establish lasting solutions.
Provider Relations Consultant
6 Years 5 Months- Spearheaded strategic initiatives to optimize operational efficiency across diverse provider types.
- Organized and led workshops and training sessions for hospital, physician, dental, and vision providers.
- Facilitated collaboration among cross-functional teams to ensure alignment of project objectives with client needs and expectations.
- Reviewed intricate claims to uphold compliance with established policy guidelines and regulations.
- Identified and addressed fraud and abuse complaints reported by Indiana Attorney General and Indiana State Representative offices, enhancing organizational integrity.
Uncovered suspicious patterns in claims data, leading to proactive fraud risk mitigation.
Facilitated the escalation of concerns to specialized teams, resulting in thorough investigations. - Designed and executed comprehensive training programs to elevate agent performance.
- Analyzed call center interactions comprehensively to ensure alignment with quality service benchmarks.
Education
Associate of Applied Science - Health Claims Examiner
Skills
Stakeholder management
Subject matter expert
Cross-functional collaboration
Fraud investigation
Client relationships
Regulatory compliance
Issue resolution
Problem-solving
Attention to detail
Client rapport
Timeline
Forensics Consultant
OneAmerica Financial
06.2016 - CurrentRead More
Provider Relations Consultant
DXC Technology, Hewlett Packard Enterprise
12.2009 - 05.2016Read More
Harrison College
Associate of Applied Science from Health Claims Examiner
Read More